Fortunately, treatment of women suffering from symptoms in this age bracket is very successful. Today, therapy is well advanced, and the majority can benefit. Most women can again discover a full, happy, and well-adjusted life with minimum therapy.
Treatment is based on the artificial use of hormones. These are identical to the ones nature produces normally. The most widely used is called ethinyl oestradiol. This is given in minute amounts, from 10 to 20 mcg daily. Treatment is usually tailor-made to the woman’s apparent needs by the doctor. It is varied in accordance with her response.
Treatment is usually given for short courses. Special caution is needed if there has been any cancer history.
Many doctors prefer to use a variation of this medication called conjugated equine oestrogens, which is widely known by its trade name Premarin. A common satisfactory dose of 0.625 mg a day is prescribed. Many believe this gives a more normal type of reaction, and may be preferable, but it is usually much more expensive.
Today, there are definite guidelines laid down for the use of hormones for menopausal women. This follows some fears encountered in the mid-1970s that continual use might cause adverse repercussions, and there was talk of cancer.
However, this has been refuted, provided the oestrogen is taken for a set number of days per calendar month, and taken in conjunction with the other female hormone, progesterone (or Gestalten), in small doses, for a certain number of days per calendar month. The progestogen pill is usually one of the brands used for contraceptive purposes, being norethisterone 350 mcg (Micronor) or levonorgestrel 30 mcg (Nlicroval).
The method of taking the medication (which will be confirmed by your doctor) is as follows:
Take the oestrogen tablet daily from Day 1 to Day 24 of the calendar month, then discontinue until the first day of the following calendar month. In addition: Take theprogestogen tablet daily from Day 15 to Day 24. then discontinue until the 15th day of the following month. Usually this will cause a slight menstrual bleed about three days after the tablets have been discontinued. But most women will accept this fact of life as small payment for the relief obtaineol from symptoms. Keep in close contact with your doctor, especially regarding this so-called “withdrawal bleeding,” which is not due to cancer despite your age. However, some doctors still believe investigation of the womb (probably before or after medication is started) is advisable as a preliminary safeguard.
By the use of these hormones, a general feeling of wellbeing often occurs. Depression and anxiety may vanish. the world smiles again, hot flushes disappear as if by magic, the old irritability wanes, nerves settle, sleep improves, and the outlook brightens.
In some women, the skin becomes less wrinkled, the fingernails and toenails grow more rapidly, and break and crack less easily.
Many cases have been reported where the hair becomes more attractive, wavy and shinier.
These hormones have often been called the youth pill. Women taking them and gaining these results are often apt to agree, but it is not the universal panacea for greater beauty, and it is not the eternal fountain of youth. But it certainly may help.
The bladder is located in very close proximity to the vagina and uterus. The urethral outlet, the tiny external opening through which urine escapes from the body is located just above the vaginal entry This short canal, about three centimetres in length, is closely related to the front wall of the vagina, and it runs into the bladder, also closely related to the front vaginal wall.
With a weakening of the overdistended vaginal walls during the passage of time. a cystocele can readily occur. As the vaginal walls weaken, the bladder presses into the vagina and tends to prolapse down its length. In this way, residual urine can collect in the bladder, and this often becomes a source of chronic infection.
Cystitis persists unless action to clear it up is taken. This can be by the use of the appropriate antibiotic, or more sensibly by surgical repair.
However, another situation can occur concurrently with this, giving rise to a condition called stress incontinence. The valve of the urethra becomes weakened, and any sudden forceful stress on the bladder can cause the sudden release of a small amount of urine, over which the person has little (if any) control. This may be difficult to differentiate from a bladder infection.
It is most important that bladder infections be treated promptly. If they are not, the infection may spread up the canals that lead to the kidneys (called the left and right ureter), and produce kidney disease that may become serious. It can produce its own set of symptoms, such as loin pain, an elevated temperature, nausea. vomiting and rigors.
Enormous numbers of women suffer from urinary-tract disorders, particularly infection. In recent years much work and research has been devoted in major centres to this problem. It seems that many women suffer from urinary-tract infections (UTI) without knowing, and without symptoms being produced. If major infections occur, then the typical burning. scalding, frequency, malaise and urgency occur. But with minor infections which are serious, just the same, due to their implications), symptoms are often entirely absent.
It is well-known that urinary infections can readily be cleared up with the use of suitable antibiotics. But there is a tendency for recurrences. These days, long-term treatment with antibiotics and certain sulfa compounds is widely used. The lower part of the urethra (the canal leading from the bladder to the exterior) normally has bacteria in its lower third. It is well-known that these can be pushed into the bladder following sexual intercourse. Many women complain of cystitis the following day.
A simple and effective way to overcome this is to get out of bed and pass the urine as soon as possible after intercourse. on every occasion. This may present a nuisance problem, but those taking the trouble to do it regularly find the beneficial results well worth the small amount of effort and inconvenience involved. This immediately gets rid of the urinary reservoir and sweeps out the germs that may have recently penetrated there. and so denies them the opportunity for multiplying, which they will surely do otherwise.