Patient's question:
A 45-year-old woman previously had menstrual cycles of about 20 days for over a year. Her last period was on November 7th, with heavy flow and a duration of 3 days. As of today, December 11th, she hasn't had her period, and a pregnancy test was negative. Is it possible she has gone through menopause? Should her menstrual cycle be regulated? What should she pay attention to in daily life? Currently, she is experiencing chest tightness, heart palpitations, and poor sleep (which has always been poor).Doctor's answer:
Hello, you may be experiencing menopausal syndrome. During menopause, the body needs a self-regulating adaptation period. It is important to maintain a well-organized lifestyle, ensure adequate sleep, and properly address the physical changes that occur during menopause without overly worrying about the discomforts associated with it. Generally, special treatment is not required.If the symptoms are more pronounced, such as headaches, dizziness, insomnia, or emotional instability, symptomatic treatment with sedatives or sleep aids can be considered. For example, diazepam 2.5–5 mg can be taken three times daily, or 5–10 mg can be taken once before bedtime. Gamma-oryzanol has a regulatory effect on the autonomic nervous system and is commonly used at a dose of 10–30 mg, three times daily. Vitamin B6, vitamin E, and compound vitamin B can be used as needed.
Chinese herbal medicine formulations such as Menopausal Comfort Tablets (3 tablets per dose, three times daily) and Schisandra Syrup or Modified Xiao Yao Pills can also be taken to alleviate symptoms effectively.