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Dr-Qamar Awawdah

on 25 November 2013

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Physiological changes for menopause
women health
Physiological changes for menopause

Instructor : Shefa Fanasheh‎‏‏.
students: qamar awawdah , marlin swity

what is menopause ?
Menopause is the point in time when a woman's menstrual periods stop. Some people call the years leading up to a woman's last period "menopause," but that time actually is perimenopause , Periods can stop for a while and then start again, so a woman is considered to have been through menopause only after a full year without periods .
After menopause, a woman no longer can get pregnant.
The average age of menopause is 51, but for some women it happens in their 40s or later in their 50s. Sometimes called “the change of life,” menopause is a normal part of life and not "Disease" .
What symptoms might women have before and after menopause?

The hormone changes that happen around menopause affect every woman differently. Also, symptoms sometimes are not caused by menopause but by other aspects of aging instead.

How can I manage symptoms of menopause?
It is not necessary to get treatment for your symptoms unless they are bothering you. You can learn about simple lifestyle changes that may help with symptoms, and some symptoms will go away on their own.
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Some changes that might start in the years around menopause include:

Irregular periods
Your periods may:
Come more often or less often
Last more days or fewer
Be lighter or heavier
Trouble sleeping.
You may have:
Trouble sleeping through the night .
Night sweats (hot flashes that make you sweat while you sleep) .
Mood changes.
You might:
Have mood swings (which are not the same as depression) .
Cry more often .
Feel crabby .
Hot flashes (or flushes).
These can cause:
Sudden feelings of heat all over or in the upper part of your bodyو.
Flushing of your face and neck .
Red blotches on your chest, back, and arms .
Heavy sweating and cold shivering after the flash .
Vaginal and urinary problems.
Changing hormone levels can lead to:
Drier and thinner vaginal tissue, which can make sex uncomfortable .
More infections in the vagina .
More urinary tract infections .
Not being able to hold your urine long enough to get to the bathroom (urinary incontinence) .
Other changes. Some other possible changes at this time (either from lower levels of hormones or just from getting older) include:
Forgetfulness or trouble focusing .
Losing muscle, gaining fat, and having a larger waist .
Feeling stiff or achy .

Lower estrogen around the time of menopause leads to bone loss in women.

3. Acupuncture
1- Women who received traditional Chinese acupuncture had less severe hot flashes and mood swings than women receiving a placebo treatment .
2- Past research has also found that acupuncture works as well as the drug Effexor, which is often used to treat hot flashes .
3- Not only did the acupuncture cause no negative side effects .

6. Bioidentical Hormones
A final option is to consult a health care practitioner who can recommend a combination of bioidentical hormones. An alternative to synthetic HRT, bioidentical hormones, such as certain progesterone creams, are identical to the hormones produced in your body, and some studies have shown them to be very effective for symptom relief.
PT intervention
as PT you should learn the women to relieve her symptoms by :

1- Exercise : at least 2.5 hours a week of moderate aerobic physical activity, 1 hour and 15 minutes of vigorous aerobic activity, or some combination of the two, along with strength-training exercises two days a week. And not before sleep so that she can sleep better .
2- pelvic floor exercises :
1. Identify the muscles
2. Contract the muscles correctly
3. Fast and slow contractions
Try to do one set of slow exercises and one set of fast contractions six times a day.
The Chartered Society of Physiotherapists also recommends that you do a quick contraction just before you cough, sneeze or laugh.
You may also find it useful to do a fast contraction just before you get out of a chair. This is because the movement of getting up puts pressure on your bladder and pelvic floor.

6 Top Natural Therapies to Ease Menopause Symptoms
1. Exercise
1- If you’re not yet exercising regularly, now’s the time to start. .
2- Studies show that exercise may ease feelings of stress, anxiety and depression post-menopause while helping you avoid middle-age weight gain as well .
3- This is important, as research shows that overweight women who lose weight experience improvements in hot flashes.
4- Exercise may also help you get a better night’s sleep. .
5-The U.S. Department of Health and Human Services, Office on Women’s Health, recommends at least 2.5 hours a week of moderate aerobic physical activity, 1 hour and 15 minutes of vigorous aerobic activity, or some combination of the two, along with strength-training exercises two days a week.

2. Healthy Diet
A diet rich in vegetables, proteins and healthy fats is essential for women approaching menopause. Foods that contain naturally occurring phytoestrogens, such as the lignans in flaxseed or the isoflavones in whole grains and beans, may also help provide some symptom relief by acting as a weak form of estrogen in your body.
4. Stress Relief
Exercise, yoga and acupuncture, along with deep breathing, guided imagery, meditation, or even relaxing with a good book, can all help you to regroup from stress.
5. Herbal Remedies
A number of herbs have been explored as potential treatments for menopausal symptomsز.
3- more ex for pelvic floor
2- the north american menopause socity website
3- netdoctor website
4-http: //www.womenshealth.gov/
Full transcript