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MANAGING HORMONAL CHANGES DURING PERIMENOPAUSE AND MENOPAUSE

24/10/2024

► Sign up for the Perimenopause & Menopause Health package: https://m.me/aih.com.vn

As women enter middle age, they experience significant hormonal changes marking the transition from perimenopause to menopause. Understanding and managing these changes is essential for maintaining health and overall well-being.

► Symptoms of Perimenopause & Menopause

1. Perimenopause

Perimenopause is the transition phase leading up to menopause, typically occurring in women over 40 but sometimes as early as their mid-30s. This stage is characterized by hormonal fluctuations, which can cause various physical and emotional symptoms, signaling the end of reproductive years. Common symptoms include:

Irregular periods: Changes in menstrual cycle length and flow.
Hot flashes and night sweats: Sudden feeling of heat, often accompanied by sweating.
Sleep disturbances: Difficulty falling or staying asleep, often due to night sweats.
Mood swings: Increased irritability, anxiety, or mood fluctuations.
Vaginal dryness: Reduced vaginal lubrication, leading to discomfort during intercourse.
Weight gain: Especially around the abdomen.
Osteoporosis risk: Increased risk of bone density loss due to decreased estrogen levels.

2. Menopause

Menopause is defined as the absence of menstruation for 12 consecutive months. Many perimenopausal symptoms continue, and may include:

Persistent hot flashes & night sweats
Mood changes & depression
Sleep disorders
Thinning hair & dry skin
Loss of breast fullness
Joint and muscle pain
Heart palpitations

Without proper care and treatment, these symptoms may worsen over time. Women experiencing severe discomfort that negatively affects their health, mental state, or daily life should consult a doctor for medical advice and support.

► How Is Perimenopause & Menopause Screening Conducted?

During a medical examination, doctors will assess overall health, hormone levels, bone health, and cardiovascular function, then they may recommend lifestyle and dietary adjustments, supplements, or hormone replacement therapy (HRT) if necessary.

Depending on individual health conditions, additional tests may be required to ensure effective symptom management. Patients will also have the opportunity to consult with doctors about any health concerns, ensuring a personalized and effective treatment plan.

Regular perimenopause and menopause check-ups play a crucial role in helping women understand each symptom, potential complications, and intervention options, allowing better symptom management and enhancing overall quality of life during this transition.

At AIH, we offer a Comprehensive Perimenopause & Menopause Screening Package designed to assess and support health changes effectively during this stage.

► Comprehensive Perimenopause & Menopause Screening Package includes:

1. Hormone assessment:

Estradiol (E2): Measures estrogen levels to evaluate reproductive hormone balance.
Follicle Stimulating Hormone (FSH) and Hormone Luteinizing (LH): Key indicators of menopause transition.
Thyroid Function Tests (TSH, Free T3, Free T4): Assess thyroid hormone levels, which may impact menopause symptoms.
DHEA-S: Evaluates adrenal gland function.
SHBG: Measures the levels of sex hormone-binding globulin.
Testosterone (entirely): Assesses testosterone level in women.
Progesterone: Monitors hormones essential for menstrual cycles and menopause transition.
Cortisol: Evaluates the adrenal function and stress responses.
Insulin: Monitors blood glucose and diabetes risk.

2. . Bone Health Evaluation

Dual-energy X-ray absorptiometry (DEXA Scan): Measures bone mineral density to assess osteoporosis risk.

3. Cardiovascular Evaluation:

Cholesterol panel: Assesses cardiovascular disease risk.
Apolipoprotein (Apo-A, Apo-B): Additional markers for lipid metabolism.
Blood pressure monitoring

4. . Comprehensive blood tests:

• Complete blood count (CBC): Screens for anemia and overall health status.
• Blood glucose: Monitors blood glucose levels to assess diabetes risk.
• HbA1c: Evaluate long-term blood sugar control.
• Liver function tests: Includes AST, ALT, GGT, ALP, Bilirubin and total protein.
• Kidney function tests: Includes Creatinine, Ure, Albumin and Globulin.

5. Nutrition and Vitamin Test:

Vitamin D: Plays an important role in bone health and immune function.
Calcium and Phosphate: An essential factor in bone strength and overall health.

6. Total urinalysis: Screening for other Health Conditions

* Additionally, a breast ultrasound or a mammogram (depending on the patient’s health status and previous medical history), an abdominal and pelvic ultrasound, a Pap smear and an HPV test might be recommended by gynecologists.

To register for the Perimenopause & Menopause Screening Package, please book an appointment at https://m.me/aih.com.vn or contact our hotline at (028) 3910 9999..

As part of our goals to support women's health, American International Hospital (AIH) regularly hosts free seminars on perimenopause and menopause, presented by Dr. Jadranka Mihajlovic, an Internal Medicine specialist with 23 years of experience from Raffles Specialists Center. For details on the next seminar, please call our hotline at (028) 3910 9999 for assistance.

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For checkup and consultation at AIH:

☎ Hotline: (028) 3910 9999

🌏 Website: www.aih.com.vn

📍Address: (Entrance from 199 Nguyen Hoang Street) No.6, Bac Nam 3 Street, An Phu Ward, Thu Duc City, Ho Chi Minh City.