Menopause health management project

The conclusion is given directly at the beginning: Menopausal health management is by no means the "unified estrogen supplement package" or "age-reversing maintenance tool" advocated on the market, but a comprehensive intervention plan customized based on individual physiology, psychology, and living habits. According to the Menopause Group of the Obstetrics and Gynecology Branch of the Chinese Medical Association 202 Three years of large-sample survey data and standardized menopausal health management can reduce the risk of osteoporosis, cardiovascular disease, and mood disorders by 42% during perimenopause and within 10 years after menopause, but the premise is to avoid the trap of "one thousand people, one size" and "over-medical treatment."

I just met two aunts of the same age in the clinic last week. They are both 51 years old and have just completed menopause for half a year. Aunt Zhang recently bought more than 3,000 yuan of "menopausal maintenance gold set" through short videos, which contains soy isoflavones and sheep placenta. After three months of consumption, the hot flashes were not relieved. She still woke up three or four times a night. On the contrary, she gained six pounds in weight, and her blood lipids were even higher when she checked. Another Aunt Li is an old acquaintance of ours who has been following us for two years. She has been managing her since her menstrual disorder started at the age of 49. Now, except for the occasional quarrel with her wife, which makes her a little flustered, she doesn’t feel any discomfort at all. Last week, her bone density was measured and it was more stable than the value two years ago.

You said they are the same age, why is there such a big difference? To put it bluntly, it means whether you have fallen into the pitfall of "menopause management must follow a template".

The industry's current thinking on menopause management is actually not completely unified, and the basis for both groups is quite sufficient. One school is the approach of evidence-based Western medicine. The core is "make up for what is missing, and the indications are clear." People who meet the indications use MHT (menopausal hormone therapy) in a standardized way, combined with lifestyle adjustments. This school's clinical data is thicker than the medical records in my clinic. For people who receive standardized intervention, the risk of cardiovascular disease before the age of 60 is reduced by 30%, the risk of osteoporotic fractures is reduced by 40%, and even the potential risk of Alzheimer's disease can be reduced. Of course, there are always voices of doubt. Many people are afraid that "using hormones will cause cancer" is not groundless. People with a family history of breast cancer, unexplained vaginal bleeding, and active liver disease are indeed contraindications, and they must not be used blindly.

The other school is the syndrome differentiation and conditioning method of traditional medicine. I met an aunt before who had breast nodules and could not use hormones. She had hot flashes seven or eight times a day. She took the yin nourishing prescription prescribed by a regular traditional Chinese medicine hospital for three months, and followed the community to do Baduanjin three times a week. When she came back for a follow-up visit later, she said she had had hot flashes once or twice a week at most, and her sleep was good. However, the problem with this group is that individual differences are too great, and the diagnosis results may be different from another doctor. If you encounter the kind of person who shouts "a pill can cure menopause", he is definitely a liar.

I have been doing menopause management for almost 8 years, and I have encountered many pitfalls before. In the past few years, it was popular in the industry to make standardized packages, such as 999 for the basic version, 2999 for the advanced version, and 5999 for the deluxe version. Everything in the package was fixed, but later it was found that it was not working at all - some aunts are fat and have poor metabolism. If you add a bunch of soy isoflavone supplements to her, it will increase the burden on the liver. ； Some aunties are from Hunan. They eat spicy food every day and have internal heat. If you ask her to drink longan and red date tea every day to nourish her qi and blood, wouldn’t that add fuel to the fire? Later, we simply canceled all the packages. Those who came would first undergo a one-hour assessment. In addition to the six mandatory items such as hormones, bone density, and blood lipids, we also asked you whether you usually do square dancing, whether you like sweets, and whether you have had trouble with your family recently. Don’t think these questions are too many. Yu, last year an aunt said that she had insomnia every day and wanted to cry. After checking her hormone levels, it was actually not a big problem. After asking her carefully, she found out that her daughter had just finished raising her second child and suddenly had no idea what to do. Later, she introduced her to the community's cheongsam team. Within a month, her sleep was mostly improved, and she didn't even need any medicine.

When many people hear about menopausal management, their first reaction is "I'm not sick, so why spend so much money?" "It'll be over after just two years." This is really not true. Last year, a 62-year-old aunt suffered a fall and fractured her femoral neck. She was hospitalized for nearly 100,000 yuan to have her joint replaced. She was lying in bed for three months and it still didn't fully heal. Later, when I asked her, I found out that she often had back pain after menopause. She thought it was tiredness and had never had her bone density checked. If she had been under management five or six years earlier, spent 1,800 yuan a year on calcium and vitamin D supplements, and spent more time in the sun, she wouldn't have suffered this problem at all. Many people think that this is something that only women need to worry about. They are wrong. Men also have menopause, but the symptoms are not so obvious. Last year, there was a 56-year-old uncle who took medication for high blood pressure for half a year. He also quarreled with his family every day, thinking that his personality had deteriorated. After a low testosterone level was found, after adjustment, his blood pressure stabilized, and even his patience for fishing returned.

In fact, to put it bluntly, menopause is a normal stage of life. It is no different from acne in adolescence or morning sickness during pregnancy. There is no need to feel embarrassed and there is no need to be deceived by merchants into paying IQ tax. Find a formal institution, check what needs to be checked, make adjustments where needed, and be able to live comfortably for the past few years, that would be better than anything else.