Menopause history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Rahmah Al-Edresi, M.D.[2]
Overview
The most common symptoms of menopause include hot flashes, night sweats, headach, palpitations, dyspareunia, stress incontinence, urgency, frequency, dysuria, anxiety, sleep disturbance, depression. In addition to some less common symptoms of menopause include loss of concentration, and loss of self confidence.
History
Obtaining a patient's history is an important aspect of making the diagnosis of menopause. It provides an insight into precipitating factors and associated comorbid conditions. A complete history will help determine the correct therapy and helps in determining the prognosis. Specific histories about the symptoms (duration, onset, progression), associated symptoms. Specific areas of focus when obtaining the history, are outlined below:
- Onset, duration, and progression of symptoms especially ( Hot flashes, urinary symptoms, joint pain).
- History of the menstrual cycle
- Associated symptoms such as depression, sleep disturbance.
- history of Co-morbid conditions such as Hypertension, Heart disease, Diabetes Mellitus.
- Medications
- History of smoking and tobacco.
Symptoms of Menopause
The menopausal symptom happens in the menopausal transition period. The most common symptom is the increasingly erratic menstrual period together with these symptoms the woman may also have
Vasomotor symptoms:
- Hot flashes are a sudden feeling of heat in face and neck may with red blotches on the chest, back, and arm[1] that are happened three to four minutes,[2] associated with sweating. Hot flashes are the most common symptom and most women have hot flashes for 6 months to 2 years, but some women may experience them for 10 years or longer.[3]
- night sweats
- palpitations
- migraines
Urogenital symptoms:
- Decreased libido
- Problems reaching orgasm
Skeletal: [4]
- Osteoporosis gradually developing over timeInvalid
<ref>tag; refs with no name must have content - Joint pain, muscle pain
- Back pain
Skin, soft tissue:
- Breast atrophy
- Skin thinning
- Decreased elasticity
Psychological:
- Mood disturbance
- Sleep disturbance
- Irritability
- Anxiety
- Poor Memory: as a result of depression and loss of sleep but not due to deficiency of estrogen hormone.
- Depression
- Loss of concentration
- Loss of self-confidence
A cohort study found that menopause was associated with hot flushes; joint pain and muscle pain; and depressed mood.[5] Menopause was not associated with poor sleep, decreased libido, and vaginal dryness, and happens of these symptoms in the late menopausal transition years.
References
- ↑ https://www.womenshealth.gov/menopause/menopause-symptoms-and-relief
- ↑ https://www.ncbi.nlm.nih.gov/books/NBK507826/#!po=10.0000
- ↑ http://www.menopause.org/docs/default-source/2014/nams-recomm-for-clinical-care.pdf
- ↑ https://pubmed.ncbi.nlm.nih.gov/17666595/
- ↑ Freeman EW, Sammel MD, Lin H; et al. (2007). "Symptoms associated with menopausal transition and reproductive hormones in midlife women". Obstetrics and gynecology. 110 (2 Pt 1): 230–40. doi:10.1097/01.AOG.0000270153.59102.40. PMID 17666595.