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There isn’t any medical treatment required for menopause — it is simply your body going through a transition.
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The average age that menopause occurs is 51, although it may occur prematurely in women who have had total hysterectomies or have received chemotherapy or radiation treatments. The symptoms of menopause can vary, with some women experiencing no symptoms at all and others experiencing multiple severe symptoms. The first phase of menopause often begins with irregular periods, and can include the following symptoms: Menopause can also have mental and emotional effects, causing mood swings, depression, and irritability. Menopause is usually diagnosed based levitra price list on symptoms. In some cases, blood tests are used to make an accurate diagnosis and rule out any underlying conditions.
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The gradual transition between your reproductive years and menopause (the cessation of menstrual periods) is called perimenopause (not premenopause). The literal meaning of this word is “around menopause.” Perimenopause is many years long and can be associated with shorter menstrual periods, irregular menses, night sweats, and other symptoms. Menopause occurs, on average, at age 51. The range is from 45 to 55 years old. But certain things can change the natural timing of perimenopause and menopause.
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Surgery that removes the ovaries — If your ovaries are removed in a full hysterectomy, you will immediately enter menopause. Your periods stop, and you’re likely to have hot flashes and experience the other signs and symptoms of menopause. These can be more severe than normal because your hormonal changes occurred instantly rather than gradually over the course of years. Chemotherapy and radiation therapy — These cancer therapies can induce menopause. Chemotherapy usually halts menstruation, but not always permanently. But that doesn’t mean it’s a piece buy levitra fast of cake. The treatments we provide for our menopause patients at Craig Ranch are focused on relieving your signs and symptoms and preventing or managing chronic conditions that may occur with aging and menopause.
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Hormone therapy — Estrogen therapy is the most effective treatment for relieving the hot flashes common with menopause. We typically look to use the lowest dosage of estrogen for the shortest time frame to provide relief. This will depend on your personal and family history.
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Radiation therapy only affects the function of your ovaries if they are the target of the radiation therapy. Primary ovarian insufficiency — About one percent of all women go into menopause before the age of 40. This can result from the failure of your ovaries to produce normal levels of reproductive hormones, which can result from genetic factors or autoimmune disease. A follicle-stimulating hormone (FSH) test measures the level of follicle-stimulating hormone in the blood. When a woman’s estrogen levels begin to decrease, the pituitary gland in the brain causes FSH to be released, stimulating estrogen production by the ovaries.
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If a woman’s levels of FSH are rising, menopause is often the most likely cause. A thyroid-stimulating hormone (TSH) test measures levels of thyroid-stimulating hormone in the blood. It helps to determine whether hypothyroidism is responsible for symptoms; an underactive thyroid can cause symptoms similar to those of menopause. Vaginal pH testing is also used to help diagnose menopause; pH levels increase to about 6 from the reproductive years’ average of 4.5. Treatment for menopause varies depending on the individual. If you still have your uterus, you’ll also receive progestin with estrogen. There is a risk of cardiovascular problems and possible development of breast cancer but starting hormone therapy around the time of menopause has shown to be beneficial for many women. A side benefit of estrogen treatments is that it also helps prevent the bone loss common with osteoporosis and menopause. Vaginal estrogen — Vaginal dryness is a common problem for menopausal women.
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To relieve this, and to help with some urinary symptoms, vaginal estrogen may be prescribed.
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This is applied as a cream, tablet, or ring. Low-dose antidepressants — Some women can’t take estrogen for health reasons and a possible alternative is to prescribe a low-dose antidepressant in the class of drugs called serotonin reuptake inhibitors.
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Do not change your dose without talking to your provider first. Men who take nitrates, such as nitroglycerin, Nitro-Bid, Isordil, or Deponit should not take vardenafil. Men who take Cardura, Flomax, or Hytrin for urinary symptoms should not take Vardenafil. This medication can affect how other medications work. Be sure your provider and pharmacist know all the medication (prescription and over-the-counter) and supplements you take.
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Store your medication in the original, labeled container at room temperature and in a dry location (unless otherwise directed by your provider or pharmacist). This medication should not be stored in a pillbox since it should only be taken prior to sexual activity. Keep containers out of reach of children and pets. Ask your provider where to return any unused medication for disposal. Do not flush it down the toilet or throw it in the trash.
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Vardenafil is available through most retail pharmacies. This medication may be covered under your prescription drug plan. Patient assistance may be available to qualifying individuals without prescription drug coverage through the pharmaceutical company that makes the medication. Your provider can help you find these resources if they are available. There are a few side effects experienced with vardenafil. These have proven to be effective for managing hot flashes. Gabapentin — This seizure drug (brand names Gralise, Horizant, and Neurontin) has also been shown to help reduce hot flashes. As with anti-depressants, this can be a good approach for women who cannot have hormone therapy. Clonidine — This blood pressure management drug also can relieve hot flashes. Medications to prevent or treat osteoporosis — Although women start losing bone mass in their 30s, the process speeds up after menopause. There are several options for helping reduce bone loss, including vitamin D supplements.
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Talk to your provider if you have concerns about these side effects. Do not take a higher dose of vardenafil than your provider orders for you. Headache, facial flushing, stuffy or runny nose, and upset stomach. Less frequent side effects include blurry vision, a bluish hue to the field of vision, difficulty telling the difference between the colors blue and green, sensitivity to light, or a sudden loss of vision or hearing. If you have any of the following while using vardenafil, call 911 right away: An erection lasting more than 4 hours.
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Chest, arm, or neck pain, or nausea during sexual activity. Remember, vardenafil does not protect against sexually transmitted infections (STIs) or prevent pregnancy. Effective birth control is recommended during cancer treatment. Even if you are not producing sperm, you could still be fertile and conceive. Menopause is the time in a woman’s life when her menstrual period has stopped.
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Menopause is caused by a decrease in the ovaries’ production of the hormones estrogen and progesterone, which eventually results in the ovaries’ ceasing to produce eggs, and the end of menstruation. A woman has reached menopause when she has not had a menstrual period for at least 12 months. Menopause is a natural process that takes several years. During this time, fertility decreases, and periods often change in duration, frequency, and amount of blood flow. This stage is known as perimenopause, and it is often when symptoms of menopause begin. Women suffering from depression or mood changes due to menopause may benefit from taking antidepressants or anti-anxiety medications.
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One treatment is hormone-replacement therapy (HRT), in which medication containing estrogen or progesterone is prescribed to replace the hormones that are deficient within the ovaries. These synthetic forms of hormones are delivered through pills, patches or creams. However, there are risks associated with HRT, including heart disease, stroke, and breast cancer. Risks may vary depending on a woman’s health history and lifestyle. Before deciding if HRT is appropriate, a woman should discuss its risks and benefits with her doctor. Low-dose vaginal estrogen, which is available in a pill or cream form, can be prescribed to help reduce dryness within the vagina.
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Medication is also available to treat the osteoporosis often caused by menopause. Women who maintain a healthy and active lifestyle may experience less discomfort during menopause. The discomfort and irritation of menopause is temporary. But most women are looking for treatments that lessen their symptoms. These are some strategies you can do on your own to reduce or prevent the effects of some menopause issues: For many women, hot flashes can be triggered by hot beverages, caffeine, spicy foods, alcohol, stress, hot weather, even a warm room. Try over-the-counter lubricants that are water based or silicone based.
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Avoid products with glycerin, as this can cause burning or irritation. While you won’t be as interested in sex as your hormones decline, staying sexually active helps with vaginal discomfort as it increases blood flow to the vagina. Lighten up on caffeine and alcohol, as they can interrupt sleep in larger amounts. You can find lots of online lists of relaxation exercises and techniques that can help you better cope with your menopause symptoms.
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If your diet is less than healthy, try to improve it with a variety of fruits, vegetables, and whole grains. In addition to its other impacts on your health, cigarette smoking possibly increases hot flashes and can initiate early menopause. Regular exercise helps your mood as well as your body. It also helps to fight the effects of aging that are accelerating with menopause and postmenopause. In addition to temporary discomfort and symptoms, menopause can cause long-term health complications for women.