Menopause. Climacteric neurosis

Menopause. Climacteric neurosis . Climax is due to the age-related restructuring of the female body. Involution processes encompass the central nervous system and endocrine glands.

Symptoms, course. In most women, menopause occurs without significant disorders. However, often its course is complicated, which is manifested in increased excitability, mood lability, sleep disturbances, dizziness, increased blood pressure, vegetative-vascular disorders (hot flashes, etc.). In 8-10% of women, menopause occurs pathologically: frequent hot flashes (up to 10-20 times a day or more), a sudden sensation of fever, a significant increase in blood pressure, obesity, violations of water-salt and other metabolic processes, and neuropsychic changes. Climax and climacteric neurosis are often accompanied by dysfunctional uterine bleeding.

Treatment. General strengthening measures: water procedures, narzan baths, therapeutic gymnastics, etc. Sedation therapy: frenolone (course under the supervision of a doctor), trioxazine, elenium, meprotan (andaxin, meprobamate), valerian preparations. With frequent hot flashes prescribe treatment with vitamins B1, B6, C, PP in combination with a 2% solution of novocain 5 ml every other day IM. Patients with a severe form of climacteric neurosis are shown the introduction of sex hormones or synthetic progestins. Apply simultaneously estrogens and androgens in the ratio 1:20 or 1:50 or synthetic progestins against the background of the saved menstrual function in the second phase of the cycle for 1 tablet for 10 days (3-4 courses). Use physiotherapy procedures (longitudinal diathermy).