Rupal Hospital for Women is a premiere leader in women's healthcare since 45 long years. The doctors are committed to providing women with the highest quality and most advanced healthcare throughout all stages of their lives, from adolescence through menopause. Rupal clinic for women is providing special care to women around 35 years, Premenopausal, Menopausal and post menopausal ageing women. Dr. Malti Shah senior Gynecologist and obstetrician, qualified for Menopause Practice gives her services to the clinic. Rupal Hospital Menopause Clinic offers care for women with concerns about the menopause, including women with early menopause or menopause caused by surgery or illness. Rupal Hospital understands and meets all the health needs of a woman and fosters the understanding of how advanced health care can improve the lives of women and their families. Contact Rupal Hospital for Infertility treatments like IUI, IVF, ICSI,TESA/MESA,Egg, Sperm and embryo freezing, Egg /sperm/Embryo Donation, Surrogacy, Obstetrics,Gynaecology services, Laparoscopy and Hysterectomy and know everything about menopause, Premenopausal, Menopausal and post menopausal consultation at http://www.rupalhospital.com or at http://www.rupalhospital.com/menopause_clinic.html or http://rupalhospital.wordpress.com/menopause-clinic-india

1. Menopause - Symptoms and Types of Menopause - Clinic 35 Plus
and Menopause Clinic - An in-depth report on the treatment of
menopause-related symptoms - Staying Healthy at Menopause and
Beyond - Tips for Your Menopause Years - Menopause Clinic at
Surat, Gujarat - Menopause Specialist in Surat - 35 Symptoms
Menopause - First Symptoms Menopause - Premature Menopause -
Menopause problems - Menopausal symptoms, remedies, advice.
The trend towards later maternity is strongest among women with better
educational qualifications, as they increasingly postpone child rearing to
pursue their careers.
On the whole, babies are more likely to be planned and wanted by women in
their thirties. There is evidence that older women express greater satisfaction
and feel they are ready to have a child because they have been fulfilled in their
lives before that time. The notion of sacrifice is more often talked about in
younger mothers. Older mothers may want to spend more time with their
children."
Most of the degenerative changes, premenopausal problems and metabolic
diseases, thyroid dysfunction, cancers of breast and genital organs and
deteriorating vision start from mid thirties, let us say around 35 years only. For
preventive and optimal healthcare, we have to start early from the mid
thirties, while later comes curative and palliative stage. The most common
problem faced by the females over age 35 is menopause. Lets learn what to
expect and ways to stay strong and healthy in the years around menopause.
Menopause
Menopause is a natural process that occurs as a woman’s ovaries stop
producing eggs and the production of female hormones (estrogen and

2. progesterone) declines. Menopause can also occur if a woman’s ovaries are
damaged by certain diseases or cancer treatments, or if they are surgically
removed. Menopause usually happens gradually between the ages of 45 - 55.
The average age that women reach menopause is 51 years although it can
occur as early as age 40 to as late as the early 60s. Women now have a life
expectancy of more than 80 years. Currently, women can expect to live some
30 or 40 years of their life in the postmenopausal state.
Menopause does not occur suddenly. A period called per menopause usually
begins a few years before the last menstrual cycle. There are two stages in the
transition:
1) Early Stage. Per menopause can begin in some women in their 30s, but
most often it starts in women ages 40 - 44. It is marked by changes in
menstrual flow and in the length of the cycle. There may be sudden surges in
estrogen.

3. 2) Late Stage. The late stages of per menopause usually occur when a woman
is in her late 40s or early 50s. In the late stages of the menopausal transition,
women begin missing the periods until they finally stop. About 6 months
before menopause, estrogen levels drop significantly. The fall in estrogen
triggers the typical symptoms of vaginal dryness and hot flashes (which can last
from half a year to more than 5 years after onset of menopause).
Menopause is considered to have occurred after a woman has gone a full 12
months without a period. Menopause marks the end of menstruation and a
women’s fertility.
Menopause is not a disease. However, many conditions are associated with
estrogen depletion, including heart disease, osteoporosis, and other
complications. Fortunately, effective treatments are available for these
conditions.
Many women experience some physical and emotional symptoms during
menopause, caused by hormonal imbalance. Typically, a woman will begin to
experience menopause symptoms around her mid-40 as her body's
reproductive capability comes to the end. This prolonged stage of gradually
falling and fluctuating hormone levels is called per menopause, which can last
upwards of two years before a woman's final period. For most women,
symptoms end at menopause; however, some women will experience
symptoms into postmenopausal life. The first symptom is usually a change in
the pattern of your monthly periods. The start of the menopause is known as
the premenopausal stage. During this time, you may have light or heavy
periods. The frequency of your periods may also be affected. You may have a
period every two-three weeks, or you may not have one for months at a time.
Other prominent symptoms of the transition to menopause include:
1) Hot flashes and night sweats. Women often feel hot flashes as an intense
build-up in body heat, followed by sweating and chills. Some women report
accompanying anxiety as the sensation builds. In most cases, hot flashes last
for 3 - 5 years, although they may linger in some women for years after
menopause. Women who have surgical removal of both ovaries, and who do
not receive hormone replacement therapy, may have more severe hot flashes
than women who enter menopause naturally.

4. 2) Heart pounding or racing can occur, with or without hot flashes.
3) Difficulty sleeping. Insomnia is common during per menopause. It may be
caused by the hot flashes, or it may be an independent symptom of hormonal
changes.
4) Mood changes. Mood changes are most likely to be a combination of
sleeplessness, hormonal swings, and psychological factors as a woman
undergoes this intense passage in her life. Once a woman has reached a
menopausal state, however, depression is no more common than before, and
women with a history of premenstrual depression often have significant mood
improvement.
5) Sexuality. Sexual responsiveness tends to decline in most women after
menopause, although other aspects of sexual function, including interest,
frequency, and vaginal dryness vary. It is useful to remember that most
symptoms of menopause eventually go away.
6) Forgetfulness. This appears to be one of the few symptoms that are
common across most cultural and ethnic groups.
7) Urinary symptoms. During the menopause, you are more likely to
experience recurrent lower urinary tract infections, such as cystitis. You may
also feel an urgent and frequent need to pass urine.
8) vaginal dryness and pain, itching or discomfort during sex.
9) Joint stiffness.
10) Skin, Hair and Other Tissue Changes. With the increase in the age, you will
experience changes in your skin and hair. Loss of fatty tissue and collagen will
make your skin drier and thinner and will affect the elasticity and lubrication of
the skin near your vagina and urinary tract. Reduced estrogen production may
contribute to hair loss or cause your hair to feel brittle and dry.
Women from different countries and states have different menopausal
symptoms. Menopause is not a disease. However, many conditions are
associated with estrogen depletion, including heart disease, osteoporosis, and
other complications.

5. Fortunately, effective treatments are available for these conditions. After the
menopause it is common for the following complications to appear.
Cardiovascular disease - a drop in estrogen levels often goes hand-in-hand with
an increased risk of cardiovascular disease. Women who experience early
menopause are almost twice as likely as the general population to have a heart
attack, stroke, or other cardiovascular disease later in life. In order to reduce
the risk of developing cardiovascular disease a woman should quit smoking, try
to keep her cholesterol, blood sugar, and blood pressure within normal,healthy
levels, do plenty of regular exercise, sleep at least 7 hours each night, and eat a
well-balanced healthy diet.
Osteoporosis - Bone density may be lost at a fast rate for the first few years
after menopause because estrogen plays a role in building new bone. The risk
of fractures to the hip, wrist, and spine are especially pronounced in
postmenopausal women.
Urinary incontinence - the menopause causes the tissues of the vagina and
urethra to lose their elasticity, which can result in frequent, sudden, strong
urges to urinate, followed by urge incontinence (involuntary loss of urine).
Stress incontinence may also become a problem - urinating involuntarily after
coughing, sneezing, laughing, lifting something, or suddenly jerking the body.
Urinary Tract Infections - Because of vaginal drying, women are at increased
risk for recurrent urinary tract infections after menopause.

6. Low libido - this is probably linked to disturbed sleep, depression symptoms,
and night sweats.
Overweight/obesity - during the menopausal transition women are much more
susceptible to weight gain because metabolism slows. Experts say women may
need to consume about 200 to 400 fewer calories each day just to prevent
weight gain - or burn of that number of calories each day with extra exercise.
The chances of becoming obese rise significantly after the menopause.
Breast cancer - women are at a higher risk of breast cancer after the
menopause. Regular exercise and check-ups after menopause significantly
reduces breast cancer risk.
Skin and Hair Changes - Estrogen loss can contribute to slackness and dryness
in the skin and wrinkles. Many women experience thinning of their hair and
some have temporary hair loss.
Lifestyle Changes Changing and improving lifestyle is the basic factor in
preventing 50% of ageing and metabolic diseases. Making lifestyle changes
may help ease the discomfort of menopause symptoms. Simple changes in
lifestyle and diet can help control menopausal symptoms such as hot flashes.
Avoid hot flash triggers like spicy foods, hot beverages, caffeine, and alcohol.
Dress in layers so that clothes can be removed when a hot flash occurs. For
vaginal dryness, moisturizers, and non-estrogen lubricants are available. Quit
smoking, get enough sleep, and make a conscious effort to eat healthily and
exercise more to keep symptoms of menopause under wrap and keep yourself
fit and healthy. One of the keys to enjoying menopause is to try to keep up a
happy and healthy lifestyle. The right diet, open communication with your
partner, and stress relief are examples of ways to make life the most easy in
menopause.
How long the phases of menopause lasts in women will is completely
individual. Most women experience the majority of their symptoms over a 2-
year period of time’, but that will just annoy those women who find
themselves still up to the eyeballs in hot flushes after 5 years. The average age
when menopause is on is around 52 years old, but many women start in their
40s and some not until their late 50s, so really you just have to see what
happens for you.

7. The ultimate aim is to give healthy lives in later age, to compressour illness in
to short period of time, to reduce morbidity and disability of ageing women
passing more than one third of their life in the menopausal age.
Rupal Hospital for Women is a premiere leader in women's healthcare since 45
long years. The doctors are committed to providing women with the highest
quality and most advanced healthcare throughout all stages of their lives, from
adolescence through menopause. Rupal clinic for women is providing special
care to women around 35 years, Premenopausal, Menopausal and post-
menopausal ageing women. Dr. Malti Shah senior Gynecologist and
obstetrician, qualified for Menopause Practice gives her services to the clinic.
Rupal Hospital Menopause Clinic offers care for women with concerns about
the menopause, including women with early menopause or menopause caused
by surgery or illness. Rupal Hospital understands and meets all the health
needs of a woman and fosters the understanding of how advanced health care
can improve the lives of women and their families.
Contact Rupal Hospital for Infertility treatments like IUI, IVF,
ICSI,TESA/MESA,Egg, Sperm and embryo freezing, Egg /sperm/Embryo
Donation, Surrogacy, Obstetrics and Gynaecology services, Laparoscopy and
Hysterectomy and know everything about menopause, Premenopausal,
Menopausal and post-menopausal consultation at
http://www.rupalhospital.com or at
http://www.rupalhospital.com/menopause_clinic.html
Summary::
Menopause is a natural process that occurs as a woman’s ovaries stop
producing eggs and the production of female hormones (estrogen and
progesterone) declines. Menopause does not occur suddenly. A period called
perimenopause usually begins a few years before the last menstrual cycle.
prominent symptoms of the transition to menopause includes irregular
periods, Hot flashes and night sweats, difficulty sleeping, mood swings and
many more. Many complications are associated with estrogen depletion,
including heart disease, osteoporosis, and others.
Profile::

8. Rupal Hospital for Womens is a premiere leader in women's healthcare since
45 long years. We are committed to providing women with the highest quality
and most advanced healthcare throughout all stages of their lives, from
adolescence through menopause.Rupal Hospital understands and meets all the
health needs of a woman and fosters the understanding of how advanced
health care can improve the lives of women and their families. Rupal Women
Hospital for Infertility,Maternity, Gynaec Endoscopy, Gynaec & obstetric
Sonography and Menopause, Laparoscopy and Hysterectomy is one stop place
for all gynaec related problems.
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