Women who delay the onset of menopause can follow medical advice to use estrogen drugs, progesterone drugs, selective estrogen receptor modulators, plant estrogen drugs, traditional Chinese medicine preparations, and other medications. Menopause is a process of physiological decline in ovarian function in women, and drug intervention requires strict evaluation of indications and contraindications.
1. Estrogen drugs
combined with estrogen tablets, estradiol valerate tablets, etc. can supplement estrogen levels in the body and alleviate menopausal symptoms such as hot flashes and night sweats. Before use, contraindications such as breast cancer and endometrial cancer should be excluded, and the endometrium should be protected with progesterone.
2. Progesterone drugs
Progesterone capsules, digestrone tablets, etc. are often used in combination with estrogen to form a cyclic sequential therapy. Progesterone can counteract the proliferative effect of estrogen on the endometrium and reduce the risk of monotherapy.
III. Selective estrogen receptor modulators
Raloxifene and other drugs exert estrogen like protective effects on the bone and cardiovascular system, while exhibiting antagonistic effects on the breast and uterus. Suitable for women with high-risk factors for osteoporosis but contraindications to estrogen use.
4. Plant estrogenic drugs
Lefmin tablets and other extracts of black cohosh improve vasomotor symptoms by regulating the hypothalamic temperature center. These drugs have fewer adverse reactions, but their efficacy is weaker than hormone replacement therapy.
V. Traditional Chinese medicine preparations
Kuntai capsule, Gengnian tablet and other traditional Chinese patent medicines and simple preparations play a role by tonifying the kidney and essence, and regulating Chongren. It needs to be used based on syndrome differentiation. For liver and kidney yin deficiency type, Zhibai Dihuang Pill can be used in combination, while for heart and spleen deficiency type, Guipi Pill is recommended.
Drug intervention should be carried out under the guidance of a gynecologist, with regular monitoring of breast, endometrial, and liver function. Combining regular exercise such as yoga and brisk walking, increasing the intake of soy products, deep-sea fish, and other foods rich in plant estrogens and omega-3 fatty acids, maintaining sufficient sleep and emotional stability, can help to smoothly pass the menopausal transition stage. Avoid self abuse of hormone drugs to prevent increased risks of blood clots, gallbladder diseases, etc.
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