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00:00:35Hot flashes, insomnia, mood swings, menopause is
00:00:38not just about sweating and getting angry. What other
00:00:42symptoms are signals for help from your body?
00:00:44What health risks can it bring?
00:00:48Welcome to Life Circle, Healthy Living Every Day.
00:00:52Welcome to Life Circle, Healthy Living
00:00:56Every Day. Hello everyone.
00:01:35Today, 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
00:01:46menopause. Hello Dr. Yu, hello Dr. Chen. Hello host.
00:01:49Hello host. Welcome two experts to our show today. Let's
00:01:53talk about menopause today. This is a stage that every
00:01:57woman will definitely experience in her life. But to be honest, many female
00:02:01friends now, including some female friends who are in menopause, even
00:02:05don't quite understand what's going on. In fact, menopause is not
00:02:09only when you enter it, menstrual irregularities and various symptoms
00:02:13, various problems such as sweating, insomnia, getting
00:02:17angry, etc. In fact, behind this, it also
00:02:21means many, many things. We call it
00:02:24senile chronic metabolic diseases, these problems.
00:02:28So there are various sugar metabolism, fat metabolism
00:02:32, electrolyte metabolism, etc. etc. So there are various
00:02:36cardiovascular problems , bone problems
00:02:39, degeneration of the nervous system, a lot of various things
00:02:42.
00:02:46So there are various contractions after a period of time, and then
00:02:50after 10 or 20 years, various internal
00:02:53problems will appear
00:02:57.
00:03:30This point, in the period before and after it,
00:03:33we call menopause. But when does menopause begin?
00:03:37According to what ordinary people say, in fact, most of it refers to
00:03:41the time when we start to have changes in our menstrual
00:03:45cycle, and some discomfort. These discomforts
00:03:49may 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
00:03:56easily irritable and angry. There
00:04:00are also some people who manifest as aches and pains all
00:04:04over the body or great fatigue. There is also
00:04:07a term that is particularly popular recently called brain fog
00:04:11. It feels like being
00:04:14dazed, not as responsive as before, and memory
00:04:18has also declined. In general, it means that during this
00:04:22stage, women's bodies will face many
00:04:25changes. So the time period you just mentioned, is it different
00:04:29for everyone? Some are longer, some are shorter, some are later, some
00:04:33are earlier. Your few sentences just now, some, some,
00:04:37some, just perfectly described the most important characteristics
00:04:41of menopausal women . On average,
00:04:44at around 50 years old, menstruation stops. However, some people
00:04:48stop early, some stop late. About 10% of women
00:04:51stop menstruation before 45 years old
00:04:54.
00:09:13Ah, why do
00:09:15I say that? It's because in the perimenopausal period, we may suffer from many
00:09:19symptoms, but even after menopause
00:09:23completely, some people still have these symptoms
00:09:26. It will also continue, and in the first
00:09:30one or two years after menopause, it is still a high-risk
00:09:34time 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
00:09:41a little.
00:10:25Why treat it silently? You feel it's not particularly important
00:10:28. Should I just tough it out
00:10:31and 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,
00:10:43let'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
00:10:51analysis and explanation. First of all, it is very clear. Suddenly died, everyone looked back at these reports.
00:16:03All of these sudden deaths
00:16:07that occurred before the age of 50 are basically
00:16:10male. 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,
00:16:21and metabolism are still in a basically healthy state
00:16:24.
00:16:26That is, the sugar metabolism and lipid metabolism mentioned just now
00:16:28.
00:16:33So what is abnormal lipidemia ?
00:22:52Similar scenes, in fact, later when I talked to many of my female
00:22:55friends at the clinic, I found that many people have such problems, and even when
00:22:59we did a survey, we also found that the incidence of
00:23:03fatigue may be higher than
00:23:07in our film and television works, where the teacher always
00:23:11says that menopause is getting angry. The incidence of that is
00:23:14much higher. Most of the surveys show that its incidence
00:23:18is over 50%.
00:25:36When we lack estrogen, the thickness of our skin will become thinner, the collagen content will decrease, and the water content
00:25:39will also decrease, so the skin will appear
00:25:43dry or wrinkles will increase,
00:25:46so many women will feel that they have reached menopause.
00:27:47In fact, we might as well look at it from another
00:27:51perspective. Having these symptoms is a warning to us women
00:27:55that 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
00:28:03these 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
00:28:10not happen. Isn't this a good thing? In my
00:28:14clinic, I think about the problem of symptoms, and I found two
00:28:17extremes. There are some people who are very, very
00:28:21nervous about a tiny symptom, and may infinitely exaggerate it,
00:28:25and are especially worried that something is wrong with me.
00:28:29But there are also some who keep resisting.
00:29:30The difference is the decline of female ovarian function and the lack of estrogen.
00:30:02That is its change, especially the cliff-like decline, which leads to insufficient
00:30:06protection for many of our systems, and various problems
00:30:10will only appear. So many people have proposed, since it is not enough, can we use medical
00:30:14methods to supplement this hormone ? All the problems
00:30:18mentioned just now are almost all caused by the sudden
00:30:21lack 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
00:32:45urinary symptoms, or even local symptoms . Then
00:32:48you already have osteoporosis , or you are at
00:32:52high risk of osteoporosis . And another thing is
00:32:56that your ovarian function declines prematurely
00:33:00. This is what we call premature ovarian failure, or
00:33:03premature menopause . These
00:33:06are 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.
00:34:15Come to the doctor, we need to have a comprehensive
00:34:18examination every year . So through simple
00:34:22and clear measures , you can have
00:34:26very good medical protection
00:34:32. Classic Chinese Xiangdidao Thirteen Xiang, this column is exclusively sponsored
00:34:36by China's time-honored brand, Wang Shouyi Thirteen Xiang .
00:34:38。
00:34:41For some women friends in this cycle , in what aspects of life can they
00:35:45Because as we age, there will be a big problem,
00:35:49which is muscle loss. We call it sarcopenia. So exercise
00:35:52is still very, very important . But you must persevere,
00:35:56not fish for three days and dry the net for two. And it is best to cultivate
00:36:00one or several interesting things. Then
00:36:04create 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,
00:36:11you still have forty or fifty years, what can you not learn?
00:40:57In fact, Dr. Chen just mentioned one point, some people in traditional concepts believe that when menopause
00:41:01comes, does it mean that this flower is about to enter a period of decline? Indeed,
00:41:05as we say, no person can stay young forever , and no flower can bloom forever. The passage of
00:41:09time 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
00:41:16period of blooming flowers is beautiful . It's not like that. I feel
00:41:20that every stage actually has its unique charm, right? So
00:41:24in fact, everyone should correctly understand and correctly face it.