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Menopausal syndrome includes vasomotor symptoms such as hot flashes, which are sudden extreme heat with sweating and chills, and mood swings, which can include impatience, anxiety, and depression. These symptoms are caused by oestrogen levels that go up and down. These can affect up to 80% of women throughout perimenopause, and they often make it challenging to sleep and do everyday tasks.
Detailed Symptoms
Hot flushes last 1 to 5 minutes and happen every day or night. They get stronger at night and feel like PMS but are worse. Mood swings are caused by hormonal changes, lack of sleep, and stress in life. Some of the problems that come with it are tiredness, trouble concentrating, and being more emotionally sensitive.
Risk Factors and Causes
A decline in oestrogen messes up the hypothalamus's ability to control temperature and serotonin pathways. Smoking, being overweight, or having a family history of the problem exacerbates this. Symptoms are most severe around the time of the last period and can persist for several years.
Strategies for management
Low-dose oestrogen therapy is the best way to stop hot flashes. Nonhormonal choices include SSRIs like paroxetine, gabapentin, or fezolinet, as well as lifestyle changes like cooling measures, exercise, and cognitive behavioural therapy (CBT) for mood. Vaginal lubricants can assist with dryness, but you should talk to your doctor about the best approach for you.