1.How long does women go through menopause? Female menopause is a necessary life stage for women aged 45-55 years old who are transitioning from childbearing to old age, which includes pre-menopause, menopause and late menopause. The clinical manifestations of premenopause are irregular menstrual cycle and various mental and neurological symptoms; menopause is the complete cessation of menstruation, which should last for more than 1 year, and mental and neurological symptoms persist; in late menopause, in addition to mental and neurological symptoms, various symptoms of organ system caused by estrogen deficiency and old age also appear. The duration of symptoms is usually 2-5 years, or even longer, and varies greatly among individuals. The underlying cause is the endocrine dysfunction of the hypothalamus-pituitary-ovarian axis due to the decline of ovarian function, which results in a significant decrease in estrogen and a significant increase in gonadotropin. It is also related to social and cultural factors and women’s own personality. Therefore, menopausal syndrome is the result of the interaction of three factors: endocrine, socio-cultural and spiritual. 2. Does every woman have symptoms before and after menopause? Strictly speaking, every woman has symptoms when she enters menopause. The first is a change in menstruation, followed by degenerative changes in female secondary sexual characteristics and reproductive organs. However, not every woman with menopausal hair will feel uncomfortable at the onset of this period, as the changes occur gradually. About one quarter of people do not feel anything at all, especially women who do not experience bleeding, and treat the cessation of menstruation as a “good thing” that is less troublesome, passing through menopause without realizing it. About 75% of women have some uncomfortable symptoms during menopause. 25% of them will seek medical advice, and most of them can go through menopause smoothly with a clear explanation or by using simple methods. According to statistics, only 5-10% of people will actually develop menopausal syndrome, which affects their lives or work. However the absence of conscious symptoms is not the same as the absence of menopausal problems, but rather the problem manifests itself as an underlying metabolic change. 3, 38-year-old woman, recently often hot flashes, irritability, sexual life disorders, etc. Is it possible for menopause to advance to the 30s and what should I do? There are three stages of menopause, namely premenopause, menopause, and postmenopause. Pre-menopause usually starts around the age of 45, but it can also be advanced or postponed due to individual differences, and individuals may even experience menopausal symptoms before the age of 40. However, symptoms such as frequent hot flashes, irritability, and sexual disorders are not necessarily symptoms of menopause, but can also be seen as a result of vegetative dysfunction. Family members should provide compassion, comfort and encouragement to women entering menopause. Women in this period especially need the understanding and care of their families, especially to give them enough understanding, forgive them for their inexplicable bad temper and give them encouragement so that they can go through menopause safely. They should be open to the fact that menopause is a normal physiological process, and should be relieved of their worries and corrected without any fears and anxieties. Women in this period should treat the onset of old age with optimism and a positive attitude, which will help prevent menopause syndrome from occurring. And if it does occur, it can reduce the symptoms and be easily treated. To prevent menopause syndrome and its complications, women during this period should go to the hospital regularly for health checkups, including gynecological exams and cancer exams, so that they can have a good idea of what to expect and get early treatment if they are found to be ill. They should also strengthen their nutrition, do more outdoor exercises, exercise and strengthen their body, as well as ensure that they sleep, so that some of their symptoms can be relieved. At the same time, we should pay attention to create a happy mood for ourselves, participate in some group activities, communicate more with peers, dancing, you will become more cheerful, good mood will make people forget a lot of worries. 4, can menopausal ladies take ginseng and angelica and other tonic medicine? The Chinese herbs angelica and ginseng are also very popular menopause supplements. However, current studies have found that the effect of supplemental angelica is similar to that of a placebo, and one should also be careful of its toxic side effects because it contains anti-blood clotting ingredients that may cause bleeding or affect the effects of other anticoagulants. In addition, angelica is photosensitive, and exposure to the sun increases the chances of skin cancer. Ginseng has no effect on hot flushes, but can improve menopausal depression. It has also been reported that ginseng and angelica contain natural hormones, which help to adjust and replenish the secretion of human hormones, and are useful for improving menopausal symptoms, and can be used in combination with other herbs to improve menopausal symptoms. 5.Is there any good way to improve itching during menopause? What else should I pay attention to in my life? Due to the low level of hormones and reduced sebum secretion, the skin becomes dry during menopause, especially in the northern autumn and winter when the climate is dry, the skin becomes thinner and looser and loses elasticity, causing itching. Due to the intense itching, scratching can cause scratches, blood scabs, pigmentation, etc. Sometimes it can also cause secondary infection, pustules, folliculitis, boils, etc. Sometimes patients cannot sleep peacefully for a long time and may have neurological symptoms such as dizziness, mental depression and loss of appetite, which seriously affect the quality of life. How to reduce or avoid these symptoms, proper skin care is especially important for menopause. You can start with good habits, do physical exercise within your ability to promote blood circulation and increase skin nutrition, do not use too hot water for bathing, and reduce the number of baths in the dry season to reduce the loss of sebum and aggravate the dryness of the skin. At the same time, you can choose some oily emollients to protect your skin, eat more high-protein and low-fat food and fresh fruits and vegetables, and also frequently take in some coarse grains, soybean products and supplement the vitamins A, C, E and various trace elements needed by the body to keep the skin lustrous and moist. At the same time, appropriate water and sufficient sleep for skin health care also has an important role. In addition, prolonged exposure to wind and sun and repeated “sunbathing” are harmful to the skin care of the elderly and should be avoided as much as possible. If the skin is itchy, in addition to the above, active treatment should be carried out, including the use of topical anti-itching agents, internal antihistamines to stop itching, and sex hormone therapy, but only under the guidance of a doctor. Depending on the condition, physical therapy such as Chinese herbal medicine and bath therapy can be added. After the symptoms disappear, patients should still pay attention to the nutrition, care and health care of the skin, adjust their mindset, and spend their old age in a healthy and happy way.