Postmenopause Case Studies

The world around us has many current issues that relate one way or another to family and consumer science. I recently read an article written by Joan R. McFadden and Kay T. Rawson Swan, entitled “Women During Midlife: Is It Transition or Crisis?”. The article talked about how women go through the different stages of menopause also known as mid-life crisis to some. With a mid-life crisis it is stated to involve a feeling of loneliness, a period of wanting to find one’s self in the world, a time to reinvent yourself, to live outside of a woman’s everyday life style, and to experience changes in health and family roles. For many women these statements are said to be true, but not all women are the same.

The provider should consider EP age before making further decision. EP is undergoing menopausal transition also known as perimenopause. According to the North American Menopause Society (NAMS), menopause is confirmed when a woman miss period for 12 consecutive months with no other obvious cause. Most women experiences menopause between ages 40 and 58. However, physical changes in perimenopause begin years before the final menstrual period and may last for 4 to 8 years

Heat characteristic of this period occur because decreased levels of estrogen affects the thermoregulatory center, the brain region responsible for regulating the body temperature. It detonates a true thermal runaway. More than a torment, the arrival of hot flushes should be seen as a warning. Victims of hot flashes will go through the menopause. This could be the end of menstruation and childbearing life. The hot flashes and other symptoms can remain for up to five years after menopause. Some women, however, go through menopause without feeling any discomfort, especially those who have healthy life. However, most are not only affected by heat waves. You can also experience decreased libido, vaginal dryness caused by, and failures in memory, fatigue, irritability, insomnia, anxiety

Perimenopause relates to the time when the ovaries gradually begin to make less estrogen. It

The following case is about a 53-year-old premenopausal female patient who presented to the primary care office with recurrent positive urinalysis and urine culture without symptoms or signs suggesting urinary tract infection (UTI). She was given two courses of antibiotics in two months based on the urine test results in a primary care office. She was not satisfied with the treatment plans and came to the office for the second

At 47 years of age, women start to enter the time known as perimenopause. Bleeding heavier with irregular periods is typical for this time.

Menopause is the normal time of life when menstrual periods stop completely and your ovaries stop producing the female hormones estrogen and progesterone. This can affect your health and cause undesirable symptoms. HRT can relieve some of those symptoms.

·     The average age of menopause onset is 51 years old. There is no single method to

Why do most women in the pre and post menopause years gain weight? When it starts happening to you it may be a slow “creep up on you” kind of weight. A pound or two, then 4 or 5 and before you know it your entire body has taken on an unknown form and you have an extra 10 or even 20 pounds extra

Menopause is a stage of a woman’s health around her late 40s or early 50s. At this stage of her life, a woman’s menstruation will cease and her hormones will deplete, leaving sometimes terrible side effects, including insomnia, mood

Navigating menopause doesn’t have to be a horrible experience. When you have a team like North Coast OB/GYN on your side, you have access to a group of professionals who understand the ins and outs of managing hormonal balances. Even if you’re not in the Elyria, OH, area, or a patient of North Coast OB/GYN, these 3 tips for managing menopause related hormone shifts can make all the difference:

1.Hormonal imbalances: Heavy bleeding is noted with hormone imbalances usually during early menarche and during perimenopausal period when hormones are changing. Hormone imbalances can also be caused by toxins or unbalanced lifestyles. Symptoms would be weight gain, decreased libido, fatigue, depression, insomnia, hirsutism, thinning hair, and digestion problems. Labs need to be drawn to evaluate LH, prolactin, and TSH level. Her TSH being elevated may very well be the reason for this patient’s abnormal bleeding. Lab work will help diagnose the patient with a hormone issue. This diagnosis cannot be ruled out at this time.

Menopause has become medicalized in our society because of the way our society looks at how to handle certain issues according to Harpaz(2013) ,The medicalization of menopause began with the discovery of estrogen in 1923, by Dr Edgar Allen, and the discovery of progesterone in 1933. Which was later approved by the FDA in 1942 to treat menopause .it became popular in the 1960s when Dr Robert Wilson, published a book entitled “Feminine Forever”. In which he claimed menopauses to be like the living decay process. which caused many women to take interest in it because he claimed it could help stop them from aging and stop the process completely. according to Harpaz (2013) As doctors are not trained in menopause, they were taught about the virtues

Autonomy states that “rational individuals should be permitted to be self-determining.” By exercising this principle, individuals are able to shape their lives. Under difficult circumstances, autonomy may be compromised. If an option is forced, it really is not an option at all. Similarly, this force and coercion restricts individuals’ freedom. Even though we as humans have the freedom to decide how our lives go, there are four restrictions on autonomy that are frequently recognized. These are the harm principle, the principle of paternalism, the principle of legal moralism, and the welfare principle. The first two deal with restriction of a person’s autonomy if they are going to harm others or themselves. The third states that the law is justified in its restrictions because it is presumed that what is illegal is immoral. The fourth principle holds that an individual’s autonomy can be restricted as long as it will provide benefits to others. Overall, autonomy can be applicable to a wide variety of ethical issues, but I will be specifically looking at postmenopausal motherhood.

Mitchel and Barnes (2005) note that menopause or peri-menopause has the effect of increasing depressive symptoms or initiating the onset of depressive symptoms. A systematic review of literature on the impact of menopause on the course of bipolar disorder indicate that postmenopausal women reported worsening mood symptoms particularly depression (Mitchel & Barnes, 2005). A study by Dalal and Agarwal (2015) on postmenopausal syndrome found that 75% of women investigated experienced vasomotor symptoms; in some case the symptoms lasted for up to 10 years. The symptoms included hot flushes, emotional lability, difficulty in concentrating and insomnia. The highlighted symptoms are similar to bipolar disorder symptoms.