Autumn of life or the second youth: the whole truth about the climax


Perhaps, in no country in the world do women spend so much money on cosmetics and anti-aging treatments. But does this help us?

It is believed that a person's appearance depends on nutrition and lifestyle. Unfortunately, this is true only for young people. In adulthood, other rules. "The flowering appearance is an indicator of a high level of female hormones (estrogen and progesterone) in the body," says Anna Stenko, MD, Head of the Institute of Plastic Surgery and Cosmetology. “As soon as their level begins to decline (this happens after 40 years), the woman will fade.” The process of reducing the level of female sex hormones entails a sharp deterioration in health.

“As soon as hormone production decreases, women are at risk for hypertension, type 2 diabetes, osteoporosis, obesity, etc.,” says Professor Vera SMETNIK, President of the National Association for Menopause. “Usually, health problems begin 1-3 years before the last menstruation and grow like a snowball after turning off the ovaries.” Because at the age of 50-55 years there are practically no healthy women.

Golden pill

A large-scale study on how to adjust the health status of women of “golden age” was first conducted in Japan (where the average life expectancy of a woman is 84 years). It showed that there is only one effective way to protect mature women from heart attacks, strokes and hip fractures - this is menopausal hormone therapy (MHT). It turned out that the use of MHT can reduce mortality in women of mature age by 30-50%. However, those wishing to use the pill of youth turned out to be few. According to statistics, 10-30% of women in the world use hormonal therapy, and only 2% in Russia.

The reason for this - the sensational American study "Initiative for the Health of Women", conducted in 2002 in the United States. Observations on 15 thousand patients then showed that in the group of women who took hormonal drugs, the number of breast cancer cases, heart attacks and strokes sharply increased.

“Later it turned out that health problems in the background of MHT more often occurred in women over 60 years old,” says Svetlana Yureneva, Doctor of Medical Science, Leading Researcher of the Center for Obstetrics, Gynecology and Perinatology named after Kulakova. - Although in actual clinical practice, therapy is more often prescribed to women 45-55 years old. But her credibility was undermined, and subsequent studies that proved the effectiveness and safety of hormone therapy failed to restore it. ”

According to statistics, today in Russia, MGT is mainly used by obstetrician-gynecologists and their family members. The result is obvious. These ladies do not complain about health and without any cosmetic tricks look at least 10 years younger.

Benefit or risk?

The dividing line between risk and benefit is the age of prescribing hormone replacement therapy.

The optimal time - the beginning of the restructuring of the body when the first symptoms appear. “The treatment prescribed during this period gives the maximum positive effect and a minimum of side effects,” says Svetlana Yureneva. “After 60 years, when atherosclerosis has already developed, and irreversible changes have occurred in the vessels, the risks of hormone therapy exceed its benefits.” There is a category of patients who are prescribed hormonal therapy with extreme caution - these are smoking women (they have atherosclerosis and irreversible changes in the vessels develop before the age of 50) and women with obesity (adipose tissue produces estrogen that changes hormonal status - treatment in this case may give an unpredictable result). Today, treatment begins with the minimum effective doses (they are significantly lower than in the preparations that were prescribed 10 years ago), and recently transdermal means (in the form of patches and gels) have appeared - their dosage is 20-30 times lower than that of tablets, with the same efficiency.

Instead of cream?

Despite its effectiveness, hormone therapy cannot be considered as a rejuvenating agent. It is intended only for treating the symptoms of menopause and is indicated to those women who have them. “Climax is not a disease, about 20-30% of women go through menopause without noticing it,” says Svetlana Yureneva. - These include women without bad habits, leading a healthy lifestyle, not suffering from overweight and chronic diseases. In the mild form of climacteric disorders, herbal medicine (treatment with medicines made from medicinal herbs), a healthy diet and weight loss help. Hormone therapy is designed to treat serious symptoms that complicate the lives of women. ”

What is menopause and menopause

After 40 years, a woman begins a gradual irreversible change in the reproductive organs. The reasons lie in slowing the production of sex hormones responsible for the maturation of the egg: ovulation becomes irregular, the menstrual cycle is unstable. After a while, the period of menopause begins, characterized by a complete cessation of ovulation and menstruation.

Do not confuse the concept of "menopause" and "menopause" - this is not the same thing.

It is possible to give the following definition of menopause - this is the natural extinction of reproductive function, accompanied by degenerative changes in the female genital organs as a result of the termination of the synthesis of sex hormones. In medicine, there is a climacteric division into the following stages:

  • premenopause is the beginning of menopause,
  • menopause - lasts for a year since the last menstruation,
  • postmenopause - the period from the last natural menstruation to the end of life.

Premenopause is characterized by the fact that against the background of a decrease in the production of estrogen by the ovaries, menstruation is preserved, but the duration of the cycle can vary, the volume of menstrual flow varies from scarce to abundant. A gradual decrease in the production of hormones leads to a complete cessation of ovulation and menopause occurs.

Since the onset of menopause, the opportunity to conceive, bear and give birth to a child is considered lost, the ovaries stop the production of hormones, the eggs do not mature and menstruation does not come.

After a year in this state, the woman goes into the postmenopausal period, when the hormones are ordered, and the dystrophic changes of the genital organs enter the final stage. This state accompanies the woman until her death.

When the menopause comes

It is impossible to name the exact age when a woman has the first symptoms of an approaching menopause. The time of arrival, as well as the duration of this life stage are strictly individual. There are only a few average indicators and concepts such as late and early menopause in women.

It is believed that if the first signs of menopause appeared in a woman under 40 years old, then there is an early menopause, and if after 55 years, then a late menopause. Both conditions are abnormal.

Premenopause and its features

The onset of menopause, premenopause, usually begins at about 44 years of age, and the duration also varies. At this time, the woman begins to celebrate the first changes in the body associated with a gradual decrease in the number of sex hormones, namely:

  • menstrual dysfunction begins, ovulation occurs irregularly, there are delays in menstruation from 1 to 4-5 months,
  • menstrual changes change their character, become either more abundant or scarce,
  • increases the risk of uterine bleeding,
  • constant changes in the level of estrogen in the blood cause painful swelling and engorgement of the mammary glands.

The onset of menopause is also accompanied by the development of the so-called menopausal syndrome, the manifestations of which are as follows:

  1. Tides during menopause are diagnosed in the vast majority of women. Accompanied by a sharp rise in temperature, a sensation of heat spreading from the chest throughout the body. There are signs of hyperemia (redness) on the skin, sweating increases. Attacks are accompanied by an increase in heart rate, blood pressure can rise. This attack is replaced by chills and weakness. According to the duration, it can be both short (up to 30 seconds) and long - up to several minutes.
  2. Headaches and dizziness. Many women complain of poor health, mental decline, loss of strength and general weakness during menopause.
  3. Increased sweating. A woman's body is periodically covered with sweat, her chill condition is covered, her hands and feet are getting cold.
  4. Numbness of fingers. This condition is associated with the reaction of the cardiovascular system to changes in hormonal levels.
  5. Emotional lability. Fluctuations in hormonal levels cause drastic mood swings, gratuitous tears and tantrums. Behavior of a woman with menopause is characterized by a constant inflated state, she is ready to cry because of any trifle or falls into unreasonable rage.
  6. Insomnia with menopause. The instability of the nervous system leads to sleep disorders, which only aggravates the situation.

Recognize the onset of menopause can be and changes affecting the female urinary system, as well as genitals - both internal and external. Women feel unwell, expressed in the following ways:

  1. Incontinence of urine (especially when laughing, coughing, or sneezing), pain and burning sensation when urinating.
  2. Dryness and itching of the vagina, causing discomfort during sexual intercourse.
  3. Due to estrogen deficiency, atrophy of the vaginal mucosa develops: it dries out, microcracks appear on it, and microtraumas during sexual intercourse can lead to the development of inflammatory diseases.

Poor ovarian function causes a steady drop in the level of female hormones, and, although the menstrual function is still ongoing, irreversible changes in appearance begin, for example:

  • dystrophic changes are reflected in the glandular tissues of the breast. They lose their elasticity, become flabby and change shape,
  • due to hormonal imbalance, the hair quickly turns gray and begins to fall heavily,
  • collagen production is inhibited, which causes a decrease in skin turgor: it begins to sag, deep wrinkles appear,
  • skin of the face and body loses its natural moisture level and becomes overly dry,
  • lack of calcium and vitamins leads to brittleness and dryness not only of hair, but also of nails.

A change in the hormonal balance during menopause has a negative effect on all organs and systems of the female body, causing health problems, namely:

  1. Dystrophy of bone mass due to calcium loss. The decrease in bone density is the cause of their fragility and fragility, especially heavy menopause causes the development of osteoporosis - a pathological decrease in bone density, when even a fall from a height of its growth can cause severe fractures.
  2. A slowdown in metabolism leads to an increase in the concentration of “bad” cholesterol in the body, significantly increasing the risk of developing cardiovascular pathologies: atherosclerosis, hypertension, stroke. The risk of blood clots increases.
  3. Myocardium reacts negatively: the threat of a heart attack increases, coronary heart disease and angina develop.
  4. Metabolic disease. Metabolism slows down, the slightest excess of calorie intake affects body mass.
  5. Endocrine disorders triggered by unstable hormonal levels can cause the development of diabetes.

At this time, a woman needs to be especially attentive to her health, since the whole body is under stress.

Over time, the level of estrogen decreases to a critical level, and ovulation stops - the menopausal period begins.

Features of the period of menopause

It is easy to determine the onset of menopause - the last natural menstruation can be considered as a reference point. The first signs of menopause are a prolonged (during the year) absence of menstruation. They are usually preceded by such symptoms:

  • increase in a break between periods,
  • volume of discharge drops to critical levels,
  • internal genitals begin to shrink in size.

The inhibition and cessation of estrogen production is accompanied by a decrease in the level of progesterone, which is responsible for the state of the endometrium (the inner layer of the uterus). With a lack of progesterone, pathological processes of endometrial atrophy begin, affecting the amount of discharge during menstruation. Accordingly, during menopause, the endometrium update stops with the menstruation.

With the help of biochemical blood tests for hormones, you can fairly accurately predict the timing of menopause. This is evidenced by the level of FSH - follicle-stimulating hormone, the production of which by the pituitary gland increases as estrogen synthesis is inhibited. Thus, the pituitary gland is trying to compensate for the loss of estrogen and restore hormonal balance. If the results of the analysis revealed a sharp increase in the concentration of FSH - soon menopause will occur.

Thus, menopause begins with premenopause, then menopause begins and postmenopause becomes the final stage.


This period is characterized by the complete extinction of the female genital system. Ovaries completely cease to synthesize hormones. The re-adjustment of the organism to old age is completed.

As a rule, by this time all the negative manifestations of the climacteric syndrome are already behind. But the danger of developing serious pathologies, such as malignant oncological diseases of the internal genital organs, remains. Until the end of her life, a woman should not neglect regular gynecologist examinations and examinations.

How long does menopause

Accurately answering the question of how long menopause lasts is impossible. This is so dependent on the individual characteristics of the woman and the hereditary factor that one can only speak of the average duration of this period. Climax begins on average closer to 45 years and ends at about 55-57. It is believed that on average its duration is about 10 years.

On the accuracy of the timing can only speak about menopause. The menopausal period usually lasts for 12 months - there are no monthly periods during this time. By the beginning of menopause, the determination of the time of occurrence of predclimax (premenopause) is also tied: it is believed that it comes 4-5 years before the last menstruation, therefore, it is possible to determine the exact date of the onset of menopause only in hindsight.

In gynecology, menopause and menopause are collectively called perimenopause. The postmenopause, which then begins, lasts up to about 70 years, although many specialists do not separate the period of old age from postmenopause.

How to survive it

Climax is a difficult test for most women. In addition to fearing the loss of youth, a woman is under stress from the negative effects of low hormonal levels, causing many unpleasant conditions and diseases. Some believe that it is useless to fight menopause, and let everything go to chance, resulting in losing the remnants of health and attractiveness. Others panic from the fear of approaching old age, thereby aggravating the already difficult state of the nervous system.

To cope with menopausal syndrome is possible not only with the help of a doctor and drug treatment. The following factors play an important role in the fight against menopause:

  1. Prevention. Doctors say that compliance with simple preventive measures helps not only to delay the offensive, but also significantly alleviate the condition of the woman during menopause.
  2. Careful attention to their health by a woman helps in time to identify severe pathologies at an early stage of development, and either prevent them or facilitate treatment.
  3. Compliance with a healthy lifestyle helps to get rid of discomfort and alleviate the symptoms of menopause.

Negative factors that approximate the onset and aggravate the manifestations of menopause are:

  • bad habits (alcohol abuse, smoking),
  • sedentary lifestyle (hypodynamia),
  • unbalanced diet, poor in vitamins and minerals,
  • the presence of chronic diseases that are exacerbated in menopause.

Simple measures such as: to improve well-being and to cope with discomfort:

  • active lifestyle, sports (swimming, yoga). Even simple walks in the fresh air and daily morning exercises will improve well-being,
  • proper nutrition, in which fast carbohydrates and excess fat, which are harmful to the figure, are excluded from the diet, while the consumption of fruits, vegetables, seafood and fish increases,
  • enriching the diet with vitamins and minerals in order to prevent their deficiency,
  • rejection of bad habits

Menopause treatment

Treatment of menopause is not aimed at eliminating it, but at getting rid of the severe manifestations of the menopause. Существует два вида терапии – гормональная и негормональная.

Гормональное лечение называют заместительной гормональной терапией (ЗГТ), и проводится она с помощью гормонов, вводимых в женский организм в малых дозах, чтобы снизить гормональный дефицит в период климакса. But such drugs have many contraindications:

  • oncologic malignant neoplasms,
  • endometriosis,
  • endometrial hyperplasia,
  • uterine bleeding of unknown etiology,
  • diabetes,
  • liver and kidney disease
  • Varicose veins,
  • allergic reactions to the components of drugs.

In the case of contraindications, the doctor prescribes therapy with products based on phytoestrogens - herbal analogues of female sex hormones. They have almost the same therapeutic properties as hormonal drugs, but lack their contraindications.

Also, as an aid, the doctor may prescribe treatment with herbal medicine. They help not only to get rid of hot flashes in menopause, but also have a tonic effect, comparable to drug treatment.

The main thing that should be remembered by any woman approaching the age of the onset of menopause - this condition requires constant medical supervision and assistance. Self-medication can cause irreparable harm to health and create a threat to life. Therefore, it is necessary to regularly go to an appointment with a gynecologist and follow all his appointments and recommendations. Only a doctor can make the correct diagnosis and prescribe adequate treatment to facilitate the flow of menopause.

What you need to know about the climax

Climax is the process when the female reproductive system moves from the childbearing state to the rest period. This process is accompanied by a complete reorganization of the hormonal background: the production of female hormones, estrogens, is greatly reduced, and this imbalance affects the work of many organs and systems. It is the decrease in estrogen levels that experts consider one of the main causes of unpleasant symptoms.

By what signs can recognize the onset of menopause?

1. Critical situation: irregular menstrual cycle

Menopause (that is, the complete cessation of menstruation) is not a one-time process. At first the cycle becomes irregular. Menstruation may become even more abundant than usual, but more often - more scarce, occur less frequently.

2. What are your years? Age over 40 years

The time of menopause varies greatly. There is an early menopause - already in 37-40 years. On the other hand, there are women in whom menopause occurs under 60. However, on average, this happens: after 40 years, the first symptoms of premenopause appear, and by 55 the hormonal “storm” ends.

Want to know when you are most likely to have a menopause? Ask when this happened to your mother.

3. Ninth shaft: tides

This symptom of hormonal changes (instantaneous sensation of a “hot wave”, accompanied by facial redness, palpitations, pressure increase) appears one of the first and is difficult to confuse with anything.

The program of bad luck: what troubles to be ready

Due to the fact that the effect of estrogen on the female body is very diverse, the manifestations of their lack can also be very different. That is why the symptoms of menopause so much and it is not always easy to distinguish them from other ailments.

Women on the brink

One of the first in menopause is having vasomotor symptoms. They can be both physiological (hot flashes, sweating, heart attacks, chest pains) and psychological (irritability, tearfulness, mood swings, anxiety, memory lapses, depression, even panic attacks), or have a mixed form (unreasonable fatigue , decreased libido, dizziness, memory lapses, etc.)

Lose face

A change in the hormonal background leads to a rapid wilting of the skin, a decrease in its moisture, density, elasticity, an increase in irritability, and the formation of new wrinkles.

No alcohol law

Another group of symptoms is urogenital. These include dryness of the vaginal mucosa, urinary incontinence, pain during intercourse and urination.

Weighty problem

Reduced estrogen production can lead to weight gain and changes in the proportions of the figure: it becomes less feminine. A delayed manifestation of menopausal syndrome is osteoporosis.

In harmony with hormones

For the correction of menopause symptoms, phytoestrogen-based drugs are used - for example, the drug Chi-Klim.

Qi-Klim is a natural 1 non-hormonal preparation based on cimicifugu extract. The drug has an estrogen-like effect, so it helps to eliminate both early menopausal disorders (such as hot flashes, increased sweating, sleep disturbances, mood swings, nervous excitability) and delayed manifestations of menopause, which include cardiovascular diseases, osteoporosis, and urogenital frustration.

Qi-Klim: professional recognition

Phytoestrogen therapy has already become an independent direction in the treatment of menopausal disorders. This is where leading Russian and foreign experts in the field of gynecology agree.

Thus, speaking at the international symposium "Mother and Child", Professor Kulakov Science Center, a member of the Menopause Society S.V. Yureneva said: “After 40 years, the level of estrogen in a woman’s body decreases, which leads to a lot of symptoms: hot flashes, sweating, heart attacks, sleep disturbances, irritability. In addition, the woman begins to age quickly. Herbal preparations based on cimicifuga are very relevant for the treatment of menopausal disorders that eliminate hot flashes, sweating, improve mood and sleep, and contribute to the slowing down of hormonal aging. ”

International quality at an affordable price.

Now women are increasingly choosing Qi-Klim as an alternative to expensive imported drugs to correct the symptoms of menopause.

Thanks to significant resources of its own (large-scale production in the Altai Territory, equipped in accordance with the latest international requirements - the GMP standard, its medicinal herbs plantations, etc.), Evalar was able to offer the highest quality drug to Russian women much cheaper than their foreign counterpart!

Learn more at

1 According to the composition of active ingredients.

State registration certificates:

Tablets "TSI-KLIM" - LSR-006592/09 RU dated August 18, 2009

The truth about menopause

If menopause is a natural process that occurs in every woman, then menopause is a pathology that is far from common. In this condition, a woman may be disturbed by mood swings, hot flashes (feeling hot, sweating), anxiety, and insomnia. First of all, it is necessary to undergo a full examination by a gynecologist and adjacent specialists (endocrinologist, cardiologist, neurologist) in order to rule out other diseases with similar symptoms. Timely access to doctors and careful attention to yourself will help prevent the development of diseases.

Check in time

During menopause, even if a woman does not suffer from the unpleasant symptoms of hormonal adjustment, the risk of developing certain diseases increases. For example, pathologies of the cardiovascular system and osteoporosis. This is due to the lack of sex hormones estrogen and progesterone. The most effective way to detect health problems in time is to have regular check-ups with doctors (cardiologist, gynecologist, mammologist, orthopedist and endocrinologist). Make a schedule of visits to doctors and follow it unswervingly.

Adjust lifestyle

The decrease in estrogen production affects the condition of the skin and hair. However, this does not mean that undesirable changes will begin to occur abruptly and will not be amenable to correction. Compliance with the daily regimen, a full sleep, regular body and face care will help to survive the age line and preserve beauty for a long time without damage.

Live life to the fullest

Menopause is not a reason to refuse intimate intimacy! On the contrary, regular sex life helps to significantly soften its unpleasant manifestations. In addition, feeling loved and desired, a woman prolongs her youth.

Now in the pharmacies appeared vitamin-mineral complexes with extracts of medicinal herbs, designed specifically for women during menopause. For example, a special biocomplex Lady’s formula Menopause Enhanced formula. Of course, like many other drugs, it eliminates hot flashes, excessive sweating, bad mood, but also moisturizes the vaginal mucosa, increases libido, that is, does what is not generally spoken about at this age - makes it possible to maintain a full-fledged intimate life and remain a woman at any age.

Watch for weight

Changes in hormonal levels - a common cause of excess weight. But strict diets in this already difficult period for the body are contraindicated. But to establish good nutrition is necessary. Especially important now are vitamins E, D and group B, as well as fiber, calcium and magnesium. Experts recommend that dairy products, whole grains, lean meat and fish, vegetables, and fruits be included in the diet. It is also important to reduce the serving size (put 2/3 or even half of a regular serving in a plate). But there is preferably more often - up to 5-6 times a day. It is better to eat hearty meals in the morning, then the body will quickly “burn” calories. Something light is recommended for dinner.

What is menopause and menopause?

Menopause is not a disease, it is a programmed life stage, a normal age period when menstruation ends, the reproductive function of a woman stops, that is, the ability to become pregnant and have children.

The period preceding and following the last menstruation is called menopause.

At this time, most women experience physical and mental discomfort as a result of changes occurring in the body.
Climax, therefore, is a broader concept, including a period from about 40 to 65 years.

If menopause is possible only in the weaker half of humanity, then menopause associated with an imbalance of male sex hormones, the so-called andropause, is observed in men, albeit to a lesser degree, in the older age group, approximately 55 to 65 years old.

Male climax comically called the syndrome of false hair, red sports car, a new companion of life no older than 20 years.

When and why is menopause coming?

According to statistics, menopause occurs from 40-45 to 50 years. Other age indicators may be a variant of the norm, but may be due to health problems. In cases of early and late cessation of the menstrual cycle, you should consult with a specialist.

The time of menopause in most cases depends on the genetic characteristics. If your mother's menstruation stopped at the age of 35, it is possible that you will expect “early” menopause, but this is far from necessary.

The causes of age-related variations are numerous: various endocrine diseases, such as poorly compensated diabetes mellitus, thyroid disease, chemotherapy and radiotherapy, long-term hormone therapy, poor nutrition, alcoholism, stressful situations.

It is proved that in smokers women period ends 3-4 years earlier. It is natural to stop the menstrual cycle as a result of surgical removal of the ovaries and uterus. If this vital operation occurs at a young age, then we must expect a particularly severe emotional coloration of the subsequent menopause.

Menopause - drama or escape from problems?

Symptoms experienced during menopause are far from universal, ranging from the most minor to very serious. It is noteworthy that the subjective assessment of menopause, its course depends on ethnic roots and traditional worldview.

Thus, women in Central Asian countries who are closer to nature, despite hormonal disorders, identical to those of European women, do not experience severe discomfort. Moreover, they perceive menopause as relief - avoiding the problems associated with unwanted pregnancy.

Anthropologist Ani Wright writes that in Africa, women in menopause increase their social status. They are especially respected, in some tribes women are revered as saints when they achieve this “good”.

In Japan, menopause is traditionally associated only with fatigue and back pain. It is noteworthy that those Japanese women who were born and brought up in America presented complaints characteristic of Western perceptions.

Autumn time - eyes charm

There is no doubt that a lot depends on the individual characteristics, the ability to “get along” with the unpleasant aspects of life, to find the positive in everything, and not to fix attention on the unpleasant. So, the heroine of the novel “Twilight”, talking with her friend, describes the tides as a delightful sensation of warmth.

In response to the perplexed expression on the face of the interviewee, she confirms: “Yes, yes, this is simply amazing.

Unfortunately, in most cases, the onset of menopause is associated with a period of extinction, parting with femininity. But many women are beautiful at the age of 50, they have entered a more productive age, economic stability has appeared, children have grown up, a career has been made, you can take care of yourself, “clean the feathers, spread your wings”.

Examples are before our eyes: this is the brilliant Liza Minnelli, who continues to retain external and internal attractiveness, while remaining an idol to many.