Q1: What are the symptoms of menopause? Doctor: Menopause manifests itself in a variety of ways, both physical and psychological. Hundreds of symptoms have been reported in the literature, and typical symptoms include: menstrual changes, hot flashes, sweating, insomnia, fatigue, bone and joint muscle pain, depression, anxiety, irritability, urinary frequency and urgency, and sexual disharmony. Question 2: Hi doctor, my mom often has bouts of sweating and heartburn, which has been going on for a year. What kind of tests should I go for and what can I do to relieve it? How long will it last? Doctor: How old is your mom? Has menstruation started to change or is she menopausal? If you are around 50 years old and have menstrual changes, combined with symptoms of sweating and heartburn, you are probably entering menopause and need to have at least a pelvic ultrasound and breast ultrasound, and if you are in a position to do so, a full physical examination. The most effective treatment is sex hormone supplementation, and other methods include: Chinese herbs and botanicals. The duration of symptoms varies greatly from individual to individual, with 10% lasting up to 10 years or more. Question: Thank you very much. I have checked on the internet and it is indeed a symptom of menopause, if I need to take hormone supplementation, is it necessary to check the hormones? My mom has been experiencing high blood pressure lately, is this related to menopause? Doctor: Your question is very good. During perimenopause, hormone levels change very much, so it is usually not necessary to check sex hormones because one or a few times of sex hormone levels are not indicative of the problem. High blood pressure is also a common problem during menopause. There are also women who have inexplicable heart palpitations, even after repeated ambulance rides to the emergency room, but no organic cardiac pathology can be detected. Q3: I am 50 years old. I have been experiencing menstrual disorders since last August. My weight is increasing uncontrollably, and I sweat profusely when it gets hot. I have joint pain in my legs and feet. How can I relieve my menopausal symptoms? Thank you! DOCTOR: This is a typical menopausal syndrome. The most effective way to relieve the symptoms is sex hormone supplementation. Before treatment, you need to consult a doctor and do some necessary tests. You can also refer to my article “Menopause is not a disease, but a disease to be prevented in menopause”, I hope it can help you. Q4: Hello, Dr. Chen, I am 45 years old this year, and I have started to have early and late menstruation, and there is blood-colored leukorrhea-like mucus after menstruation. What should I do? Thank you. Doctor: The change of menstrual cycle indicates that the ovarian function has begun to decline, but there should not be bloody leukorrhea after menstruation. You should first check for cervical lesions and have a TCT examination, and then, according to the results of the examination, you can continue to communicate with me through online consultation or telephone consultation! I am 54 years old and have gone through menopause. I am 54 years old and menopausal. I have no interest in married life, but my husband is still in need of sex, and I have vaginal dryness and urinary tract infections, which is very painful, but I can’t help it. What should I do? Thank you very much! Doctor：Your situation is common to many women, in fact, there is a very good and simple way to help you, if you only have problems in this area, you can choose to use topical estrogen in the vagina; if there are also other problems such as hot flashes, sweating, and so on, you can consider systemic use of sex hormone treatment. Having a proper sex life for middle-aged and old people is good for both body and mind. Q6: How to take medication for menopausal people with breast enlargement? Can I take estrogen supplements? What is the normal age of menopause? Doctor: Breast enlargement is not strictly a disease and does not affect the supplementation of sex hormones. However, if you have breast hyperplasia, symptoms such as breast swelling and pain may occur in the early stage of hormone supplementation. Don’t worry, it will usually subside naturally, and if the symptoms are obvious, you can add medication to relieve breast pain. The average age of menopause for Chinese women is around 49 to 50 years old, and menopause after the age of 40 is already within the normal range. It takes about three years from the onset of menstrual disorders and menopausal symptoms to complete menopause, but there is a great deal of individual variation. Q7: Doctor, I am 58 years old, menopause at 55 years old, according to the menopause, but continue to gain weight every year 3 pounds, blood pressure is high and low, the last six months has been dizziness and lethargy, how to regulate? Thank you. Doctor: After menopause, estrogen in the body decreases significantly, and fat is easy to accumulate in the abdomen, and menopause itself will cause weight gain. On the contrary, supplementation of estrogen can promote the distribution of fat like young people and become slim again; and because of the redistribution of fat, the risk of cardiovascular disease can also be reduced. Q8: Hello doctor! I am 50 years old and I have an ovarian chocolate cyst that is 6-7 centimeters in size, but my blood tests were fine. Can the cyst shrink slowly? Doctor: Since your cyst has already been operated on once and the pathology has confirmed endometriosis, you can consider ultrasound puncture if there are no signs of malignancy. After perimenopause is the stage when gynecological tumors start to enter into high incidence, so you need to pay attention to regular medical checkups. Q9: Hello, doctor! Doctor：There are many possible causes for finger stiffness. First of all, we need to exclude immune problems. If it is confirmed that the stiffness is caused by menopause, you should not use sex hormone therapy, and you can consider botanicals or traditional Chinese medicine. Breast cancer is a clear contraindication to sex hormone supplementation. Q10: Do men go through menopause? Doctor: Men also have menopause, but it occurs about 10 years later than women.