Dr Radha Pandiyan, Consultant Gynaecologist
With the cessation of the monthly menstrual periods, there is a big sigh of relief and feeling of release from visiting the Gynaecologist.
But there could be many reasons why still you need to see her/ him again. Listed below are common reasons why you should visit them and get a periodic check-up done.
The most important symptom, which should not be neglected at all, is the reappearance of blood or spotting through the vaginal passage. Though there could be many innocent ( benign) reasons for it, it is mandatory to have a thorough gynaecologist check up to rule out the possibility of malignancy in the reproductive tract.
Also read: Thyroid and fertility- how are they related?
Another common cause for bleeding is the irregular use of hormones. Dryness of the vulval and vaginal tissues make them prone to injury and infection, which can also contribute to the bleeding. Rarely, forgotten intrauterine devices or foreign bodies like pessaries in the vagina may also cause bleeding.
Another common problem in this age group is the descent of vagina and or the uterus, due to the slackening of muscular and ligament supports. This is aggravated by a chronic cough and constipation, which are usually present in this age group.
Timely attention and correction of this problem give enormous relief from this misery. Frequent urinary symptoms and leak of urine during stress require combined gynaec and urological consultations. Hormone replacement therapy may also be required.
Due to the decline in female hormones, withdrawal of calcium from the bony tissues makes them soft and vulnerable for easy fractures with trivial falls. Along with calcium supplements, Hormone replacement therapy is required. In some, increased hair growth is noticeable due to the dominant Androgens( male hormones).
Also read: Depression in post-menopausal women
Things to remember:
Regular dietary habits, good exercises and periodic visits to the doctor help a lot to maintain good health beyond menopause.