Menopause natural history, complications and prognosis
Menopause natural history, complications and prognosis On the Web
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If left untreated, women with menopause may progress to develop hypertension, hyperlipidemia, and atherosclerosis. Common complications of menopause includecardiovascular disease, osteoporosis, Stroke. The complication that is happened with hormonal replacement therapy includes ovarian cancer, breast cancer, and endometrial cancer. Generally, the prognosis of menopause is good with treatment and a healthy lifestyle. In the late postmenopause stage, most menopausal symptoms relieved in most women. but untreated menopausal symptoms are poor prognosis in women who have high-risk factors to develop complications of menopause.
Natural History, Complications, and Prognosis
- The symptoms of menopause usually develop in the menopausal transition years (perimenopause) and start with irregular mense and vasomotor symptoms such as hot flashes, night sweats, palpitations, and headache. These symptoms continued until reach to postmenopause, in this stage a woman has amenorrhea for on year and vasomotor symptoms in addition to other symptoms such as vaginal atrophy, decreased libido, stress incontinence, frequency, depression and sleep disturbance.
- Without treatment, the patient will develop symptoms of hypertension, atherosclerosis, and hyperlipidemia which may eventually lead to cardiovascular disease and coronary heart disease and osteoporosis.
- Cardiovascular Disease, because of estrogen deficiency has an effect on cardiovascular system due to hyperlipidemia, hypertension, increased sympathetic activity.
- Osteoporosis is a disease of the bones that causes bones to become weak and break easily, estrogen deficiency increases osteoclastic activity
- Stroke, the risk of stroke increased in women after 10 years post menopause and associated with hormonal replacement therapy.
- Urinary incontinence
- Generally, the prognosis of menopause is good with treatment and healthy lifestyle include stop smoking and a healthy diet and exercise. In the late post-menopause stage, most menopausal symptoms relieved in most women. But untreated menopausal symptoms are a poor prognosis among women who have high-risk factors to develop complications that are associated with menopause.
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