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5 risks after menopause

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With the onset of menstrual bleeding, approximately 400 thousand eggs begin to be produced in the ovaries of a healthy woman, and a few of the eggs reach maturity each month. Over the years, this number decreases. During the menopause period, ovulation stops and the production of estrogen-progesterone hormones is interrupted. Thus, the woman can no longer get pregnant.

“Without the protective effects of hormones such as estrogen, women are at high risk for heart disease, weight gain and other health problems,” said Gynecology, Obstetrics and IVF specialist Dr. Instructor U. Melis Gökçe Koçer Yazıcı pointed out that the hormone levels that keep the menstrual cycle regular have additional missions in the body and that when these hormone levels decrease with menopause, women will face health problems such as heart disease, stroke, and osteoporosis.

Printer listed 5 health issues that may be encountered after hormonal changes, although there is no health problem before menopause.

“THE RISK OF HEART DISEASE IS HIGHER IN THOSE WHO START FEVERS IN THE EARLY PERIOD”

Underlining that heart diseases are the most precious danger that women can face after menopause, Yeditepe University Hospitals Gynecology, Obstetrics and IVF specialist Dr. Instructor Member Yazıcı also stated:

“According to the American Heart Association (AHA) data, approximately one-third of women develop cardiovascular disease, and the rate of heart attack begins to increase, particularly around ten years after menopause. Estrogen in blood vessels helps to provide flexibility and thus blood flow and pressure to help the vessels to contract and expand. This benefit is lost as estrogen decreases. Combined with other changes that can thicken artery walls, such as an increase in blood pressure, women’s hearts suddenly become vulnerable. In addition to the studies of the AHA, there is a study by the American National Women’s Health Study (SWAN) that examines the physical, biological, spiritual and social changes that women experience in their middle years. With this research, it has been determined that women who experience hot flashes in earlier periods during menopause have a higher risk of heart disease.

ATTENTION TO THOSE WHO HAVE A HISTORY OF HEART DISEASE IN THE FAMILY

“The results of the SWAN study were supported by the finding that frequent and persistent hot flashes are associated with future cardiovascular diseases in a study published in February 2021 in the Journal of the American Heart Association,” said Dr. Instructor Member Yazıcı also warned that women with a family history of heart disease or experiencing significant hot flashes should consult a doctor to see if they need additional screening for cardiovascular diseases.

SMOKING INCREASE THE RISK OF OSTEOPOROSIS

It is known that the probability of developing osteoporosis, a disease in which the bones become thinner and weaker and break more easily, is 4 times higher than in men. While the bones of women are protected by estrogen before menopause, bone loss is rapid in the year before the last menstrual period and in the following three years.

Mentioning that training such as brisk walking or jogging is valuable to keep the bones strong, Dr. Instructor Member Yazıcı also emphasized that as a result of the researches, smoking is also associated with the risk of bone fracture and osteoporosis.

Pointing out that consuming foods strong in terms of vitamin D (vitamin D-supported orange juice, cereal and milk) will also help reduce the risk of osteoporosis. Instructor Member Yazıcı said, “Exposing 15 minutes to the sun a few days a week and eating a healthy diet containing calcium (dark leafy greens, dairy products, fish such as salmon and sardines) would be beneficial.”

SLOWING METABOLISM BRINGS WEIGHT GAIN

Stating that menopause has a definite effect on women’s metabolism, and with the slowdown in women’s metabolism during menopause, adipose tissue increases compared to lean body mass. Instructor Member Melis Gökçe Koçer Yazıcı also added:

“This period, which starts about two years before the last menstrual period, continues until two years after menopause, causing loss of lean tissue mass. Studies have shown that excess weight and fat ratio, especially around the abdomen, is dangerous because the risk of type 2 diabetes and heart disease may increase. Even menopause itself is associated with an increased risk of metabolic syndrome. high blood pressure, high blood sugar, too much belly fat, and unusual cholesterol levels; It is linked to risks of heart disease, stroke, and type 2 diabetes.”

URINARY TRACT INFECTIONS INCREASES AFTER MENOPEASE

Noting that the decrease in estrogen levels after menopause can cause thinning of the vaginal tissue and dryness in the tissues, this situation facilitates the growth of bacteria and may lead to the development of urinary tract infections (UTIs) more easily and frequently. Instructor Member Yazıcı said, “Scientific studies show that the rate of UTI in women over the age of 65 has doubled on average when compared to women of all ages.”

He also made proposals to reduce the risk of UTIs:

“The longer your urine stays in your bladder, the more bacteria can grow. Therefore, as soon as you want to urinate, go to the toilet without holding it any longer. Do not hold urine longer than 3-4 hours and go to the toilet, even if you do not need to urinate. After the toilet, clean it by wiping it from front to back. Drink plenty of fluids, preferably in the form of at least 6-8 glasses of water per day. Urinate before and after sexual intercourse. Avoid using vaginal douches and deodorant sprays for feminine hygiene. Opt for breathable cotton underwear and avoid tight pants. If you have frequent UTIs (3-4 times a year), it may be necessary to investigate what may be causing them and seek treatment, consult your physician.

URINARY INCONTINENCE PROBLEMS CAN ALSO BE FREQUENTLY

Stating that urinary incontinence disorders increase after menopause periods, Yeditepe University Hospitals Gynecology, Obstetrics and IVF specialist Dr. Instructor U. Melis Gökçe Koçer Yazıcı added that the type of urinary incontinence called “stress urinary incontinence”, which is leaking with coughing, sneezing or physical activity, is common among women.

Stating that the type of urinary incontinence in the form of leakage accompanied by an uncontrollable urge to go to the toilet, called “urgent incontinence”, can also be seen frequently. Instructor Member Yazıcı also made the following offers to prevent urinary incontinence:

“Empty your bladder as often as possible. Kegel exercises are recommended to strengthen the pelvic floor muscles. The most valuable point of this training is not the butt muscles, but the thin muscles that control the urine flow. You can do this by holding your pee while urinating and by causing the muscles there to contract. Each urinary retention, that is, contraction should last for 3-4 seconds on average and you should repeat this exercise 5-10 times every day. If your complaints persist despite these, consult your doctor.”

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