Menopause
When female hormones estrogen and progestron start to decline it begins with eratic menstrual cycles and eventually cessation of ovulation and menstuation.
Symptoms are Hot flushes , vagina dryness , sexual discomfort, depression , changes in sex drive , insomia , dry skin , weight changes , hair loss and urinary incontinence. This causes an increase risk in osteoporosis and heart disease and hormanal therapy may increase the risk of heart disease ( blood clots , stroke, interaction with other drugs.
Other therapies include anti-depressants , lubricating vaginal cremes and gabapanting for hot flushes ). There are home remedies which include exercise, meditation for depression and diet rich in phytoestrogens found in whole grain cereals , flaxweds, chickpeas and legumes, reduce smoking , calcium rich foods and Vitamin D
VITAL SIGNS AND PHYSICAL EXAMINATION
- General physical check up
BLOOD TESTS
- Complete Blood Count (CBC)
- Syum Calcium
- Vitamin D
THYROID PANEL *TSH AND, FREE T3, T4
LIPID FATS PROFILE
- Cholesterol, HDL and Triglyceride
- Cholesterol/HDL ratio
- LDL Cholesterol
HORMONES
- Estradael
- Progesterone
- Follicle Stimulating Hormone(FSH) , Leutenizing hormone (LH) , Prolactine
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