Patient's question:
Grandma is 57 years old this year. Is it normal to have menstruation again after menopause?Doctor's answer:
Hello: The condition you mentioned is hot flashes, which is a symptom of menopause! During menopause, the body needs a self-regulating adaptation period. At this time, it is important to arrange life reasonably, ensure adequate sleep, and correctly address the physical changes that occur during menopause. There is no need to worry excessively about the discomforts of menopause, and generally, special treatment is not required.If the symptoms are more pronounced, such as headaches, dizziness, insomnia, or emotional instability, symptomatic treatment with sedative or hypnotic drugs may be used. For example, diazepam 2.5–5 mg, taken three times daily, or 5–10 mg taken once before bedtime. Gamma-oryzanol has the effect of regulating the function of the autonomic nervous system and is commonly used at a dose of 10–30 mg, taken three times daily. Vitamin B6, vitamin E, and compound vitamin B can be used as appropriate. Oral traditional Chinese medicine such as Menopausal Comfort Tablets (3 tablets per time, three times daily) and Schisandra Syrup or Modified Xiaoyao Pills can also be effective in alleviating symptoms.
If the symptoms of menopausal syndrome are severe and the above treatments are ineffective, or if vaginal infections and sexual dysfunction occur due to decreased estrogen levels, estrogen supplementation may be appropriately used to alleviate some menopausal symptoms. However, long-term estrogen use can stimulate endometrial growth and increase the risk of cancer, so it should be used with caution. Dosage:
① Estriol 1–4 mg, taken once daily, for 3 weeks, followed by a 1-week break.
② Nylestriol 5 mg, taken orally once monthly. After symptom improvement, reduce to 1–2 mg, taken twice monthly.
③ For women with menopause accompanied by excessive menstrual bleeding, it is best to undergo a diagnostic to rule out other conditions. Additionally, androgens such as methyltestosterone (10 mg daily, taken twice under the tongue) may be used for 10 days.