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[00:00:35] Hot flashes, insomnia, mood swings, menopause is
[00:00:38] not just about sweating and getting angry. What other
[00:00:42] symptoms are signals for help from your body?
[00:00:44] What health risks can it bring?
[00:00:48] Welcome to Life Circle, Healthy Living Every Day.
[00:00:52] Welcome to Life Circle, Healthy Living
[00:00:56] Every Day. Hello everyone.
[00:01:35] Today, we invited Deputy Director of Endocrinology and Reproductive Medicine at Peking Union Medical College Hospital
[00:01:39] , Chief Physician Yu Qi , and Chief Physician Chen Rong
[00:01:42] . We asked two experts to help everyone understand
[00:01:46] menopause. Hello Dr. Yu, hello Dr. Chen. Hello host.
[00:01:49] Hello host. Welcome two experts to our show today. Let's
[00:01:53] talk about menopause today. This is a stage that every
[00:01:57] woman will definitely experience in her life. But to be honest, many female
[00:02:01] friends now, including some female friends who are in menopause, even
[00:02:05] don't quite understand what's going on. In fact, menopause is not
[00:02:09] only when you enter it, menstrual irregularities and various symptoms
[00:02:13] , various problems such as sweating, insomnia, getting
[00:02:17] angry, etc. In fact, behind this, it also
[00:02:21] means many, many things. We call it
[00:02:24] senile chronic metabolic diseases, these problems.
[00:02:28] So there are various sugar metabolism, fat metabolism
[00:02:32] , electrolyte metabolism, etc. etc. So there are various
[00:02:36] cardiovascular problems , bone problems
[00:02:39] , degeneration of the nervous system, a lot of various things
[00:02:42] .
[00:02:46] So there are various contractions after a period of time, and then
[00:02:50] after 10 or 20 years, various internal
[00:02:53] problems will appear
[00:02:57] .
[00:03:30] This point, in the period before and after it,
[00:03:33] we call menopause. But when does menopause begin?
[00:03:37] According to what ordinary people say, in fact, most of it refers to
[00:03:41] the time when we start to have changes in our menstrual
[00:03:45] cycle, and some discomfort. These discomforts
[00:03:49] may be hot flashes and sweating , it may be insomnia
[00:03:53] , it may also be that the temper is a bit bad, unhappy, or
[00:03:56] easily irritable and angry. There
[00:04:00] are also some people who manifest as aches and pains all
[00:04:04] over the body or great fatigue. There is also
[00:04:07] a term that is particularly popular recently called brain fog
[00:04:11] . It feels like being
[00:04:14] dazed, not as responsive as before, and memory
[00:04:18] has also declined. In general, it means that during this
[00:04:22] stage, women's bodies will face many
[00:04:25] changes. So the time period you just mentioned, is it different
[00:04:29] for everyone? Some are longer, some are shorter, some are later, some
[00:04:33] are earlier. Your few sentences just now, some, some,
[00:04:37] some, just perfectly described the most important characteristics
[00:04:41] of menopausal women . On average,
[00:04:44] at around 50 years old, menstruation stops. However, some people
[00:04:48] stop early, some stop late. About 10% of women
[00:04:51] stop menstruation before 45 years old
[00:04:54] .
[00:09:13] Ah, why do
[00:09:15] I say that? It's because in the perimenopausal period, we may suffer from many
[00:09:19] symptoms, but even after menopause
[00:09:23] completely, some people still have these symptoms
[00:09:26] . It will also continue, and in the first
[00:09:30] one or two years after menopause, it is still a high-risk
[00:09:34] time for symptoms to occur. And there are also some relatively young women
[00:09:38] , that is to say, their menstrual cycle has started to change
[00:09:41] a little.
[00:10:25] Why treat it silently? You feel it's not particularly important
[00:10:28] . Should I just tough it out
[00:10:31] and get through it? In fact, it's not like that. Because if you really tough it out
[00:10:35] , it may bring a series of health problems to your body
[00:10:39] , and even extend to more health risks later. Next,
[00:10:43] let's take a look at the big screen together. We have prepared four pictures
[00:10:47] . What health hazards will it bring ? We ask two experts to give us a detailed
[00:10:51] analysis and explanation. First of all, it is very clear. Suddenly died, everyone looked back at these reports.
[00:16:03] All of these sudden deaths
[00:16:07] that occurred before the age of 50 are basically
[00:16:10] male. Very few are female . So why
[00:16:13] ? It is because at that age , women all have estrogen
[00:16:17] . In the state of estrogen , cardiovascular, circulation,
[00:16:21] and metabolism are still in a basically healthy state
[00:16:24] .
[00:16:26] That is, the sugar metabolism and lipid metabolism mentioned just now
[00:16:28] .
[00:16:33] So what is abnormal lipidemia ?
[00:22:52] Similar scenes, in fact, later when I talked to many of my female
[00:22:55] friends at the clinic, I found that many people have such problems, and even when
[00:22:59] we did a survey, we also found that the incidence of
[00:23:03] fatigue may be higher than
[00:23:07] in our film and television works, where the teacher always
[00:23:11] says that menopause is getting angry. The incidence of that is
[00:23:14] much higher. Most of the surveys show that its incidence
[00:23:18] is over 50%.
[00:25:36] When we lack estrogen, the thickness of our skin will become thinner, the collagen content will decrease, and the water content
[00:25:39] will also decrease, so the skin will appear
[00:25:43] dry or wrinkles will increase,
[00:25:46] so many women will feel that they have reached menopause.
[00:27:47] In fact, we might as well look at it from another
[00:27:51] perspective. Having these symptoms is a warning to us women
[00:27:55] that your body has changed and you need to take care of it
[00:27:59] . If you look at it from another perspective, don't you think
[00:28:03] these symptoms are a good thing? When there are hot flashes and sweating
[00:28:06] , I go to the doctor in time, and then all the things that happen later will
[00:28:10] not happen. Isn't this a good thing? In my
[00:28:14] clinic, I think about the problem of symptoms, and I found two
[00:28:17] extremes. There are some people who are very, very
[00:28:21] nervous about a tiny symptom, and may infinitely exaggerate it,
[00:28:25] and are especially worried that something is wrong with me.
[00:28:29] But there are also some who keep resisting.
[00:29:30] The difference is the decline of female ovarian function and the lack of estrogen.
[00:30:02] That is its change, especially the cliff-like decline, which leads to insufficient
[00:30:06] protection for many of our systems, and various problems
[00:30:10] will only appear. So many people have proposed, since it is not enough, can we use medical
[00:30:14] methods to supplement this hormone ? All the problems
[00:30:18] mentioned just now are almost all caused by the sudden
[00:30:21] lack of estrogen. So the sudden lack causes various symptoms
[00:30:25] , and the long-term lack causes various problems such as osteoporosis
[00:30:29] . So, most of these problems are related to. But in fact, as you just said, if it's menopause, you must be deficient, so let's just supplement it. Is it true that the more you do, the better? In fact, it's not like that. There is such a thing as... And then there are some people who actually have nothing. Of course, I said that various diseases are very common, but some people really have nothing to do with it, so they don't need
[00:32:45] urinary symptoms, or even local symptoms . Then
[00:32:48] you already have osteoporosis , or you are at
[00:32:52] high risk of osteoporosis . And another thing is
[00:32:56] that your ovarian function declines prematurely
[00:33:00] . This is what we call premature ovarian failure, or
[00:33:03] premature menopause . These
[00:33:06] are all indications for hormone replacement therapy
[00:33:10] . But there are also some situations where we should not use it. The most clear
[00:33:14] .
[00:34:15] Come to the doctor, we need to have a comprehensive
[00:34:18] examination every year . So through simple
[00:34:22] and clear measures , you can have
[00:34:26] very good medical protection
[00:34:32] . Classic Chinese Xiangdidao Thirteen Xiang, this column is exclusively sponsored
[00:34:36] by China's time-honored brand, Wang Shouyi Thirteen Xiang .
[00:34:38] 。
[00:34:41] For some women friends in this cycle , in what aspects of life can they
[00:35:45] Because as we age, there will be a big problem,
[00:35:49] which is muscle loss. We call it sarcopenia. So exercise
[00:35:52] is still very, very important . But you must persevere,
[00:35:56] not fish for three days and dry the net for two. And it is best to cultivate
[00:36:00] one or several interesting things. Then
[00:36:04] create some things that were not available before when you were devoted to your family and work
[00:36:07] , and you didn't have your own hobbies and interests. In fact,
[00:36:11] you still have forty or fifty years, what can you not learn?
[00:40:57] In fact, Dr. Chen just mentioned one point, some people in traditional concepts believe that when menopause
[00:41:01] comes, does it mean that this flower is about to enter a period of decline? Indeed,
[00:41:05] as we say, no person can stay young forever , and no flower can bloom forever. The passage of
[00:41:09] time and the change of life cycle are things we cannot change or resist
[00:41:12] . But never feel that in your life cycle, only the
[00:41:16] period of blooming flowers is beautiful . It's not like that. I feel
[00:41:20] that every stage actually has its unique charm, right? So
[00:41:24] in fact, everyone should correctly understand and correctly face it.