10月18日是世界更年期关怀日1。北京大学第三医院妇产科医师梁菊艳指出,更年期医学上对应围绝经期,多发生于45—55岁,个体差异较大1。虽然更年期不是疾病而是自然生理阶段,但由雌激素缺乏带来的长期身体损伤需要主动健康管理1。许多女性存在常见误区,将更年期当作疾病或认为"熬一熬"就能过去,这些认识不利于及时干预和症状缓解1。
就医的核心目的有三个:评估并处理症状、排除其他疾病、管理长期风险1。医生会根据个体情况安排相应检查,并针对中重度症状提供绝经激素治疗(MHT)等方案,但需在医生指导下进行1。需要警惕的危险信号包括异常子宫出血、情绪严重低落、心悸胸闷等1。科学应对更年期需要规范医疗与生活方式管理相结合,包括均衡饮食、每周至少150分钟中等强度有氧运动以及心理调适1。
Menopause, medically termed perimenopause, is a natural physiological stage rather than a pathological condition, yet it warrants professional medical attention due to the long-term bodily impacts of estrogen deficiency.1 The condition typically occurs between ages 45 and 55, though individual variation is significant.1 October 18 marks World Menopause Day, an occasion to address common misconceptions about this life transition.1
Dr. Liang Juyan from the Department of Obstetrics and Gynecology at Peking University Third Hospital identifies two prevalent misunderstandings: treating menopause as a disease and believing symptoms will simply resolve with time.1 Medical consultation serves three primary purposes: assessing and managing symptoms, excluding other underlying conditions, and addressing long-term health risks.1 Warning signs that warrant immediate attention include abnormal uterine bleeding, severe mood disturbances, and cardiac symptoms such as palpitations or chest tightness.1
A comprehensive approach combining lifestyle modifications and appropriate medical guidance is recommended.1 Patients should maintain balanced nutrition, engage in at least 150 minutes of moderate-intensity aerobic exercise weekly, and prioritize psychological adjustment.1 Physicians tailor clinical evaluations to individual circumstances, and menopausal hormone therapy (MHT) has demonstrated effectiveness for moderate to severe symptoms, though it requires medical supervision.1
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