Menopause Ruth Davy CEO WONS, Nursing Education and Health Promotion Services
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1 Menopause 2009 Ruth Davy CEO WONS, Nursing Education and Health Promotion Services
2 Age Continuum & Menstruation Years Menarche Fertility Menopause Drops
3 Brain-ovary-womb (Hormone Feedback Mechanism) Heat regulating system
4 Menopausal symptoms Pre-Menopause 35 to 45 years Shortening menstrual cycle, mood swings, sweating Peri-Menopause 46 to 50 years Irregular cycles, irritability, tension, nervousness, mood swings, anxiety, depression, sleep disturbances, tiredness, early waking, hot flushes, night sweats, palpitations, vaginal dryness, pain with sexual intercourse Menopause Occurs 51 to 55 years All of above plus cystitis, stress incontinence, urgency, vaginitis, muscle and joint pain, pins and needles Then PMZ post menopausal zest!!! Age 70: 4 th stage Adrenogen stops converting to oestrogen. Fractures
5 Menopausal and or for Menopause Hot flushes & Night sweats Phytoestrogens Dates, linseed, sunflower, almonds, soya, legumes Fresh fruit and vegetables Herbal menopause remedies Black Cohosh Nature s Way cheapest. Serotonin pathway. No if breast cancer as mimics oestrogen. Don t use if liver problems Progesterone cream or treatment Pharmaceutical Compounds Auckland (not proven) Decrease caffeine and alcohol Hormone replacement therapy
6 Menopausal and Anxiety attacks, mood swings, irritability, tiredness, memory loss, depression Fish oil for memory loss helps with psychosis & depressive episodes Phytoestrogens, eg. soya, linseed, dates Remifemin (Black Cohosh) Herbal remedies: St John s Wort/Valerian (MAO reacts with St John s Wort, interferes with epilepsy treatment) Progesterone cream (not proven) Decrease caffeine and alcohol Decrease stress Do regular physical activity
7 Menopausal Symtoms and Cont d Learn to say NO Prioritise daily activities Educate family Take regular breaks away Counselling/relaxation techniques Massage or similar Relaxing treatments Change what you can change, thought stop what you can t change Homeopathy - Rescue remedy - Pragador, califos - Weleda sedative drops - Valerian for anxiety attacks
8 Menopausal and Restlessness & Sleepless nights Vaginal Dryness Natural sleeping remedies; chamomile tea, herbal remedies, eg. valerian, calcium at night, relaxation techniques Manage night sweats with change of night dress and wet sponge beside the bed. Lavender oil Lubricants: - Replens. - Sylke (kiwifruit extract) - Lubrin - Glyde Oestrogen creams Hormone replacement KY not recommended. Vit E capsule at night in vagina
9 Menopausal and Vulval Irritation & Thrush Vinegar in bath No soap No talc Cotton underwear Zinc and Castor oil cream Wipe front to back Canesten monthly and as necessary Natural Yoghurt Half cup of white vinegar in bath
10 Menopausal and Loss of sex drive Try courting! Remember foreplay is a 23.5 hour warm up Explore other ways of expressing sexuality Sexual intercourse is only a part of sexuality Talk to partner about sex and sexuality Testosterone therapy combined with oestrogen - implants, tablets Tibolone synthetic steroid, tissue specific oestrogen, progesterone and androgen effects. Relieves symptoms. Less side effects. Reverses osteoporosis.
11 Menopausal and Stress incontinence and urinary problems Aching Joints Pelvic Floor exercises Herbal remedies, eg. cranberry juice Drink more fluid Oestrogen cream / ovestin tablets Hormone replacement Have a urine test Step exercises Calcium (caffeine decreases absorption) Fish Oil moisturises membranes Glucosamine Research doesn t support this Hormone Replacement
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