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Delay of menstruation with menopause
Last reviewed: 23.04.2024
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Delay of menstruation with menopause is one of the first symptoms that makes a woman think about the time of aging. Climax is a physiological process of changes in the reproductive system of a woman, in which involuntary processes take place in the body. These changes occur primarily with the reproductive system, but since it is continuously associated with the normal functioning of other organs, these changes affect the whole organism. Therefore, the delay in menstruation is only one of the few symptoms of this condition.
Causes of the delayed menstruation with menopause
Hormonal disorders are primarily central. There is an involution of the higher regulatory center - the hypothalamus, which is characterized by a gradual decrease in the sensitivity of the hypothalamus to the effect of estrogens, which violates its regulatory function by the principle of reverse regulation. Insufficient pituitary stimulation contributes to the disruption of the release of follicle-stimulating and luteinizing hormones, which leads to anovulatory cycle without isolation of the oocyte. All this contributes to the fact that the most specific changes occur in the ovaries in the form of atresia of the follicles, the destruction of the membranes, the death of oocytes and the preservation of only the stroma, which helps to reduce the amount of secreting estrogen. This, in turn, disrupts the feedback to the hypothalamus, which increases the changes more. As a consequence of all these processes - there is not enough concentration of hormones and their alternation for the next normal menstruation, and menstruation does not occur - this is the period of menopause. It is these changes in hormonal regulation that are the direct cause of the delay in menstruation with menopause.
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Symptoms of the delayed menstruation with menopause
The first symptoms of menopause in women appear over the age of 50, then it is considered a normal age period for the onset of involution of the reproductive system. Often the appearance of menopause is identified in women with aging, which negatively affects their psychological state and worsens the clinical course.
The first delay of menstruation with menopause
The first signs of menopause in women - this may not necessarily be the absence of menstruation, since this process is gradual. The first symptoms often have a vasomotor and emotional-mental character and are nonspecific. The processes of emotional instability are often expressed, which is due to a disturbance in the regulation of the processes of excitation and inhibition in the central nervous system. The woman is concerned about irritability, mood swings, depression, decreased sexual desire, insomnia, fatigue. Also, vegetative manifestations often can be attacks of sweating, heat, headache and palpitations. This is usually the first clinical signs of the onset of premenopause, and in the future - changes in the ovaries and uterus develop and menopause with a gradual cessation of menstruation occurs. Sometimes vegetative manifestations are not expressed, and menopause appears for the first time immediately after the cycle has been disturbed. These features depend on the individuality of the female body and are difficult to predict. Menstruation becomes irregular: usually one month is normal, and two or three months are absent. These are typical signs of the onset of menopause. But there may be other options: profuse menstruation once, then there are no six months or scant excretions every month with a gradual decrease in their number.
Thus, the first delay in menstruation with the menopause can be both in the period of premenopausal and can be the only symptom, and also it may be later, when symptoms from other organs and systems develop. Therefore, you should pay attention to any possible manifestations of cardiovascular, bone tissue.
Delay of menstruation with menopause is one of the pathognomonic symptoms of menopause in a woman. This may be the first clinical sign of this condition, and may also appear later, when there are already changes from other organs. If there is a delay in menstruation, it is necessary to consult a doctor to correct this condition, since hormone replacement therapy avoids the complications of this period.
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Stages
In normal conditions the climacterium comes gradually and in its development has several stages:
- premenopause - the period from 45 years to the onset of menopause;
- Menopause is the period of the last menstruation, the average age is about fifty years;
- Postmenopause - the period from the last menstruation to the end of a woman's life.
All these periods are characterized by consistent changes in the body, so that all organs and systems can adapt to such changes. Each period has its own peculiarities, and the reasons for the delay of menstruation in menopause are continuously associated with the hormonal imbalance that arises in this case.
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