It is recommended to prioritize seeking medical attention in gynecology or endocrinology during menopause, which may involve departments such as gynecology, endocrinology, cardiovascular medicine, psychology, and traditional Chinese medicine. Menopausal syndrome is usually associated with ovarian dysfunction, changes in hormone levels, accompanied by symptoms such as hot flashes, night sweats, and emotional fluctuations.
1. Gynecology
Gynecology is the preferred department for menopausal women, and doctors will evaluate reproductive system symptoms such as menstrual disorders and vaginal dryness. Clarify ovarian function status through six hormone tests, pelvic ultrasound, and other methods, and provide hormone replacement therapy if necessary. Common medications include estradiol valerate tablets, progesterone capsules, etc. The dosage should be strictly adjusted according to medical advice.
2. Endocrinology department
Endocrinology department can systematically monitor changes in estrogen, follicle stimulating hormone and other levels, and deal with metabolic abnormalities. Menopause can easily cause thyroid dysfunction and blood sugar fluctuations. Doctors may recommend supplementing calcium supplements to prevent osteoporosis. Common medications include alendronate sodium and vitamin D drops.
3. Cardiovascular Medicine
Decreased estrogen levels may increase the risk of palpitations, elevated blood pressure, and other conditions. When experiencing symptoms of chest tightness and palpitations, it is necessary to check for coronary heart disease and evaluate cardiovascular health through electrocardiogram and blood lipid testing. The doctor will prescribe medications such as metoprolol sustained-release tablets to control symptoms based on the situation.
4. Psychology
Those with obvious psychological symptoms such as emotional anxiety and insomnia can consult the psychology department. Cognitive behavioral therapy can alleviate menopausal depression tendency, and in severe cases, short-term use of anti anxiety drugs such as paroxetine and escitalopram oxalate can be used, which should be adjusted with regular follow-up visits.
5. Department of Traditional Chinese Medicine
Chinese medicine believes that menopause belongs to the deficiency of liver and kidney yin, and traditional Chinese patent medicines and simple preparations such as Zhibai Dihuang Pill and Kunbao Pill are commonly used for conditioning. Acupuncture and moxibustion selects Sanyinjiao, Taixi and other acupoints to improve hot flashes, and cooperates with Chinese angelica, white peony and other medicinal materials for dietotherapy. It needs to be treated based on syndrome differentiation to avoid self medication. Menopausal women should maintain a balanced diet, increase their intake of plant-based estrogens such as soy products and deep-sea fish, and engage in moderate exercise such as brisk walking and yoga daily. Establish a regular schedule, avoid alcohol and caffeine intake, and relieve stress through meditation. It is recommended to undergo bone density and breast examination every six months. If severe headaches or abnormal bleeding occur, seek medical attention immediately. Family members should provide emotional support to help them smoothly navigate through this special physiological stage.
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