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Depression with menopause 1

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Climax, or menopause - a difficult period in the life of any woman. The work of the reproductive system is inhibited, the process of aging is going on and the time is approaching when she will not be able to have children at all. This process in some persons is accompanied by severe physical condition: nervous disorders, disruption of the cardiovascular system and other similar illnesses. There is a serious hormonal adjustment, and where hormones, there are mental disorders.

Climax also means a change in social status. Many women can not accept the fact that youth is not eternal. And it only adds fuel to the fire.

Causes of Depression

Climacteric depression can occur for reasons not specifically related to menopause. Such a condition can cause the death of a loved one, a break in relationships, the very fact of aging, the loss of housing or work, the constant exposure to stressful situations, childlessness. All the feelings of a woman at this moment are greatly exacerbated, so that any trifle that would not have had any effect before can turn into a real catastrophe.

All reasons can be divided into two groups:

  • Physiological changes. Constant fluctuations in estrogen in the body, affecting the production of serotonin by the brain (the hormone of happiness), interferes with normal life, causing drastic mood swings. Physical changes associated with menopause (increased sweating, chills, pressure drops, and so on) further aggravate the situation. If menopause was caused by surgery, it leads to an increased level of anxiety.
  • Psychological. The thought of the inexorably approaching old age and the fact that she will never be able to have children again, greatly undermine the emotional state. If a woman has been depressed before this point, the chance of a relapse is high.

Symptoms of depression

For a doctor to diagnose depression, it is necessary to have at least 5 of the following symptoms for 2 weeks:

  • Increased anxiety, concern
  • High fatigue, lethargy
  • Pessimism, negative ideas about the future
  • Low self-esteem, desire for loneliness
  • Mood swings, irritability
  • Physical ailments, which, however, may simply be manifestations of menopause: pain in the abdomen and head, digestive disorders, loss of appetite, and so on.

Also, when depression can begin sleep disorders, cause irrational fears, dizziness, hot flushes, increased sweating, frequent urination. There is apathy and constant sadness.

Diagnostics

To whom can you turn with a question about depression during menopause?

  1. Therapist. He will conduct a primary examination and determine which particular doctor the woman should consult.
  2. Neuropathologist. Hormones strongly affect the nervous system, so that such symptoms can be manifestations of not only depression, but also disorders of the central nervous system.
  3. Endocrinologist Hormonal background should change within the normal range, and if something is wrong with the endocrine glands, the risk of depression is increased.
  4. Cardiologist. Jumps in blood pressure, chest pain and frequent heartbeats are not always signs of menopause alone. This set of symptoms also fits the description of depression.

After passing these doctors, it is necessary to visit a psychotherapist for consultation and, possibly, subsequent treatment.

Treatment of depression

  • Drug. In severe depression, the doctor may prescribe antidepressants. In recent years, serotonin reuptake inhibitors have gained popularity.
  • Estrogen therapy. Artificial replacement of the missing hormones of happiness, which is called hormone replacement therapy.
  • Herbs with a calming effect.
  • Lesson favorite thing. It is no harm to anyone from time to time to please yourself with pleasant things.
  • Moderate exercise, healthy sleep, proper nutrition.
  • Psychotherapeutic correction: autotraining, psychoregulation.

VSD during menopause

Vegetative-vascular dystonia is a fairly common phenomenon during menopause. Menopause entails many physiological changes, on the basis of which the disease develops.

Such a cardinal restructuring of the hormonal background entails a violation of the harmony between the work of the parasympathetic and sympathetic nervous systems, a violation of the conduction of impulses along neurons. And this entails a breakdown of the activity of the internal organs with which they are directly connected. Heart rate, vascular wall muscle tone, regulation of vascular activity, and this is so far only the cardiovascular system.

The reasons for the development of the IRR can also be:

  • Unbalanced nutrition
  • Constant stress
  • Smoking,
  • Low mobility.

Symptoms of IRR

In women with menopause, vegetative-vascular dystonia primarily affects the emotional and general physiological state: increased fatigue, irritability, depression, and decreased sexual desire.

The main problem at this moment, disturbing the woman - pain in the heart, resulting from the strong emotion. It takes place after taking the medicine or eliminating the cause of such arousal.

Of the impaired physical functions, it is worth mentioning pressure surges, rapid pulse, severe headaches, a feeling of bitterness on the tongue, nausea, difficulty breathing, and frequent urination. A woman can be visited by unusual fears about her own health, appearing in the form of panic or hysteria.

The difficulty for the diagnosis of VSD in menopause is that their symptoms are almost completely the same. The only thing that can indicate the presence of vegetative-vascular dystonia is that the changes in the body are not directly dependent on hormonal changes.

Treatment of IRR

Treatment depends on the severity of the symptoms: in mild forms of the IRR, sometimes it is just enough soothing (valerian, motherwort, afobazole, etc.), they can easily eliminate problems with heart and sleep.

  • Medicines. Sedatives, hormone replacement and vitamin complex.
  • Physiotherapy treatment.
  • Folk remedies. Honey, tea from viburnum, tincture of motherwort and hawthorn, valerian, raspberry, currant and more.
  • Homeopathy. Dismenorm, lycopodium, atarax, grandaxine.
  • Correction of the day regimen. Normal sleep and periodic rest along with proper, balanced diet. It is necessary to lie down and get up at the same time.
  • Get rid of stress factors.
  • Moderate exercise for the respiratory and cardiovascular systems.
  • Special diet, compiled by a doctor.

Vegetative-vascular dystonia with menopause is treated as quickly as it occurs. Even non-drug means can easily get rid of it, so the prognosis is very positive.

For prevention, you just need to adjust your hormones and just lead a correct lifestyle without harming yourself with anything.

Why can menopause depression

The extinction of ovarian function means the cessation of the synthesis of sex hormones by them. Substances are involved in very many processes. In the aspect in question, estrogens and progestogens affect the production of components that provide a good mood, high immunity, visual appeal. Their volume also decreases, causing deterioration of the listed health indicators.

Not all women can withstand this, 8-15% have depression during menopause, that is, a condition in which the perception of the world around you, your attitude to everything changes dramatically.

There are several reasons for this in menopause:

  • Physiological. Fluctuations of sex hormones are able to exist even during the day, not to mention the different periods of menopause. Primary importance belongs to estrogen. Thanks to its quantitative reduction, the production of serotonin responsible for good mood and ability to resist stress is reduced. Do not improve the overall emotional background and other signs of menopause: tiring hot flashes, headaches, chronic fatigue and lack of sleep. They also occur due to reduced estrogen,
  • Psychological. Climax and at the same time depression can coincide because this period is perceived as the final stage of a happy and young life, the onset of old age. The termination of reproductive opportunities pleases not all, especially if the personal fate was not very successful. Opportunity changes are oppressive: skin aging, sudden weight gain, increased hair loss. Decreased for objective reasons, performance, rapid fatigue supports the idea of ​​aging.

All this can not only spoil the character and mood, but lead to these pathological manifestations. Depression is a real mental disorder, not giving anything to rejoice, to see the bright side of life, discouraging the desire of even physical activity.

Signs of Menopausal Mental Disorder

Depression during menopause symptoms, depending on the type of the disease:

  • Endogenous provokes a feeling of depression, complete indifference to everything, negative in relation to any, even objectively favorable events of the past and present, confidence that the future does not carry a good one. When it is common anorexia and insomnia, often hot flashes,
  • Involution is characterized by constant and unfounded fears for their own health. A woman is looking for (and finding) signs of illnesses that are actually absent, she is afraid of any possible misfortunes, for example, of lonely old age, poverty, all sorts of disasters with a fatal outcome for her. Periodically she has pain in different parts of the body, caused by negative thoughts,
  • Psychogenic leads to low self-esteem, a sense of their own uselessness. Feverish attempts to keep elusive outer youth are replaced by a woman with periods of complete indifference to how she looks. This type of depression during menopause provokes a constant feeling of guilt for the failures of one’s own and close people. Accompanied by all sleep disturbances, lack of appetite, weight loss,
  • Climacteric causes despondency, frequent desire to cry, sharply changing mood. Emotions are hypertrophied, but negative ones prevail. Frequent bouts of apathy, alternating anxiety. The woman has no appetite and libido, but there is insomnia, often hot flashes.

If several signs are observed for 2 weeks and longer, while their number is more than 4, the specialist will diagnose depression.

How are depressive disorders treated

If depression overwhelmed with menopause, treatment should be professional. In addition to examination by a gynecologist, consultations with a neurologist, an endocrinologist and a psychiatrist may be necessary.

In the mild form of the disease for the return to normal psycho-emotional well-being is enough anti-menopausal hormone therapy drugs:

  • Divina,
  • Proginova
  • Klimara,
  • Dermertil,
  • Klimodien,
  • Femoston,
  • Livial.

In more serious cases, therapy with psychotropic drugs, that is, antidepressants and antipsychotics, is required. Among the first prescribed funds:

The drugs relieve the condition by stimulating the production of serotonin. This hormone is responsible for psycho-emotional well-being.

Among neuroleptics, the choice may fall on:

  • Sonapaks (Thiodazin, Tison),
  • Эта eperapine,
  • Perphenazine.

Means block the production of substances that provoke anxiety, irritability, aggression. Neuroleptics soothe, help fight insomnia.

We recommend reading the article on the effect of sedatives in menopause. You will learn about the indications for their use, effectiveness with neurosis and depression.

Climax and coming on his background, depression is successfully treated. A woman herself can do something to prevent mental disorders.

The desire for positive emotions, adequate nutrition, avoidance of negative, reasonable physical activity contribute to maintaining mental equilibrium. But the main thing - do not need to be afraid to seek the help of doctors.

In some cases, there is a real depression requiring treatment. . Often, with menopause in women, the symptoms are aggravated, and treatment is required.

Remedies for insomnia with menopause. Causes of sleep disorders, why should they get rid of? . From insomnia close to nervous breakdown and depression.

Evalar with menopause: recommended for women. Climax and depression: causes of development of the condition.

Antidepressants. If depression is diagnosed, tablets for menopause with hot flashes should be potent in this regard.

Soothing drugs for menopause. Treatment of neurosis, depression. Application of valerian, motherwort, Novocain.

Climax and depression: causes of development of the condition. Can menopause increase blood pressure: causes.

Similar articles

In some cases, there is a real depression requiring treatment. . Often, with menopause in women, the symptoms are aggravated, and treatment is required.

Remedies for insomnia with menopause. Causes of sleep disorders, why should they get rid of? . From insomnia close to nervous breakdown and depression.

Evalar with menopause: recommended for women. Climax and depression: causes of development of the condition.

Antidepressants. If depression is diagnosed, tablets for menopause with hot flashes should be potent in this regard.

Changes in hormone levels.

In the period of menopause, there is a decline in the work of the ovaries, and, accordingly, the amount of sex hormones produced. Estrogens provide the production of components such as estrogen, responsible for good mood and external rejuvenation. As a result, a person’s positive attitude is fading away.

Psychological state

This applies to those women, the onset of menopause in which came as a surprise to them. Against the background of a common opinion, menopause is considered the first harbinger of aging, and each of the fair sex wants to move this moment as far as possible. It is because of this that mood deterioration occurs, and depression develops during menopause.

Changes in appearance

During climax, the human body experiences stress, as there is a restructuring of all its functions. There is a decrease in the production of sex hormones, now there is no such good tissue renewal in the body, the woman begins to gain weight, hair can fall out or become gray. Such changes have a negative effect on the nervous system, irritability or even depression begins to develop.

Speaking of symptoms, it is worth saying that they are combined for menopause and depression. But for each woman, they manifest themselves in different ways. It all depends on the form of menopause. They are divided into four groups: no depression, mild, moderate and severe. Most often you can observe:

  • Headaches and dizziness,
  • Pressure increase
  • Constant feeling of fatigue, decreased performance,
  • The development of fear, anxiety, nervousness, irritability,
  • An unstable emotional state in which you first want to cry, and after five minutes a woman experiences joy,
  • Sleep disturbance at night, and as a result, drowsiness during the day,
  • Weight gain
  • Hair loss, brittleness and brittle nails,
  • Disruptions in the digestive system may occur,
  • Exacerbation of chronic diseases.

If the above symptoms of depression during menopause do not go on for 2 or more weeks, this is a reason to contact a specialist for help.

Psychogenic

This type includes women who lose their self-esteem. It starts to seem to them that their appearance has deteriorated significantly, for the people around them, it has become not interesting. Loss of appetite. Absolutely pessimistic mood for the future.

Vitamin complexes

Initially, a woman needs to contact her gynecologist, who will conduct a comprehensive examination, check the organs for changes occurring in them. Then you need to pass tests and check the work of the thyroid gland. It is one of the most important organs responsible for the production of hormones. Very often, restoration of thyroid function leads to the elimination of depression. If a woman is worried about any more pain, you need to contact in addition to other specialists. In addition, you should not avoid communicating with a neurologist. This does not mean that a woman is mentally ill, just a doctor will help you find the right treatment and cope with depression.

Dealing with depression will help the woman and her general attitude, and support of loved ones, because during this period there is a decline of female attractiveness and disappointment in her appearance.

Depression prevention

Unfortunately, not a single woman is destined to avoid menopause, but depression can be avoided. In this case, not only the treatment is important, but also the attitude of the woman and the people around her. After all, if she herself does not tell others about it, no one can see this outwardly.

During this period, it is very important not to take it as an incurable disease, because very soon all the unpleasant symptoms will go away by themselves, and the woman will be able to return to a normal lifestyle.

In addition, in no case should not think of yourself as an aging man. It is necessary to lead an active lifestyle, walk more and spend time in an active state. If it seemed that the first wrinkles appeared or fullness appeared, do not despair. You can visit the beautician, he will help you choose a new makeup for your age, or update your wardrobe.

Do not forget about nutrition. This is another guarantee of not only health, but also good appearance. You have noticed that your hair began to fall out or your nails break - turn your removal onto vitamin complexes. Now there are a lot of them in pharmacies of the city. They will help not only to restore the balance of vitamins and minerals in the body, but also give the body the opportunity to cope with its new state, including depressive.

If your weight starts to increase, pay attention to your diet. Try to make it less calorie, but more useful.

It is necessary to find a new hobby and dedicate the free part of the day to it. Do not get hung up on their problems or appearance. One must learn to love oneself new, such as have become now.

Psychosomatics of female diseases

We have already written about the concerns that a woman covers at the moment of transition to a new stage of life ( the very word "climax"Translated from Greek as" level " ). “45 plus” is the age when the career has already been built and the interest in work disappears, the motivation for further growth disappears. This is the time when children are leaving the parental home and mothers are especially lonely (psychologists even have a special term for describing this kind of nervous disorders - “empty nest syndrome”). Without exception, everyone begins to notice signs of approaching menopause: the skin loses its elasticity and skin's former elasticity, hair becomes brittle and dry, and female beauty fades.

Following the growing anxieties, beautiful ladies get a body reaction. And it “responds” to our experiences with the emergence of so-called age-related diseases.

Attention to your emotional sphere during the period of menopause is an absolutely necessary condition for preserving the health of a woman after 45 years

Modern medicine considers depression - the most important factor that reduces the quality of life in menopause. Women develop various symptoms of depressive disorders. However, very few go to doctors and receive the necessary treatment.

Signs of depression during menopause

Attention to their emotional sphere in the period of menopause is an absolutely necessary condition for preserving the health of a woman after 45 years. Specialist's advice is as follows: regularly make a diagnosis of your psychological state in order to notice at an early stage that depression is approaching and to prevent diseases that it provokes.

Hormonal changes inmenopause periodoften cause various nervous disorders

So, what symptoms of depression can be noticed during menopause:

  • the mood worsens (if you note a bad mood in yourself almost every day for two weeks, then this is a disturbing bell),
  • there is a loss of interest in the affairs that you used to do with joy and enthusiasm,
  • it becomes difficult to concentrate, you are often inattentive and even absent-minded, indecision and uncertainty appear,
  • self-esteem falls and you start engaging in “self-serving” - you overly criticize yourself and blame even without reason,
  • in the future you do not see prospects and for the most part only draw gloomy pictures,
  • sleep patterns are disturbed and appetite changes (I don’t want to eat at all, then suddenly the zhor attacks. ”

A similar symptom complex is characterized by the so-called “classic” depression. However, menopause may experience symptoms that deviate from the "classics". In this regard, asthenic depression “deserves” a special conversation and its treatment.

The biological model of the formation of depression today is well studied. According to experts in the field of endocrinological psychiatry, women are most vulnerable to the threat of nervous disorders in those moments when estrogen levels fluctuate

Climax and asthenic depression

Fatigue and a feeling of emotional exhaustion in the morning can be a disturbing symptom of so-called asthenic depression.

Asthenic depression has several synonyms. It is also called neurasthenic melancholia or exhaustion depression ( “Asthenia” in Latin is weakness, exhaustion, fatigue ). It appears as follows:

  • activity falls, and apathy comes to replace it,
  • any activity is performed with great difficulty and does not bring pleasure
  • there is an inexplicable weakness in the whole body and a feeling of "wear and tear",
  • it seems that there is no energy at all, and fatigue is felt even with little effort,
  • increased tearfulness can be replaced by unexpected attacks of aggression,
  • a sharply negative reaction to all external stimuli (it becomes completely impossible to endure bright light or loud sounds),
  • drowsiness (and at any time of the day),
  • strong thirst
  • blood pressure jumps, shortness of breath,
  • malfunction of the kidneys and urination,
  • lumbar spine pain.

Unfortunately, when menopause occurs, women often suffer from similar conditions. If many of the listed symptoms are already familiar to you, then answer the last question: when does asthenia manifest itself most of all - in the morning or in the evening? If already in the morning (immediately after waking up) you feel tired and overwhelmed, then, most likely, this is asthenic depression, and you urgently need treatment.

Hormones during menopause: estrogen instability as a cause of depression


Unreasonable attacks of aggression - this is one of the unpleasant signs of asthenic syndrome

Medicine has long known that hormonal changes often become the cause of various nervous disorders. There is a statistics: depression is noted twice as often in women of the beautiful half of humanity *. Doctors fix the peak of depressive disorders in those segments of a woman’s life when her body is unstable in relation to endocrine conditions (for example, adolescent and postnatal periods, menopausal transition).

The biological model of the formation of depression today is well studied. According to experts in the field of endocrinological psychiatry, we are most vulnerable to the threat of nervous disorders at times when the level of estrogen fluctuates **.

During the period of perimenopause (it begins approximately four years before menopause and lasts for a year from the day of the complete cessation of menstruation), the most significant changes in the hormonal background occur. “Hormonal swings” (namely, “unbalanced” estrogens during menopause) become provocateurs of emotional disorders. Interestingly, with the onset of "smooth" menopause, the risks of depression are reduced.

Antidepressants and HRT for menopause

The effect of the "anti-depressive" effect of estrogens is well studied, there is a convincing evidence base in defense of the concept in which hormone replacement therapy is combined with the use of antidepressants.

It is important to note that modern medicine in the treatment of depressive disorders emphasizes the joint work of a gynecologist and a psychotherapist. The effect of the "anti-depressive" effect of estrogens is well studied at present, there is a convincing evidence base in defense of the concept in which hormone replacement therapy is combined with the use of anti-depressants ***. However, the answer to the question “how to treat depression in menopause” for each woman will be purely individual. In this case, you need an expert opinion. By the way, our readers can get advice from an experienced gynecologist and endocrinologist directly on the site.

* T. Propulsion Voznesenskaya. Depression in women. Consilium Medicum. 2008, 07: 68-71

** S.V. Yureneva, G.Ya.Kamenetskaya. Depressive disorders in peri-and postmenopausal women. Gynecology. 2007, 02: 40-43

*** G.E. Mazo, M.A.Ganzenko. Depression in women during the menopausal transition. Psychiatry and psychopharmacotherapy them. P.B. Gannushkina. 2016, 06: 30-36

Psychological influence

Most women associate menopause as a transitional stage into old age. In addition, for many, sex life almost loses its meaning. Hot flashes, insomnia and other climacteric manifestations negatively affect the psyche, slowly shaking it. The situation is especially complicated with pronounced symptoms of menopause.

Psychological causes include:

  • negative thoughts about old age,
  • phobias of various genesis,
  • reduced performance
  • social instability
  • sense of uselessness.

Menopause makes a woman vulnerable in terms of the psyche: she becomes much more emotional and sensitive.

Who to contact

Depression is characterized by emotional imbalance. The main companions are negative, sometimes aggressive thoughts. Such a state significantly affects the quality of life, and in severe cases can lead to suicide. Therefore, at the slightest hint of mental disorders should consult a doctor.

There are a number of specialists whose visits are mandatory:

  • therapist,
  • endocrinologist,
  • neuropathologist,
  • cardiologist,
  • psychotherapist.

Therapist - starting point in the survey. Diagnosis of any disease begins with this doctor. The results of the analyzes assigned to them make it possible to accurately determine the problem, excluding other pathologies.

Endocrinologist - specialist, a visit to which should become a habit, especially during menopause. Hormonal failure, problems with the thyroid gland - one of the main causes of depression. To exclude / confirm the disease the doctor will prescribe certain studies.

Neuropathologist - specialist studying the state of the patient's nervous system. After hearing complaints, analyzing the symptom profile and prescribing certain studies, the doctor diagnoses the problem or lack thereof.

Cardiologist - A doctor who excludes cardiovascular pathologies that cause drops in blood pressure. The occurrence of depression may be due to malfunction of the cardiovascular system, which are the norm or disease during menopause.

Psychotherapist - his help will be required if all of the above specialists have not diagnosed the pathologies that provoke depression.

Hormonal drugs

Often, depressive states result from estrogen deficiency. For replenishment is assigned a reception of its synthetic counterpart.

Hormone therapy is most effective in mild forms of depression. Unbalance is restored by:

  1. Tablets: Trisequens, Klymen, Divina.
  2. Candles: Klimaksan, Ovestin.
  3. Gels: Divigel, Estrozhel.
  4. Mazei: Klimadinon.
  5. Plasters: Estraderm, Klimara.

Before the start of replacement therapy, it is imperative that you take an analysis of hormones to accurately determine the state of hormonal balance.

It is impossible to unequivocally say about the benefits of such therapy, because everything is entirely individual. Most women report an improvement in emotional state, but destabilization is not uncommon.

Psychotherapy

This method is assigned directly by a specialist. The doctor has the right to prescribe it in combination with medical treatment, depending on the complexity of the situation.

This method allows a woman to realize and develop an adequate attitude to the changes taking place during the period of menopause.

The effectiveness of psychotherapy depends entirely on the patient's desire to recover, her contact and concerted actions with a specialist are important.

Conclusion

Depression during menopause is a complex condition of a woman that occurs in the process of not accepting age-related changes. Any psychological instability of the body is a reason to go to a doctor, especially during menopause.

Therefore, it can be concluded that menopause is not such a terrible change in the body. If you learn to ignore it, correct your hormonal balance in time, and lead a healthy lifestyle, then the probability of depression is reduced to zero.

Symptoms and diagnosis of depression in menopause

Depressive symptoms depend on the type of pathology. The classic triad is not always observed. Thus, in the involutional form, not lag, but throwing, is observed. Pronounced slowdown of speech is also not noted in any form. The most persistent symptom of the triad, occurring in any type, is a decrease in mood. In addition, the following signs are characteristic of depression in menopause:

  • constant anxiety
  • phobias
  • loss of previous interests,
  • inability to enjoy
  • reduced performance, lack of strength and desire to do something,
  • tearfulness on a minor occasion,
  • self-doubt, reduced self-esteem,
  • sleep disturbance, lack of appetite,
  • reduced concentration
  • the appearance of pain of obscure localization.

Diagnosis is made by a psychiatrist based on anamnesis, complaints, mental status (appearance, tidiness, desire to make contact and manner of conversation, orientation, behavior, emotionality, cognitive functions) and special tests to identify depression.

How long can depression last for menopause?

Manifestations of depression depend on the cause, the stage of menopause, provoking factors.

Stage duration premenopause ranges from one to three to five years. Depressive symptoms may be observed from the very beginning of the period, but the woman does not attach importance to them, taking them for transient mood swings. In this stage, vegetative disturbances associated with hormonal alteration and masking depression come to the fore. Characteristic menopausal view.

Proper menopause lasts 1–3 years. The climacteric type continues to prevail, at the end of the period the endogenous type is manifested, in which vegetative changes fade into the background (hormonal activity decreases).

AT postmenopausal dominated by the involutional type, there may be manifestations of endogenous. Involutionary episode lasts from several months to 5 years.

During all stages, a psychogenic type of depression can develop, provoked by stressful situations. Its reactive phase is short. The neurotic phase lasts longer.

Folk remedies for the treatment of depression in menopause

In addition to the main treatment, use traditional medicine:

  • sedative infusions and decoctions of valerian root, hops, motherwort, mint, lemon balm, fennel, linden, wormwood. Details about herbal menopause during menstruation,
  • to increase the level of serotonin, which plays a key role in the development of depression, there is dried apricots, banana, dates, dark chocolate in moderation,
  • for replenishing hormonal balance, decoctions and infusions with phytoestrogens are used - hops, sage, linden, calendula, licorice, oregano, raspberry, clover,
  • for insomnia, they take an “anti-depressive” bath with the addition of geranium, pine needles, carnations, roses and lavender oils.

Alina Weitz, psycho-neurologist, Candidate of Psychology, specially for Mirmam.pro

How to deal with depression in menopause

During menopause, a woman may experience some emotional depression. A disorder about age-related body changes and the loss of the ability to have children is a natural phenomenon. In addition, menopause is accompanied by symptoms that can deplete the patience of any woman. But sometimes the manifestations of menopause can make a woman feel more than just sad, she can cause a state of severe psycho-emotional depression.

Signs of depression in menopause

Depression with menopause is a mood disorder that is characterized by sadness, apathy and a number of physical symptoms. Its main cause is hormonal changes in the body of women. Clinically, a diagnosis of depression is made when there are at least 5 of its symptoms lasting at least two weeks.

Symptoms of depression in menopause may include low self-esteem, feeling of fear. In this regard, many women may withdraw into themselves, move away from others, provoking a greater increase in the symptoms of depression. Depression in menopause is accompanied by a strong breakdown. Persistent pessimistic thoughts, severe anxiety and irritability lead to the fact that women refuse to many types of activity that they used to love. Depression can cause physical symptoms such as headaches, abdominal pain, digestive disorders, weight gain, changes in appetite and insomnia.

Causes of depression during menopause

Menopause can trigger a feeling of sadness and episodes of depression in many women. It is estimated that 8-15% of women in menopause are susceptible to various types of depression. Causes of depression in menopause is still the subject of scientific controversy. One of the leading theories connects it with the fluctuation of the level of hormones in the body. In menopause, the level of estrogen is constantly changing.This hormones are associated with the metabolism of biologically active substances in the brain that are responsible for mood (for example, serotonin). With a drop in the level of hormones, especially estrogen, there is often a sharp decrease in mood, which turns into depression.

In addition, it should be borne in mind that stress, which causes severe symptoms of menopause, also leads to depression. A woman already has a lot of worries, should be managed with work, participate in family life, think about the welfare of the family. Physiological changes in menopause can be a drop overflowing the cup, causing depression.

The risk of developing depression increases if a woman has a history of mood disorders in the past. Women who have suffered from depression earlier, especially at the age of 20-30, are more likely to experience a relapse of the disease. In the case of surgical menopause, the possibility of depression also increases. Surgery (removal of the ovaries) entails a sharp decrease in estrogen levels, which leads to increased anxiety and pronounced symptoms of menopause. Also risk factors for depression are stress, smoking, the presence of small children.

How to deal with depression during menopause

The period of menopause (or menopause) - one of the most difficult in the life of a woman. Depression during menopause is a frequent visitor, because besides the physiological changes that occur in the female body at this time, menopause also brings with it a kind of "psychological restructuring", marking the beginning of a new stage in a woman's life.

Causes of depressive symptoms during menopause

According to statistics, depressed mood and symptoms of depression occur during menopause in 8-15% of women. Such a high percentage is due to the fact that at this time a number of factors collectively act on the female body:

  1. Physiological changes in the body. This period is considered, though natural, but nonetheless critical in the life of a woman. There is a cardinal restructuring of the hormonal system, the level of the hormone estrogen constantly fluctuates even during the day. A number of specialists identify this factor as a key factor in explaining the causes of depressed mood: the level of estrogen also influences the production of serotonin by the brain (the so-called “good mood hormone”). Due to a sharp drop in serotonin levels, mood swings and depression symptoms can occur.
  2. Psychological factors. It is not easy for a woman to accept the onset of this new stage of life. After all, it not only means the end of reproductive ability (the ability to have children), but for many women is inextricably linked with the idea of ​​an approaching old age. This is added and the disorder about the inevitable age-related changes in the body.

In addition, the combination of symptoms associated with menopause (sweating, sudden "hot flushes", frequent urination, pressure drops, etc.) do not contribute to a good mood in principle. This is partly why depression and menopause are often perceived as inevitable companions. Indeed, despite all the physical ailments of this period, the social activity of a woman remains the same - work, household chores and raising children require the same commitment from her as before.

An additional risk factor in the development of depression in menopause are those women who have previously (before the onset of this period) has already been diagnosed with depression.

Of course, drug treatment (antidepressants and other drugs prescribed by a doctor) is not required for every woman experiencing mood swings in menopause. Below we talk about the signs of depression in women, which may indicate its development during this period.

General examination

If according to her symptoms during menopause, the woman suspects depression, first of all, you need to undergo a full medical examination. What specialists can help in this situation?

  • The therapist - will give direction to all the necessary tests and examinations, will conduct a primary examination.
  • Consultation endocrinologist. Of course, in the period of menopause, hormonal changes in the body occur, but it is only for the specialist to decide whether these processes are personally within the normal range for menopause. In any case, it is necessary to exclude the presence of diseases of this profile, or to receive appropriate treatment, if it is necessary. After all, it is often endocrine disorders that can “trigger” the mechanism of the development of depression.
  • Cardiologist (you should visit him if you experience pressure drops, heart palpitations, heart pain). Perhaps these symptoms are natural concomitant factors in menopause, but it is necessary to exclude diseases of the cardiovascular system. Similar symptoms may also be among the signs of depression.
  • Neuropathologist. Irritability or fatigue can be not only a sign of depression, but also diseases of the nervous system.

    After a complete medical examination, when the other experts have excluded the diseases of their profile, or have prescribed the necessary treatment for you, consultation of the psychotherapist is required.

    Depression Therapy

    The psychotherapist treats depression with the help of drug therapy (antidepressants, antipsychotics and other drugs), and with the use of psychotherapy sessions.

    For the treatment of menopausal depression, the most commonly used antidepressants of the SSRI group (selective serotonin reuptake inhibitors) - for example, fluvoxamine, paroxetine or fluoxetine. These are light anti-depressants, they have a minimum of side effects (they do not cause excessive drowsiness or inhibition of reactions during the daytime, working hours), they are well tolerated by the body and act quite quickly. Not bad proved in the treatment of menopausal depression and such an antidepressant as coaxil. Of the neuroleptics, Sonapax or ethaferazine is usually used in small doses.

    Perhaps a specialist will recommend a combination of traditional methods of psychotherapy with medical treatment. Psychotherapy in this case will help the patient to develop a reasonable and relaxed attitude to the processes occurring in her body.

    In the case of depression during menopause, hormone replacement therapy is often effective. Its use is based on the theory that depressed mood during menopause is associated with differences in the level of estrogen in a woman's body. In this case, a synthetic analogue of estradiol is used, after which many women note improvement and stabilization of mood and general well-being. It is important to understand that for quality treatment in this situation, the cooperation of two specialists - an endocrinologist and a psychotherapist is necessary. Their joint help will allow you to choose the optimal combination of the necessary drugs.

    Self-help measures

    Remember that during the period of menopause, the female body is very vulnerable. Try to take preventive measures to preserve your physical and psychological health during this period. In the early stages, special non-hormonal medications based on herbs can be useful to help reduce the appearance of unpleasant menopause symptoms. Their choice in pharmacies today is quite large.

    To normalize sleep and mood, you can use a relaxing massage, pine baths, techniques of respiratory and muscle relaxation, meditation. Depression and menopause do not necessarily have to go "hand in hand", the period of menopause can be quite experienced with minimal physical and mental discomfort.

    Signs and prevention of depression in menopause

    Despite the fact that menopause is quite a natural state of a woman who has reached the age of 45-50 years, sometimes it is difficult. Particularly affected by this nervous system: a woman notices a touchiness, mood swings, irritability.

    And it’s good if this is the case, because with such conditions you can cope with the help of volitional efforts, but if a woman has depression during menopause, which is also accompanied by panic attacks, then she must take tranquilizers, neuroleptics and sedatives - only this will help make her life easier. Of course, only a doctor should prescribe such medicines.

    Why does menopause cause depression?

    Of course, not all women experience similar problems during menopause, but only 15%, but this does not mean that such a state can be allowed to take its course, when modern medicine knows what caused it and how to help a woman. Depression in menopause is due to the fact that the following factors affect the female body:

  • Menopause - this is a total restructuring of the whole organism, and this is connected, first of all, with hormones. This is especially true of the main female hormone estrogen: its amount in the woman's body constantly jumps. The hormone estrogen is responsible for the brain producing another hormone, serotonin. It is this hormone that is responsible for joy and good mood, and since its level also falls, then the mood of a woman is not in the best condition.
  • Psychological reasons. It is difficult for many representatives of the fair sex to accept menopause as such, as it comes to the realization that the main female function, which is to give birth to children, is lost, certain changes occur to the body, and involuntarily thoughts about impending old age occur. Of course, such a state does not contribute to boundless joy and elevation of spirit.
  • Health problems. With the advent of menopause appear certain difficulties in terms of health. A woman is often exposed to hot flashes, night sweats, dizziness, insomnia, muscle pain, and frequent urge to go to the toilet in a small way. It is difficult to remain cheerful and cheerful when you are constantly worried about something.
  • Attention! Not every woman doctor prescribes neuroleptics or other drugs of similar action. Someone will need the help of a psychologist, and some will only need traditional procedures during menopause.

    Features of treatment with antidepressants with menopause

    Antidepressants are drugs that help the patient to overcome anxiety, bad mood, apathy, lethargy, restore normal sleep, appetite, return the emotional background to its usual state.

    Previously, women in the menopausal period were most often prescribed drugs that contain hormones. However, today everything has changed, and this therapy has faded into the background, as it has many more disadvantages than advantages.

    In the case of depressions during menopause, antidepressants can really help, since they practically do not cause side effects, after they are taken they usually don’t even feel sleepy.

    If it became necessary to be treated with antidepressants, then it is important to remember the following points:

    1. Such medicines should be prescribed only by a qualified doctor. Treatment by them simply of their own accord, and only because you saw them in advertising or were advised by their best friend, is simply unacceptable.
    2. Antidepressants are a serious drug, you should drink it strictly according to the scheme recommended by the doctor, their uncontrolled intake is completely inappropriate.
    3. In order for antidepressants to be successful, you need to introduce them into your daily routine gradually, as this medicine is a stress for the body. With regard to the discontinuation of antidepressants, then it is necessary to adhere to the same rule. Gradually reduce the dose and reduce the medication to nothing.
    4. The effect of taking pills does not appear immediately, so do not overestimate the drug. In order for it to work, and the woman felt better, the substance contained in the pills must accumulate in the body, and for this to happen at least 5-7 days should pass. And there are such varieties of antidepressants, which begin to act in full force only after a couple of weeks.

    Attention! During complaints of depression during menopause, women are most often prescribed medications. Fluoxetine, Paroxetine, Adepress, Ephevelon.

    Benefits of treatment with antidepressants during menopause

    Why is it still necessary to give preference to antidepressants, rather than drugs based on hormones?

  • The above drugs can affect the body of a woman gently, without causing any complications.
  • When a doctor really diagnoses depression, these drugs provide real help to a woman, she feels much better from them and can completely get rid of depression.
  • With proper administration, exactly according to the scheme prescribed by the doctor, these drugs will not cause any side effects.
  • If you enter antidepressants during menopause in women’s life correctly, the body will not suffer from their intake.
  • Treatment with antidepressants does not cause drowsiness and decrease in efficiency, on the contrary, they contribute to vitality and a surge of strength.
  • If treatment with antidepressants is no longer advisable, then it can be abandoned at any time, since modern drugs are not addictive.

    Thus, depression in menopause is an unpleasant phenomenon, but there is nothing supernatural about it. Do not be afraid to go to the doctor and give him your complaints, as he can help you.

    Climax is not easy to survive for both the woman and the people close to her, so you need to go the easiest way possible and overcome the difficulties that arise by taking medication. Climax and depression are not at all those states that need to spoil life for yourself and your loved ones.

    Cognitive video on this topic:

    What causes depression

    When menopause occurs in women, ovarian function dies out, their synthesis of sex hormones stops. The amount of estrogen, progestin, which affect the elevated mood, visual appeal, decreases, depression occurs. The causes of this condition may be physiological or psychological.

    Physiological causes are characterized by:

    • migraines,
    • belly pains
    • digestive disorders,
    • dizziness
    • irregular pressure
    • chronic fatigue
    • tiring tides
    • insomnia,
    • sclerosis
    • external aging,
    • overweight.

    This is due to the fluctuation of sex hormones. Due to a decrease in estrogen, serotonin production is reduced, which helps to combat stress and causes a feeling of pleasure.

    Psychological causes are characterized by:

    • mental disorders
    • negative thoughts about aging,
    • the emergence of various fears (claustrophobia, fear of the dark, fear of old age),
    • difficulties at work
    • social instability
    • parting with your loved one
    • the loss of any relative,
    • moving children
    • reduced performance

    During menopause, a woman becomes emotional, sensitive, so any negative factors instantly affect her, causing mental disorders, depression of mood. In difficult situations, depression can provoke suicidal behavior.

    Bursts of aggressive thoughts can lead to inventing all sorts of problems about appearance, weight, uselessness for relatives. They can lead to starvation, unintentionally causing yourself harm. Such indicators are dangerous to life and health, and if they are found, they must be immediately eliminated.

    Types of depression

    Depending on the symptoms, there may be different types of depressions: climacteric, endogenous, involutional, or psychogenic.

    Climacteric is called depressed state of health, which is expressed in anxious mood, problems with sleep, decreased activity, tearfulness, hot flushes, decreased sexual desire.

    Psychogenic depression is a state of heightened feelings of repentance, guilt, which is accompanied by negative thoughts, pessimistic views on life, feelings, disturbances in sleep rhythm, weight loss, and lack of appetite. It can occur in psychological shock situations, loss of family, big problems. Such signs can grow and fade.

    At the endogenous form, a sad mood, despair, indifference, joylessness, reduced activity, sexual desire, self-accusation, pessimistic mood, loss of appetite arise.

    In involutional depression, painful, painful feelings of agitation, fussiness, and anxiety about one's well-being arise. It occurs in the postmenopausal period, when the restructuring of hormones ends. It is characterized by obsessive sensations about the presence in the body of incurable diseases, which is not in reality, sensations about the occurrence of catastrophes, accidents, death, poverty.

    In such a state, women are often suicidal. This form of nervous breakdown, having appeared, can last for several years, improving, deteriorating, and requires long-term treatment.

    During menopause, the depressive nature of a woman is very dangerous. Панические атаки, прошедший сильный стресс, сердечно-сосудистые заболевания, попытки самоубийства и болезни Альцгеймера часто сокращают жизнь при этом.

    Поэтому при признаках нервных расстройств, необходимо обратиться к специалисту, который назначит определенное лечение. А также желательно посетить других врачей, пройти полное медицинское обследование. To collect all the tests, the primary examination should be visited by a therapist. The endocrinologist will determine if there are endocrine disorders.

    With symptoms of palpitations, pain in the heart, it is better to consult a cardiologist. A neurologist will put the final diagnosis, determine the depression or other illness.

    Nervous disorders are usually treated with drug therapy (antidepressants, antipsychotics, other drugs), or psychotherapy sessions are used. Recommended antidepressants for menopause is usually very effective, well perceived by the body, do not cause drowsiness, and negative effects. Sometimes with certain indicators, deterioration of the condition, specialists can prescribe hormone replacement therapy.

    Positive effect of independent psychoprophylaxis. Special massages for relaxation, aromatic baths, meditation, exercises for respiratory and muscular relaxation help to normalize sleep and mood. Observing proper nutrition, fully relaxing, walking every day, doing physical exercises and observing the daily routine, one can achieve better well-being.

    Depression during menopause and its treatment is a very important task for the study of modern medicine. Many women suffer from this condition and the task of specialists is to achieve a significant improvement, forming a sense of security and confidence in the future of women.

    Depression during menopause - norm or pathology?

    With non-surgical menopause, as well as during the surgical period (after removal of the ovaries), mental disorders of the border circle may occur in women. And often in this state there is depression.

    During the period of menopause, a number of pathophysiological and behavioral mechanisms that cause depression can be observed.

    It should be noted that in women who suffered from depression at an earlier age (20-30 years), menopausal depression is more likely to manifest.

    It is important to understand that women who have undergone surgical removal of the ovaries, who develop surgical menopause, increase the risk of developing depression.

    Hormonal disorders in menopause

    This period is characterized by a rearrangement of the hormonal balance of the woman’s body, the level of estrogen (female sex hormones), which are secreted by the ovaries, decreases. This leads to a decrease in the synthesis of tryptophan, the precursor of serotonin - the so-called hormone of happiness, which is responsible for good mood. Therefore, as a result of the above disorders, a decrease in serotonin may occur, which pathogenetically is the basis for the development of depression.

    Concomitant somatic disorders

    In addition to all the changes listed above, other health disorders appear during menopause: general malaise, dizziness, sleep disturbances, irritability, increased sweating, hot flushes, weakness and muscle pain.

    Skin elasticity is lost, signs of fading appear. These manifestations contribute to the emotional background. In addition, the cardiovascular system suffers, which manifests itself in the form of pressure rises and frequent heartbeat. This all can provoke the occurrence of secondary depression.

    Increased subcutaneous fat

    During menopause, the production of estrogen during the extinction of ovarian function is partially assumed by the adipose tissue and adrenal glands. Accordingly, we have compensation for the production of estrogen by increasing the volume of the subcutaneous fat layer. Thus, a natural replacement mechanism occurs, and the woman is getting stout, and this does not increase her mood.

    Climax and depression: effective treatment

    The climacteric period is accompanied by a restructuring of the whole organism, from which it is not easy for a woman to psychologically cope with these changes. When menopause, depression can be caused by both physiological changes and psychological factors.

    Of course, not all women suffer from this disorder in menopause, but still does not put in advance to prevent the consequences of psychological adjustment.

    Here, an important step is timely visits to a specialist, organization of support for the body, as well as knowledge of the causes, main symptoms and methods of dealing with depression.

    With the help of the following information, one can normalize the psycho-emotional state by getting rid of various mood swings and a depressed state.

    According to statistics, mental disorders with menopause occur in 8-15% of women. And this is not strange, given the complex of factors that cause depressive mood:

    Destabilization of hormonal balance, estrogen jumps can greatly affect the psychological state. Many doctors are of the opinion that such fluctuations provoke climacteric disorders.

    The fact is that serotonin is responsible for a good mood, and estrogen directly affects its production in the brain.

    A decrease in the level of this sex hormone provokes a decrease in serotonin, which causes drastic mood swings and depressive symptoms.

    Types of depression in menopause

    It is noteworthy, but depression in menopause can manifest itself in various forms. Among the main types of depressive disorders are:

    • Climacteric. This type is characterized by apathy to previously interesting and significant things, systematic tearfulness, increased anxiety and unusual passivity. Against the background of these signs, sexual desire decreases, there are problems with sleep and tides become more frequent.
    • Endogenous. Here tides do not occur more often, but pessimism, apathy and longing come to the fore. A woman negatively look at his past and present, as well as the future. Sometimes the appetite disappears and insomnia occurs.
    • Involutionary. This type is characterized by a woman exaggerating the severity of her own health problems. The patient is constantly worried about her condition, very afraid of death. In addition, the involutional type of depression is often accompanied by painful and unpleasant sensations.
    • Psychogenic. Anxiety is often manifested against the background of heavy and unpleasant thoughts. There is a decrease in self-esteem, a very critical attitude to his personality. Additionally, there may be problems with sleep, poor appetite, as well as a sharp weight loss.

    It is very difficult to independently determine what type of disorder a woman suffers from. Therefore, it is rational to consult a specialist. After all, the lack of struggle with psychological problems increases the symptoms of menopause, provoking a number of serious diseases.

    Not always depressed mood is a direct indication for taking drugs. Depression during menopause has its symptoms, but they are taken into account in the complex. Treatment is prescribed based on the following symptoms and their frequency:

    • deterioration of performance
    • constant apathy,
    • very critical attitude to their appearance,
    • lower self-esteem
    • addiction to loneliness
    • anxiety and anxiety
    • the appearance of various phobias,
    • unwillingness to move on,
    • skeptical attitude towards the future
    • mood swings
    • unstable emotional state
    • severe headaches
    • loss of appetite
    • fainting and dizziness,
    • imbalance in the digestive tract,
    • various body aches.

    Many of these symptoms can be caused not only by psychological disorders, but also by hormonal imbalance. Therefore, it is very important to establish the exact cause of such manifestations. If symptoms continue for more than two weeks, gradually increasing, then you should not postpone a visit to the hospital. The fewer the manifestations, the easier it is to return to a normal lifestyle.

    Features of diagnosis of the disease

    If a woman has a suspicion of depression during menopause, it is best to visit the following specialists:

    • Therapist. You can not skip this item, because this particular doctor will prescribe the necessary diagnosis. Its results will help eliminate various pathologies, as well as be useful to other doctors, to whom the therapist also directs.
    • Endocrinologist A woman is obliged to visit this specialist systematically, because with its help one can optimally enter into menopause, preventing unpleasant symptoms. Depression can be caused by thyroid and hormonal problems. Therefore, it is the endocrinologist who can exclude such provocateurs for the accuracy of further treatment.
    • Cardiologist. A depressive symptom may be associated with habitual changes for menopause, and not problems of the nervous system. It is important to exclude diseases of the cardiovascular system and find out the causes of blood pressure surges, and only then choose a treatment.
    • Neuropathologist. This doctor examines the patient's nervous system, examines the test results and the nature of the symptoms. After that, treatment is prescribed. If all of the above specialists have not found any pathology that can provoke menopausal disorders, then it is necessary to consult a psychotherapist.

    Asthenic depression in menopause: symptoms and treatment - 45plus

    Among the most significant medical problems faced by women in menopause, depression has a special place.

    After all, cardiovascular diseases, osteoporosis, and urogenital disorders, and many other problems in menopause occur, also due to emotional overloads associated with hormonal changes in the body. No wonder they say that all diseases come from nerves.

    We have already written more than once about what anxieties encompass a woman at the moment of transition to a new stage of life (the word “climax” itself is translated from Greek as “stage”). “45 plus” is the age when the career has already been built and the interest in work disappears, the motivation for further growth disappears.

    This is the time when children are leaving the parental home and mothers are especially lonely (psychologists even have a special term for describing this kind of nervous disorders - “empty nest syndrome”).

    Without exception, everyone is starting to notice signs of approaching menopause: the skin loses its elasticity and skin's former elasticity, hair becomes brittle and dry, female beauty fades ...

    Following the growing anxieties, beautiful ladies get a body reaction. And it “responds” to our experiences with the emergence of so-called age-related diseases.

    Attention to your emotional sphere during the period of menopause is an absolutely necessary condition for preserving the health of a woman after 45 years

    Modern medicine considers depression - the most important factor that reduces the quality of life in menopause. Women develop various symptoms of depressive disorders. However, very few go to doctors and receive the necessary treatment.

    What is depression?

    Depression is a violation of the mental state of a person in which he is accompanied by apathy, there is no interest in the world and negative thoughts are formed.

    A woman who had previously successfully pursued a career and led an active lifestyle, with the advent of climacteric changes, begins to experience a deterioration in her state of health. As a result, she may experience psychological stress. Especially if problems in the family or at work are connected to this.

    How does menopause manifest?

    As women age, the body starts aging processes, and the metabolism slows down. There comes a menopause, which lasts throughout the rest of life.

    It is accompanied by mood swings, poor health, excessive sweating and rapid heartbeat.

    The climacteric period consists of perimenopause, menopause and postmenopause. Depressive manifestations most often occur during the perimenopause.

    Mood changes and depression during menopause (menopause)

    Studies have shown that menopause by itself does not contribute to the deterioration of physical or psychological condition.

    It was found that women in menopause between the ages of 45 and 64 suffer from depression much less often than women of younger age. Moreover, the main stresses in the life of women in menopause most often occur as a result of problems in the relationship of a woman with relatives, as well as for other reasons not related to menopause.

    For example, about 25% of women during menopause should care for an elderly relative, which, according to some studies, leads to stress.

    We examined a group of healthy women in menopause who did not need medical care and noted: “For most women, menopause is not at all such an unpleasant phenomenon as it is considered. Basically it is mythology. ”

    It is reported that only 2 to 3% of women in her study expressed regret that their reproductive age was over. A unique feature of this study is that it was conducted with the participation of women who did not need medical care.

    Of course, many doctors had a negative opinion about menopause, in part because they saw only women who came to them with any complaints related to menopause.

    Menopause at the same time is the period when we can finally deal with all the unfinished problems that have accumulated over the entire previous half of life.

    We can completely burn off about what we did not end up experiencing, finish a course at the university that all hands did not reach to finish, or to suffer - that they did not give birth to another child or did not give birth at all.

    It looks as if we are going down to the basement and we find there many boxes, boxes, and we need to sort out what's inside them and throw out all the unnecessary.

    If a woman wants to deal with her unfinished problems and, she will have fewer symptoms of menopause.

    She will understand that these symptoms are signals of her internal system that she should pay attention to certain periods of her life.

    Treatment of mood changes and depression in menopause (menopause)

    When a woman wants to solve the unresolved emotional problems of her life, she often does not need any treatment for mood changes. Improving nutrition and exercise often do wonders.

    Many women who were depressed followed a diet in which there was so little fat that they could not have enough substances in their bodies that were necessary for the brain to cope with depression.

    Other women need physical support for the endocrine, energy, and emotional systems through estrogen replacement therapy, homeopathy, acupuncture, and other approaches. From medicinal plants, remifemin can help alleviate these symptoms. Carpenal of St.

    John (Hypericum perforatum), as has been shown, also helps a lot with moderate to moderate depression, which allows many women to do without other antidepressants. Look for a standardized 0.3% drug.

    The dose of this plant is 300-330 mg three times a day with meals.

    Replacement hormone therapy leads to an improvement in depression in some women, does not give any effect in others. Each case should be considered from the point of view of the whole approach to the patient in order to determine the best treatment.

    Confused thoughts during menopause (menopause)

    Many women describe the changes after menopause that occur in their thought process. Confused thoughts are most often described as the inability to consistently ponder a question, this is a normal process, which is caused by the need for self-restraint.

    It is the inability to use the left hemisphere or your intellect to perform such a simple task as filling out a receipt or writing in an organizer. This is ubiquitous. Many are relieved to find out that this is normal, because they are afraid that they have Alzheimer's disease.

    No facts support the common myth that women and men normally lose their memory or fall into insanity as they age.

    This is a state where we are temporarily disconnected from our front brain lobes, that part of it that is responsible for rational, linear, consistent thinking planning the future. We are happy at this moment that we think only with our hearts.

    If we let this process go smoothly, do not fight it, consider it a violation of function, it may be the initiation of entering a completely new way of perceiving the world, a much more intuitive way.

    For many women, the opportunity to express themselves in art, literature, sculpture comes, if they are given to this state of “cotton head”, which takes them out of the world where well-organized intelligence rules:

    What is depression in menopause and what is its cause?

    Depression during menopause is a severe psycho-emotional depression of a woman, caused by the reluctance to accept changes in your body and in the whole of your life, fear of the future.

    Symptoms of depression in menopause include low self-esteem, fear, anxiety, sadness, apathy.

    All these feelings, in turn, cause psychosomatic problems, namely, various diseases or unpleasant symptoms: headaches, abdominal pain, digestive problems, overweight, insomnia, high blood pressure. In fact, all the problems during menopause are caused precisely by the psychological state of the woman.

    Treatment of depression in menopause begins after a clinical diagnosis and occurs by various methods, including medication. However, depression does not arise for no reason, so that you do not have to deal with the treatment of depression during menopause, it is easier to prevent it. Moreover, it is not as difficult to do as it seems at first sight.

    First of all, the fact that women are so hard for menopause, our culture is to blame, namely culture and religion, which have been in people's minds for centuries, make women suffer during quite ordinary physiological phenomena, such as menstruation, childbirth and menopause. Western society, menopause is perceived at the level of the disease. Climax is not a disease. This is a normal phenomenon, and in eastern cultures, women do not suffer from depression because they are over 40 years old.

    What is the cause of depression in menopause?

    By the 40s and 50s, women usually have grown up and become independent women, their parents have grown old, and the woman herself is not as young as 20 years ago.

    All this usually causes women to fear of an uncertain future, a false feeling that "the whole life has already passed" and, worse, "everything was in vain."

    Also, there may be depression due to the fact that there are problems with appearance.

    What to do? First of all, love yourself: under any circumstances, in any condition. And yet, it is worth understanding that after 40 years there is a mass of free time, which is worth spending not on useless lamentations, but on realizing those goals and desires for which you did not have enough before that time.

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