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Menopause is a period when a woman's menstruation stops permanently or when menstruation disappears naturally, and it is said to start at the age of 49~52. Medically, menopause is said to be entered when there is no vaginal bleeding for more than one year, or when a decrease in the production of female hormones is confirmed. These changes can also lead to menopausal symptoms, both physical and mental. Today, we will take a look at the treatment of hot flashes.
Menopausal symptoms are systemic because they are caused by a decrease in hormone secretion.
Mentally, there are dizziness, insomnia, anxiety, depression, memory loss, difficulty concentrating, mood swings, and decreased libido. Physically, symptoms include weight gain, night sweats, hot flashes, dry skin, back pain, joint pain, and dyspareunia. Among these, dryness of the genitals, poor sleep quality, mood swings, and hot flashes are the most typical symptoms of menopause.
In particular, hot flashes caused by menopause are different from normal hot flashes and are accompanied by tremors and rapid heartbeat. Symptoms last for 2~30 minutes and then subside suddenly, and are often confused with stress-induced vases or rosacea dermatitis seen in middle-aged women. However, menopausal hot flashes differ from rosacea dermatitis, which only occurs in the center of the face, because the sensation often occurs in the chest, back, or neck.
There are two main ways to treat menopausal hot flashes. The first is symptomatic treatment with hormone replacement replacement. Symptomatic treatment is a method of treating symptoms instead of directly supplementing female hormones.
Medications used for symptomatic treatment include SSRIs, alpha-2 antagonists, beta-blockers, brimodins, and phytoestrogens. Among them, Brimodin is difficult to purchase in Korea because it has been discontinued, and phytoestrogens, which are called phytoestrogens, have the disadvantage that the uniformity of the effect is not guaranteed and some people may feel uncomfortable.
On the other hand, symptomatic treatment procedures using laser equipment include EBD (Energy Based Devices) using vascular lasers and RF (Radio Frequency) using high frequency. I think the most uncomfortable thing for people with menopausal hot flashes is the feeling of heat. Radiofrequency therapy is so effective in reducing heat sensation that studies have shown that the TRPV1 receptor, which senses heat in the body, has actually decreased.
The last treatment is to improve blood circulation, called intermittent vacuum therapy. Most people with menopausal hot flashes often have three symptoms together: redness of the face, swelling of the face, and cold hands and feet. In this case, the main reason is that the body's blood circulation is poor and the mitochondrial function has decreased. In such cases, intermittent vacuum therapy, which is subjected to pressure through the equipment, often improves blood circulation and improves hot flashes. In fact, the equipment used in intermittent vacuum therapy is also used to rehabilitate injured athletes by inducing cell regeneration.
The second is hormone replacement therapy, which replenishes dropped female hormones. Hormone replacement therapy directly improves menopausal symptoms, but it is known to increase the risk of cardiovascular disease, including breast cancer and stroke, as well as dementia. Therefore, symptomatic treatment is usually tried first, and hormone replacement therapy is the next best option.
However, safer treatments are being developed, with estradiol used in hormone replacement therapy being found to have a lower risk of developing the disease than taking or injecting it in patches that are applied to the skin.
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