The Real Approach to Menopause

The special discussion of pregnancy must be based on three foundations: regular training of the specialist, interaction with the patient and emotional reflection so that he feels that the medical assistance is real.

Women's Quality of Life Specialist at Gine-3 Clinic in Barcelona Dr."Special consultation on menopause should be based on three pillars," says Carmen Sala Salmeron: "continuous training of professionals, communication with the patient and emotional empathy so that she feels the medical help is real."

This reminder about menopause is relevant to a global audience of women and men, as Dr. Sala "reads any book, report, article, study, professional opinion or journalistic article related to or about menopause."

And in this case he told us about a monograph called "Latest Scientific Advances in Menopause", which was published by Dr. Santiago Palacios Gil-Antuano, director of the Palacios Center for Women's Health and Medicine in Madrid, the establishment of the first menopause unit in Spain in 1989.

From this publication, Dr. Sala Salmeron, tocogynecologist, obstetrician and pelvic floor specialist, took two messages from interviews with gynecologists Jesus Presa and Laura Bagedano, respectively:

"Estrogen has a very important effect on the central nervous system of women, which is partly responsible for their well-being. And doctors need to know whether the benefits of hormone replacement therapy (HRT) outweigh the potential risks.

Menopause, a neglected phase of women

A woman has her first period - menarche - around the age of twelve and stops around the age of fifty.With estrogenic function, she lives about 38 years.This woman without estrogen production will live an average of 85 or 90 years;so you will stay in the menopausal period longer than in the hormonal period.

Menopause occurs when a woman has missed 12 months of continuous menstruation.If you have had your uterus removed - a hysterectomy - but you still have ovaries, it will be difficult to get a period.If both ovaries are removed - oophorectomy - menstruation will be faster.

Regarding the symptoms of menopause, we should repost the first paragraph of another news report in which a gynecologist participated:

One starry night, near the Mediterranean, Dr.Sala had dinner with her husband and two other couples in the moonlight, with the waves caressing the sand as if they had time to rest, menstruation became a circular journey of desperate rumors between the silk of the tablecloth: hot heat in the dark, owl eyes, cold rains, unpleasant and unpleasant. waves of the sea.

And why do about 70% of women who suffer from menopausal symptoms not take hormone replacement therapy?

The intensity of symptoms caused by declining estrogen levels in the perimenopausal, menopausal and postmenopausal stages varies for each woman.

"We are talking about differences in the menstrual cycle;hot flashes - sudden heat in the chest and upper face;night sweats, accompanied by fatigue and irritability;vulvovaginal atrophy;mood swings;and decreased libido,” he describes.

The main reason for not treating menstrual symptoms is women's "uncertainty, lack of knowledge and lack of public health facilities" and the "indifference" of doctors who care for them.

«No es de recibo que muchas mujeres conozcan al dedillo la receta magistral para elaborar una paella de marisco, que les sale de rechupete, y desconozcan por completo las causas y el tratamiento de la menopausia», plantea.

"At the same time, they come to gynecological consultations full of myths, stigma and other things, fearing the side effects of hormone replacement therapy," he said.

"Furthermore, if most postmenopausal women decide to consult a doctor, they will find that there are not enough public health facilities for this work," she noted.

What's worse is that the cost of HRT is not cheap for private treatment.

Returning to the causes of medical origin, Dr. Sala insists.

"Many colleagues are not interested in menopause because I am not interested in, for example, clavicle dislocation... When you are a doctor you like some pathologies more than others, beyond the necessary basic knowledge," highlighted the gynecologist.

Of course, the patient's consultation with his doctor may not last more than 10 or 15 minutes.

"It's important to talk to the Momapause as you need. I don't have to make a gynecological judgment with my disease."

Finally, in the ever-desperate case, clinicians should rule out hormone replacement therapy in advance because of a history of breast cancer or because it is contraindicated.

"In each of these cases and some others, we feel tied hand and foot because we do not help women during the set of menopausal symptoms: we have to refuse hormone replacement therapy," concluded Dr. Carmen Sala, a "gynecologist" who empowers you by taking care of your health and well-being.

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