Climax without symptoms

Asymptomatic menopause is one of the most pleasant variants of menopause development in women. This is explained not only by the absence of any symptoms, but also by a gradual decrease in the level of the main hormones of the female body. This has a beneficial effect on the nervous system and the woman tolerates this period more easily. Also, changes in the functioning of internal organs against the background of a gradual decline in hormonal levels occur more gently, which reduces the severity of the pathological effect of menopause on the female body. Therefore, if menopause is asymptomatic, this is a good prognosis for the body.

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Causes of symptom-free menopause

Throughout her life, a woman has a specific hormonal background, which is determined by the concentration of the main female sex hormones - estrogens and gestagens (progesterone). These hormones do not immediately regulate the main processes of the body, because a woman undergoes changes throughout her life, and her entire body undergoes several successive stages of development. First, the girl is in the neonatal period, when all systems and organs develop and begin to contact with the external environment. During this period, the ovaries already contain all the eggs, which are in a "dormant" position. Next comes the period of childhood, then the period of sexual development, during which all secondary sexual characteristics develop and the girl matures to continue the race. Then comes the period of sexual maturity, which lasts about thirty years. Everything ends with menopause - involution of the reproductive system. Climacteric is a physiological process of changes in the female reproductive system, during which hormonal imbalances occur in the body. The climacteric period is conventionally divided into:

• premenopause – the period from 45 years to the onset of menopause;
• menopause – the period of the last menstruation, average age is about fifty years;
• postmenopause – the period from the last menstruation until the end of a woman’s life.

All these periods are characterized by their own characteristics, which must be known in order to regulate the state of the body and know exactly when something is wrong.

Premenopause is characterized by:

• Involution of the highest regulatory center – the hypothalamus, which is characterized by a gradual decrease in the sensitivity of the hypothalamus to the influence of estrogens, which disrupts its regulatory function according to the principle of feedback regulation.
• The level of pituitary hormones increases - follicle-stimulating and luteinizing, which can subsequently contribute to the development of various benign processes in the uterus in the form of myoma, fibromyoma.
• The adrenal glands increase the production of adrenaline and noradrenaline due to disruptions in the normal regulation of the function of peripheral organs by the hypothalamus.
• The number of sensitive special receptors to estrogens decreases in the ovary and uterus, which contributes to the disruption of regulation of these organs.
• The most specific changes occur in the ovaries in the form of follicular atresia, membrane destruction, oocyte death and preservation of only the stroma, which contributes to a decrease in the amount of secreted estrogen. This in turn disrupts the feedback with the hypothalamus, which further increases the changes.
• There is insufficient stimulation of the pituitary gland and the secretion of follicle-stimulating and luteinizing hormones is disrupted, which leads to an anovulatory cycle without the release of an egg.

As a consequence of all these processes - there is not enough concentration of hormones and their alternation for the onset of the next normal menstruation, and menstruation does not occur - this is the period of menopause. During this period, under the influence of a decrease in the level of sex hormones, various pathological reactions can be observed, as a manifestation of menopause. But if these changes at the level of the hypothalamus, pituitary gland, ovaries and uterus occur gradually, then no subjective sensations and disorders from the nervous system, cardiovascular system and others are observed. This is the basis for the development of menopause without symptoms.

Therefore, the main reason and, rather, the pathogenetic mechanism of the development of menopause without symptoms is the normal gradual decrease in the level of sex hormones. Based on this, we can identify factors that influence the development of menopause without symptoms. These include:

• Normal onset of menarche in a girl;
• Regular sexual activity with one partner;
• Normal course of pregnancy and no history of abortions or miscarriages;
• The interval between pregnancies is not less than three years;
• Breastfeeding for at least six months after the birth of the child;
• No history of inflammatory diseases or neoplasms.

All these factors contribute to the normal regulation of the ovariomenstrual cycle, and this in turn affects the regulation of menopause and its normal course.

Thus, asymptomatic menopause is accompanied only by menstrual irregularities without accompanying pathologies from other organs. Menstruations become irregular: most often 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: heavy menstruation once, then absent for six months, or scanty discharge every month with a gradual decrease in their amount. These are the main manifestations in this period that can bother a woman, and other changes are not typical.

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Complications and consequences

There are usually no complications of menopause if it is asymptomatic. But you need to be careful, because various pathologies of the internal organs may be hidden behind such a course. Therefore, complications may appear in the form of pathology of the cardiovascular system - ischemic heart disease, pathology of the skeletal system - osteoporosis, as well as metabolic disorders. Therefore, even with menopause without symptoms, it is necessary to carry out all mandatory diagnostic methods and prevent complications. The prognosis of menopause without symptoms is favorable in the case of its correct correction and maintenance of the basic principles of normalizing the lifestyle.

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Diagnostics of symptom-free menopause

Menopause is a special condition of the female body, which requires correction of any of its manifestations, if it brings discomfort to a woman. Therefore, it is necessary to correctly diagnose any conditions during menopause for timely treatment. If menopause is asymptomatic, then this sometimes causes more concern, since a hidden pathology in the form of asymptomatic damage to the cardiovascular or skeletal system is possible. Therefore, it is important to conduct diagnostics and differential diagnostics of menopause without symptoms, because often women do not seek help if they have no complaints.

First of all, it is necessary to begin diagnostics with a thorough collection of anamnesis. It is necessary to find out when the first delay of menstruation was, what their nature is now, how the symptoms changed with the onset of menopause, and also to detail the patient's complaints. It is necessary to clarify the nature of menstruation and whether there are any other symptoms that bother the woman. It is also necessary to measure blood pressure, because its increase can be asymptomatic, and this is a risk factor for complications. Therefore, if a woman of climacteric age has no complaints, this is of course good, but to some extent it is necessary to be wary and diagnose her condition for hidden pathology.

The tests that are carried out in the case of asymptomatic menopause do not have a very wide range, because if there are no complaints, then general tests will show whether there are any changes in the body and whether something needs to be done further. Therefore, the level of the main female hormones in the blood is determined, which is necessary to know for further tactics of patient management and deciding on the appointment. General tests are also carried out - a blood test, a biochemical blood test with a lipidogram, a urine test. During menopause, due to the activation of the breakdown of fatty acids, an increase in triglycerides and low-density lipoproteins is possible. These substances can play a secondary role in the development of cardiovascular pathology in the form of coronary heart disease, which are asymptomatic at the onset of the disease, so their determination allows you to monitor the condition even during asymptomatic menopause.

Instrumental diagnostics during menopause is aimed at identifying and excluding organic pathologies. Therefore, even in the case of asymptomatic menopause, mandatory research methods are carried out. Among the mandatory methods is electrocardiography, which allows excluding cardiac pathology. If there are no complaints from the woman, then only such research can be limited.

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Differential diagnosis

Differential diagnostics of asymptomatic menopause should first of all exclude those pathologies that do not have their clinical manifestation at the beginning of menopause. For this purpose, a thorough collection of anamnesis and mandatory laboratory and instrumental research methods are enough to conduct differential diagnostics and correct changes if necessary. If there are any changes in the blood test in the form of dyslipidemia or changes in the electrocardiogram, then it is necessary to clarify the issue of correcting the condition. It is also necessary to monitor changes throughout the entire period of menopause.

Treatment of symptom-free menopause

If a woman has no complaints and menopause is calm and has no symptoms, then the woman does not require specific treatment. It is only necessary to take preventive measures to maintain hormonal balance. Therefore, medications in the form of drug replacement hormone therapy should not be taken. It is better to correct your lifestyle using some folk remedies and homeopathic ones that will help regulate the normal course of menopause, and then no hormonal symptoms will arise.

First of all, it is necessary to make lifestyle adjustments.

1. It is necessary to eliminate bad habits, because smoking has a very negative effect on vascular tone, and nicotine further constricts blood vessels and can provoke headaches, heart problems, so this factor must be categorically excluded.
2. Eliminate stress, tension, and avoid traumatic situations.
3. Normalization of sleep by means of a regimen of rest – it is necessary to go to bed at about the same time, to sleep at least 8-9 hours a day. It is necessary to carry out hygienic measures in the room where the woman sleeps – wet cleaning, airing, fresh linen – all this promotes rest at night and improves blood circulation in the vessels of the brain.
4. Correction of the daily routine with normalization of the period of rest and work. It is necessary to precisely establish the rest regime after each work. This will help the body to distribute forces correctly and relieve stress.
5. It is important to organize proper nutrition with dietary elements. It is necessary to exclude fatty foods, which burden the internal organs and contribute to the disruption of the metabolism of essential nutrients. It is also necessary to organize frequent fractional meals in small portions with the exclusion of simple carbohydrates and with a predominance of vegetable protein. It is necessary to eat at least 300 grams of fruits and vegetables per day. Also, do not forget about the drinking regime and drink clean water at least 1.5 liters.
6. It is necessary to properly organize leisure time with measured physical activity in the form of light jogging, swimming or simple walking.

Such measures will not help in treating asymptomatic menopause, but thanks to this lifestyle change, asymptomatic menopause will continue to proceed without any particular disturbances.

Also, do not forget about regulating hormonal levels using folk methods and homeopathic remedies. They have a milder effect and can even be used as a preventive therapy. The main ones are:

1. An effective way to normalize hormonal levels is to use walnut shells. Walnut tincture is prepared as follows: the membranes or shells are boiled for about five minutes in hot water, then the water is drained and half a glass of alcohol is poured in. This solution needs to be infused for about five to seven days, after which it can be taken one teaspoon twice a day, pre-diluted with boiled water in equal proportions. The course of treatment is twenty-one days.
2. Honey, as a natural source of nutrients and microelements that increase local immunity and stimulate regeneration, is widely used to treat pathologies of the female genital organs, including menopause. To create a medicine from honey, you need to make a solution of three tablespoons of honey, five drops of flaxseed oil and three tablespoons of boiled water and take a teaspoon twice a day, the course is 10 days. This remedy helps to normalize hormonal levels, and also has the ability to calm the nervous system.
3. Honey can be combined with herbs and taken as medicinal decoctions. To prepare such a decoction, you need to take chamomile leaves, mint, lemon balm and rose hips, then pour all this with two glasses of hot boiled water and leave in a dark place for three hours. You need to add a tablespoon of honey to such a decoction and take a tablespoon twice a day: in the morning on an empty stomach, and in the evening after dinner before bed. Such a solution has a double effect: it regulates hormonal changes in the body during menopause, and also has an immunomodulatory and calming effect, which prevents the occurrence of other pathologies.
4. Hop cones, valerian, linden, coriander, motherwort and oregano should be poured with a liter of hot water and after infusion, drink 2 teaspoons in the morning and evening. This solution helps to normalize hormonal levels and prevents the development of possible symptoms in the future.
5. Dysmenorm is a combined homeopathic remedy that affects hormonal imbalances during menopause, as well as the activity of other organs and systems, so it can be used for prophylactic purposes during menopause. Dysmenorm is available in the pharmacological form of tablets and is dosed one tablet three times a day twenty minutes before meals or an hour after. Side effects are rare, but stool disorders, dyspeptic phenomena and allergic reactions may occur. The drug is poorly tolerated by patients who do not digest gluten, so their intake is limited.
6. Klimaktoplan is a homeopathic preparation that is an analogue of phytoestrogenic preparations and helps to normalize hormonal levels during menopause. The preparation also normalizes the tone of the brain vessels, cardiovascular activity and normalizes sleep. Therefore, it can be used as a preventive measure at the onset of menopause to maintain normal well-being. Klimaktoplan is used in tablets, one tablet before meals or an hour after three times a day. The course of treatment with the preparation is long - about two months. No side effects have been identified. Contraindications to taking Klimaktoplan are hypersensitivity to individual components of the preparation.
7. Cyclodinone is a combined homeopathic remedy that affects hormonal disorders and restores estrogen deficiency. This drug is available in the pharmacological form of drops and tablets. You need to take one tablet per day, preferably in the morning, or 40 drops with the same frequency. The duration of treatment is about three months. Contraindications to taking the drug are acute infectious processes in the body. It can be successfully used not only for the treatment of climacteric disorders, but also for their prevention, so in this case it can be used for this purpose.

Surgical treatment of asymptomatic menopause is not used, since there are no specific indications for such intervention.

It is important to carry out physiotherapy treatment along with preventive folk remedies, which also has a good preventive effect. Therapeutic physical exercises in the form of swimming or therapeutic gymnastics are used. Magnetic therapy, laser therapy, electrophoresis with medicinal solutions give a very good effect. A contrast shower is very useful due to its tonic effect, which is recommended to be taken in the morning and can be done even at home. This increases immunity and tones the nervous system with an adequate release of catecholamines and other hormones, which is also important during menopause.

As a complex therapy, it is recommended to use vitamins of group B, C, A, preferably in combination in complex vitamin preparations. You can take multivitamin complexes - Vitrum, Supradin, Undevit.

Prevention

Measures to prevent the development of any symptoms or changes in other organs during menopause are non-specific prevention of any diseases, which consists of maintaining a healthy lifestyle. Since menopause cannot be avoided, it is possible to prevent the appearance of its symptoms and manifestation of diseases during menopause. It is necessary to properly organize your daily routine with alternating periods of rest and work. You need to eat right, excluding all harmful foods and eating fruits and vegetables. Sleep is a necessary measure for health, its duration should be at least 8-9 hours. It is necessary to exclude stress in life and play sports, at least in the walking mode. It is also necessary to exclude bad habits and treat concomitant pathologies in the form of hypertension, because blood pressure control is very important for the prevention of complications during menopause, even if it is not accompanied by any other symptoms.

There are no specific measures to prevent symptoms during menopause, but only non-specific methods can easily protect you from any manifestations.

Menopause without symptoms is not a common occurrence, but if it happens, then we can say that the woman is lucky. It is very important to correctly assess the woman's condition during this period and carry out all the methods that will help maintain her health at a good level. Therefore, if menopause manifests itself only with menstrual irregularities, it is necessary to prevent the appearance of other more serious symptoms.

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