2. Menopause :-
Permanent cessation of menstruation caused by
failure of ovarian follicular development in the
presence of adequate gonadotrophin stimulation.
Derived from the Greek words “men” (month) and
“pausis” (cessation)
Climacteric :-
The physiologic period in a women's life during
which there is regression of ovarian function.
Premature ovarian failure :-
Cessation of menstruation due to depletion of
ovarian follicles before the age of 40y.
3. Typically between 42 and
56 years of age
Median - 51.4, range of
48-55 yrs
Median for
perimenopause - 47.5
years, median length of
4 years
8. Androgens :-
↑ androgen level due to stromal cell
stimulation by endogenous gonadotrophins
↓ Androstenedion (adrenal)
↑ Testosterone level
Estrogen :
In preimenpausal women ,the main Estrogen
is E2
In post menopause is E1(from the peripheral
conversion of Androstenadione)
9. Brain
Helps maintain body
temperature
mood, cognition,
sexual health
Ovaries
Stimulates maturation
and start of woman’s
menstrual cycle
Vagina
Stimulates maturation
and helps maintain
lubricated and thick
vaginal lining
Heart and liver
Regulates production of
cholesterol / decreases
plaque in coronary
arteries
Bones
Helps to preserve bone
density
Breast
Stimulates development
at puberty and prepares
glands for future milk
production
Uterus
Stimulates maturation
and helps to prepare the
uterus to nourish a
developing fetus
10. Hot flushes / night sweats
Irregular periods
Change in cholesterol / blood vessels
Mental function
Sexuality
Sleep disturbances
Joint discomfort
Vaginal / vulvar / bladder changes
Loss of bone / osteoporosis
Mood changes
No two women experience
menopause in the same way
11. Lifestyle changes
Alternative & complementary therapies
Traditional hormonal therapy
Non-hormonal prescription therapies
Avoid triggers (hot drinks, alcohol)
Breathing techniques
Ceiling/bedside fan
Cool evening shower or bath
Dress in layers - dry wicking clothing
Turn down thermostat
12. How Can We Maximize Our Health
As We Get Older?
13. 94% of risks are things you
can change:
1. Obesity
2. High blood pressure
3. Smoking
4. Stress
5. Diet (fruits and vegetables)
6. Alcohol
7. Blood lipid levels
14. Balanced diet
Reduce total fat
intake / cholesterol
intake
Control weight
Calcium 1000 –
1500 mg / day
Vitamin D at least
400-800 IU / day
Limit alcohol intake
Limit caffeine intake
15. 1 in 4 women over 50 has osteoporosis
Estrogen helps maintain bone strength
Crucial time: 2 to 4 years around the last
menstrual period
16. Essential for good bone health
Average Canadian diet –
only 500 mg per day
Recommended intakes
(from diet and supplements):
◦ Peri-menopause - 1000 mg/d
◦ Post-menopause - 1500 mg/d
◦ Should be taken in divided doses
Calcium therapy alone is not enough to
prevent fracture
17. Important to maintain
bone health
Most recommend intake
of 1000 IU/day
Deficiency due to limited sun exposure / use
of sunscreen
Food sources not adequate
May be more important
than calcium
18. Risk to your health:
◦ Diabetes
◦ Hypertension
◦ Cancer
◦ Stroke
Will happen if you don’t maintain an
active lifestyle
Average weight gain 5-10 lbs
19. •Estrogens and progestogens prescribed to
treat symptoms of menopause (e.g., hot
flashes, vaginal dryness) not to treat or to
achieve a specific blood hormone level
•Also effective for prevention of osteoporosis
and urogenital atrophy.
•Detailed scientific studies have evaluated
efficacy and safety (including endometrial
safety)
20. •Monitor BP, glucose, lipid profile, thyroid function
•Regular Pap smear
•Regular breast exam (personal & provincial
mammogram screening program)
•Bowel cancer screening
•Flu shot
•Safe sex
•Selective bone density testing
•Fracture risk assessment
•Cautionary recommendations concerning accidents
such as falls or slips
21. Above ALL…..
Be The Heroine Of Your Life…Classy &
Fabulous….!!
As UsuaL….
There Is A Great Women Behind Every
Interesting Idiot…..!!
