什么是更年期？
更年期是女性衰老过程中必然会经历的一个阶段，通常发生在30多岁到50多岁之间，平均年龄约为50岁。如果你连续12个月没有月经，就意味着你已经进入了更年期。
在这个过渡期，卵巢会减少雌激素和孕酮的分泌，这会引发各种身体不适和情绪波动。激素变化可能导致潮热、情绪波动、睡眠问题以及关节和肌肉的不适等症状。
在新加坡，更年期的平均年龄是49岁，略低于全球平均水平。
更年期不仅是生理上的变化，还是一个重要的生活过渡期。在这个阶段，你可以重新审视自己的健康、生活方式和人生目标。
现在就预约咨询，获取个性化的建议和支持，帮助你轻松度过这一阶段。
Book your consultation today and get you personalised advice and support to help you through this with ease.
更年期症状
- 月经变化：由于雌激素水平波动，月经周期会变得不规则，可能会变长或变短，有些月份甚至完全没有月经。
- 心脏影响：你可能会偶尔感觉眩晕、刺痛、麻木，或心悸和心跳加速等，敏感度也可能变得更强。
- 牙齿敏感：由于下颌骨的流失，牙齿可能变得更敏感。
- 头发生长：激素变化可能会导致毛发生长，尤其是在面部，可能出现些许胡须或眉毛变长的情况。
- 潮热：你可能会感觉比平时更热，脸部发红，并且出汗。潮热可能发生在白天或晚上。
- 经前综合症（PMS）加重：接近更年期时，疲劳、情绪波动和压力的表现可能变得更加明显。
- 睡眠问题：你可能更容易失眠，尤其是因为夜间出汗导致睡眠中断，或者因为入睡困难而影响整体的睡眠质量。
- 情绪波动：情绪可能变得不稳定，可能突然感到焦虑、烦躁或心情低落。
- 膀胱控制力减弱：盆腔肌肉变弱，可能导致在笑、咳嗽或打喷嚏时漏尿。
- 性生活变化：随着雌激素水平下降，可能会发生外阴阴道萎缩，这是一种阴道内衬变得更干燥、更薄、弹性减少的状况。
- 体型变化：即使饮食保持不变，体重仍可能增加，特别是腹部脂肪，因为脂肪的分布会发生变化。
- 脑雾：思维可能变得不清晰，导致注意力不集中，记忆力下降。
- 身体疼痛：关节和肌肉变得僵硬，可能更容易感到身体酸痛。
- 如果你正在经历任何这些更年期症状，国泰中医可以帮助你，提供个性化的调理方法，以缓解你的不适。
Struggling with any of these menopausal symptoms? Guo Tai is here to help by offering personalised and time-tested treatments to alleviate your discomfort and improve your well-being.
今天就预约国泰中医咨询， 今天就预约国泰中医咨询， 获取适合您的解决方案，顺利度过中年期的过渡期。
什么时候应该咨询中医师？
如果你觉得自己已经开始经历更年期，或者发现以下症状，你可以咨询中医师：
- 月经开始变得不规则
- 潮热和夜间出汗
- 阴道干燥
- 睡眠模式不规则
- 情绪波动
更年期的阶段
更年期分为三个明显的阶段，每个阶段都会带来不同的变化和挑战，女性的身体在这个自然过程中会经历许多不同的生理和情绪变化。
围绝经期（更年期过渡期）
围绝经期是更年期的第一阶段，通常从40岁左右开始，有时甚至在40岁前的8到10年内就开始。此时，卵巢开始减少雌激素的分泌，月经变得不规律，周期可能会变长或变短。
常见体验：
潮热
夜间出汗
情绪波动
阴道干燥
睡眠问题
围绝经期的症状轻重因人而异。有些女性可能会觉得这段时期比较容易度过，而另一些则可能会感到非常难熬。
围绝经期的持续时间从几个月到几年不等。这是开始调整生活方式的好时机，可以帮助你更好地管理症状，并保持长期健康。
更年期
当你连续12个月没有月经时，便被诊断为进入更年期。此时，卵巢不再释放卵子，雌激素的产生大大减少，许多症状可能会变得更加明显。
常见症状包括
- 更多的潮热
- 更多的情绪变化
- 骨密度丧失
- 性欲变化
如何有效管理这些症状非常重要。激素替代疗法（HRT）或其他治疗方法可能会帮助你缓解症状，感觉更舒适。
绝经后期
绝经后期是更年期之后的阶段，从最后一次月经开始计算12个月后进入，直到最后。
此时，一些更年期症状可能会减轻，但有些症状可能会持续存在。
- 轻度潮热
- 阴道干燥
- 泌尿道问题
- 骨质疏松和心脏病风险增加
保持健康的生活方式，并定期进行健康检查，尤其是关注骨骼和心血管健康，是预防相关问题的关键。如果你正在经历这些更年期的变化，中医提供了一种温和而有效的方式来缓解症状、恢复活力。通过个性化的治疗方案，中医可以帮助调理身体，减轻不适。
现在就联系我们， 迈出第一步，让我们帮助你通过中医恢复活力、轻松度过更年期过渡期。
谁有患更年期的风险？
几乎所有女性都会经历更年期，这是一个自然的生理过程，通常发生在45至55岁之间。虽然每个女性都会经历更年期，但一些因素可能会导致更年期提前到来：
可能导致早发更年期的风险因素：
- 手术切除卵巢
- 某些癌症治疗
- 吸烟
- 家族史
早发更年期可能在40岁之前发生。这种情况也被称为原发性卵巢功能不足，影响大约1％的女性。
这是由于卵巢无法产生足够雌激素而导致月经提前停止。
研究表明，一些群体可能比其他群体更早经历更年期：
- 西班牙裔女性
- 非洲裔美国女性
- 白人女性
- 亚洲女性
自身免疫病或染色体异常也可能导致早发更年期。
虽然更年期本身并不是一种疾病，但它会增加一些健康问题的风险，包括：
- 心脏病
- 骨质疏松
- 泌尿道问题
- 中风
为了保持身体健康，你可以：
- 维持更健康的饮食
- 定期锻炼
- 补充足够的钙和维生素D
- 戒烟（如果你吸烟）
- 定期进行体检
如果你认为自己有可能进入更年期或已经在经历相关症状， 可以联系国泰中医进行咨询， 我们将为你提供个性化的建议，帮助你顺利度过这一人生重要阶段。
更年期的原因
- 自然衰老：随着年龄的增长，卵巢会停止产生雌激素和孕酮，这些激素控制着你的月经周期。
- 遗传：家族历史可能会影响你更年期的开始时间。
- 吸烟：吸烟与更早进入更年期有关。
- 体重：体重过轻可能会影响更年期的到来时间。
- 生育：从未生育可能会影响更年期的开始。
- 手术切除卵巢（卵巢切除术）：会立即进入更年期，症状可能会突然变得很严重。
- 癌症治疗（化疗/放疗）：可能导致更早进入更年期，虽然治疗后月经可能会恢复。
- 自身免疫病：一些免疫系统疾病可能导致卵巢在40岁之前就停止工作，这种情况叫做早发卵巢衰竭。
国泰中医提供的更年期治疗方案：
Hormone therapy and herbal remedies can help with menopause symptoms. Two innovative approaches combine traditional wisdom with modern technology to give you relief.
是一种结合了传统中医和现代技术的创新疗法，能够有效缓解更年期症状。它使用95到130种精心挑选的草药，根据你的健康需求定制，并通过特殊技术帮助身体吸收草药成分。
调理前，您将首先与医师进行咨询。他们将查看您的健康历史并进行一些测试，以确定您是否有其他潜在的医疗状况。然后，他们将根据您的状况从8种配方中选择适合您的。调理后，您的医生会建议如何保持最佳健康状态。
这种调理有助于促进血液循环和提高能量水平，许多女性在体验后发现药物需求减少，身体恢复更快，免疫力更强。
药王灸是一种温和的中医疗法，使用39种精选中草药调制而成，因此被称为“艾灸之王”。这种疗法通过将草药的成分传递到皮肤，带来多种健康益处，且不需要服用任何药物。它通过以下几种方式帮助身体：
Herbal King Moxibustion can help your body in many ways. It can ease pain, reduce swelling, and increase energy. It’s a good treatment to address various health issues that cause your body to feel weak and lethargic.
The treatment can warm you up and get rid of dampness. It’s good for unblocking energy in your body, so you will feel more refreshed and regain your balance after the treatment.
At Guo Tai TCM, we ensure you get the perfect treatments suited to deal with menopausal symptoms and make the whole experience more bearable. You deserve a life free from discomfort and pain. Book your consultation today and start your journey to better menopausal management.
Other Menopause Treatments
Hormone replacement therapy (HRT)
This is a common treatment for menopause symptoms. It replaces the hormones your body no longer produces. HRT can help with hot flashes, night sweats, and vaginal dryness by increasing your hormonal levels. This treatment also helps in keeping your bones healthy.
Estrogen therapy (ET)
This option involves taking hormone oestrogen on a regular basis and is often used if you’ve had a hysterectomy. This also helps in replenishing low oestrogen levels so your bones and skin remain healthy.
Estrogen progestogen therapy (EPT)
Also called combination therapy due to its usage of estrogen and a hormone similar to progesterone, EPT is a hormone therapy for people who still have their uteruses. It helps in decreasing menopause symptoms, improves bone health, increases sex drive, and helps you manage your weight more effectively.
Topical hormone therapy
This treatment option comes in creams, gels, or patches. These are applied directly to your skin to help with specific symptoms like vaginal dryness or hot flashes
If your concern is about your bone health, there are also medications that help prevent osteoporosis and other bone issues as you age. The most common of these medications is bisphosphonates, which can be taken by mouth weekly or monthly but can also be injected through a vein or the process called infusion annually.
It’s time to experience a more gentle but effective alternative, book your consultation and achieve a healthier lifestyle with Guo Tai TCM.
Other non-hormonal options
- Antidepressants to reduce hot flashes and mood swings.
- Gabapentin (originally used for seizures) to reduce the frequency and intensity of hot flashes.
- Fezolinetant (newer non-hormonal to target hot flashes.
- Oxybutynin (used for bladder issues) to reduce hot flashes.
Menopause Diagnosis
Doctors can diagnose menopause through a combination of methods. Your symptoms and medical history play a big part, along with some tests to check hormone levels.
TCM Diagnosis
Traditional Chinese Medicine (TCM) has a different way of diagnosing menopause. TCM practitioners will not only discuss with you your symptoms but also look at your medical history and overall health. They check your pulse and your tongue to get a clear understanding of your body’s balance.
TCM sees menopause as a natural shift of energy. Practitioners will ask about your sleep, mood, digestion, lifestyle, and stress levels to assess your overall health. This holistic approach helps create a tailored treatment plan for you.
Blood Tests
Blood tests are a common way to diagnose menopause. Your doctor may order a test to check your follicle-stimulating hormone (FSH) and estradiol (E2) levels to rule out any other causes for the changes you’re experiencing. FSH rises as your ovaries produce less oestrogen.
Other blood tests that are helpful:
- Oestrogen levels: This will help determine whether your hormone levels are declining, which can be an indication that your body is already starting to transition into menopause.
- Thyroid function tests: These tests will look into possible thyroid disorders that you may have as they can also mimic menopausal symptoms. This is also administered to ensure that the diagnosis is accurate and for your doctor to rule out other potential health issues.
- Testosterone levels: Measuring testosterone levels can detect imbalances that may affect energy levels, mood, and libido.
- Cholesterol: Monitoring cholesterol levels is important as menopause can increase the risk of cardiovascular disease.
- Kidney function: Assessing kidney function helps ensure that your kidneys are working properly, as this can affect overall health.
- Liver function: Checking liver function is crucial because menopause-related hormonal changes can impact liver health.
- Progesterone: Measuring progesterone levels helps in understanding the balance of female hormones in the body.
- Prolactin: High levels of prolactin can cause symptoms similar to menopause and need to be ruled out.
- Luteinizing hormone (LH): LH levels can provide additional information about ovarian function and hormonal balance.
- Human chorionic gonadotropin (hCG): Although more commonly associated with pregnancy, hCG levels can help rule out other conditions.
These tests can rule out other conditions that may cause similar symptoms. Your healthcare professional may recommend repeat tests over time to monitor changes. A single test can’t always confirm menopause so your doctor will consider your symptoms too.
Postmenopause Complications
Menopause can bring about several health problems. Be aware of these:
- Osteoporosis: Your bones may become weaker and more prone to fractures due to the drop in oestrogen levels during menopause. This can make your bones more brittle and accelerate bone loss that affects your spine, wrists and hips.
- Heart disease: Your risk of cardiovascular problems may increase due to higher cholesterol levels and blood pressure caused by reduced oestrogen levels.
- Higher risk of Alzheimer’s disease: The decrease in oestrogen levels can affect brain function and is a contributing factor that makes women more susceptible to Alzheimer’s disease.
- Wrinkles: Due to reduced collagen production, your skin is less elastic and form, which makes it more prone to wrinkles and sagging.
- Poor muscle power and tone: Reduced muscle strength can make daily tasks more challenging. You may also experience lower energy levels and general fatigue.
- Weaker vision: Poor eyesight due to cataracts and macular degeneration that causes objects to appear hazy or out of focus.
- Urinary incontinence: Due to a lack of pelvic control and strength, you may notice yourself leaking when you sneeze, laugh, or cough.
- Urinary tract infections (UTIs): Your urinary tract lining is affected by low oestrogen levels, making you more susceptible to bacterial infection that can result in more frequent UTIs.
- Vaginal infections: Hormonal changes during menopause can disrupt vaginal pH, which can lead to more yeast infections and other bacterial infections.
- Mental health concerns: The frequent shifts in hormone levels can make you more vulnerable to anxiety, depression, and mood swings that can be emotionally exhausting.
- Stroke: Changes in blood vessel function and cholesterol levels during the menopausal stage increase your risk of having a stroke.
- Weight gain: Hormonal changes can slow down metabolism and can even promote fat storage making it harder to lose weight.
- Constipation and gas: Reduced oestrogen levels can cause the digestive tract to slow down, causing increased constipation, gas, and even bloating.
Schedule your appointment today and keep yourself protected from these complications.
Menopause Treatment Risks
Hormone Replacement Therapy (HRT) can help alleviate menopause symptoms, but it does come with certain risks. Here are some of the risks to be aware of:
- Uterine Cancer: You’re more at risk if you still have your uterus and aren’t taking progestin alongside oestrogen.
- Blood Clots: Smoking, being overweight and other health conditions can increase your risk as they cause blood clots, or thromboembolism, around your body.
- Breast Cancer: Combined HRT (oestrogen and progestin) may slightly increase the risk of developing breast cancer.
- Heart Disease and Stroke: Starting HRT later in menopause can raise the risk of cardiovascular issues.
- Side Effects: Bloating, breast tenderness, and nausea are common side effects for some women on HRT.
Weighing the benefits and risks with your doctor is essential to determine if HRT is suitable for you based on your health history and symptoms.
Non-hormonal treatments also have potential risks:
- Antidepressants: These can sometimes cause nausea or a reduced sex drive.
- Vaginal Moisturisers: Some women may experience irritation from certain products that are not suited with their skin types. It’s important to do patch tests first before applying them in the desired area.
- Herbal Remedies: Not all herbal products are regulated and they can interact with other medications.
Every woman is unique so what works for others may not be suitable for you. Make it a priority to consult your GP before you start using or doing any treatment for menopause symptoms.
现在就联系我们， and schedule an appointment, it’s time you experience what gentle, compassionate, and natural healing is!
新加坡更年期治疗费用
治疗费用根据选择的治疗方式不同而有所不同：
激素替代疗法（HRT）：
- 咨询费SGD 25 - SGD 250
- 药物成本SGD 50 - SGD 200/月
中医（TCM）
- 95裹药汗蒸：SGD 228/次
- 药王灸调理：SGD 149（工作日），SGD 169（周末）
Other Menopause Treatments On The Market
- 生物同源激素疗法：SGD 300 - SGD 800/月
- Herbal supplements: SGD 30 – SGD 100 per month
- 瑜伽或冥想课程：SGD 20 - SGD 50/课
Prices are estimates and may vary. Your total cost will depend on the severity of your symptoms and how long you need treatment.
Before starting any treatment, speak to your GP or specialist to find the best and most cost-effective option for you.
Some treatments may be partially covered by insurance so check with your provider to see what’s included in your plan.
Subsidies for Menopause Treatment in Singapore
In Singapore, subsidies are given based on citizenship, income and type of treatment. The government helps to pay for hormone replacement therapy (HRT) in public hospitals. To get subsidised care, you need to get a referral from a polyclinic. In private clinics, ask about Medisave and other payment plans. Also, check with your insurance provider if menopause treatment is covered under your plan.
Why Choose Guo Tai TCM for Menopause Treatment?
- PhysicianGuo Pengchun: Guo Tai TCM provides expert care for your menopausal symptoms. PhysicianGuo Pengchun has years of experience from her time in Guangdong General Hospital’s A&E department. Her expertise in pain management is particularly useful for menopause-related discomfort.
- Non-invasive treatments: We are natural and non-invasive. We don’t use surgery or lots of medication to heal your body. Instead, we work with your body’s own healing abilities. This makes our treatment safe for you no matter what your age.
- Personalised treatment plans: We tailor our care to you. Our signature 95 Herbal Imperial Diaphoretic Therapy may be part of your treatment. We also recommend lifestyle changes to help manage your symptoms without any additional medications. Your treatment will depend on how you feel when you come to see us.
- High patient satisfaction: Our patients love us. We have a 4.8 star rating on Google reviews. This just shows that our treatment works for women in menopause like you.
At Guo Tai TCM, we focus on your overall well-being during menopause. Our goal is to improve your quality of life as you go through this transition. PhysicianGuo’s expertise supports our tailored approach.
今天就预约国泰中医咨询， and discover the transformative power of our gentle and effective treatments. Our compassionate team is dedicated to providing personalised care and support. We’ll answer your questions, provide detailed information, and offer helpful tips to ensure a comfortable and successful treatment experience.
预防更年期
传统中医（TCM）认为，更年期是体内阴阳能量失衡的表现，而通过平衡这些能量，可以缓解相关症状，提高整体健康和舒适感。
虽然更年期是不可避免的，但你可以通过一些方法来减轻不适，改善生活质量。
定期锻炼
锻炼对更年期女性尤为重要，它带来的好处是多方面的。定期运动可以帮助身体分泌让你感觉良好的荷尔蒙，改善情绪，减少情绪波动对生活的影响。同时，运动还能缓解潮热，帮助维持体重。像瑜伽、普拉提和举重等运动，不仅能够增强骨骼强度，还能改善体力和灵活性，帮助你更好地应对更年期的变化。
健康饮食
健康饮食对更年期女性尤为重要，应该多吃各种水果、蔬菜和全谷物。这不仅有助于保持身体健康，还能防止雌激素水平下降导致的腹部肥胖。要避免过多摄入饱和脂肪、反式脂肪、盐和添加糖，因为这些成分可能引发情绪波动和血糖升高。保持健康的饮食习惯有助于维持理想体重，同时降低慢性疾病、心脏病和糖尿病的风险。
充足睡眠
保证每晚有足够的高质量睡眠，对保持身体健康至关重要。成年人通常建议每晚睡7到8小时，这样身体才能从疲劳或更年期带来的不适中恢复。为了更好地入睡并保持睡眠，可以尝试建立规律的作息时间，避免晚上摄入咖啡因，并练习一些放松技巧，如冥想、肌肉放松或深呼吸。
保持骨骼健康
保持骨骼强健可以减少随着年龄增长发生骨折的风险。通过吃富含钙和维生素D的食物，并进行力量训练来增强骨骼强度，但要确保以安全的方式进行，避免受伤。为了防止跌倒或滑倒，建议在楼梯上安装扶手，这样可以有效避免损伤脊椎或骨骼。
Keeping blood sugar in check
在更年期，雌激素水平下降是常见的情况，这时你更容易患上心血管疾病，比如高血压。定期检查可以帮助你监控血压，并避免那些可能引发高血压的活动和食物。保持健康饮食是控制血糖的最佳方式，而健康的生活方式和定期运动也能帮助保持身体的活力。
许多女性发现中医对预防更年期症状有帮助，因为它提供了一种比激素治疗更温和的替代方案。效果因人而异，最好咨询经验丰富的中医师，获得个性化的建议。
记得，中医治疗最好与全科医生的定期检查相结合。如果你正在使用药物治疗，一定要告知医生，这样他们可以为你制定更合适的治疗计划。
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常见问题解答
你的卵巢会产生更少的雌激素和孕酮。这种激素水平的下降是大多数更年期症状的原因，也会影响你的月经周期，最后月经会完全停止。
更年期的平均年龄是52岁。但通常发生在45至55岁之间。根据基因、生活方式、体重和种族等各种因素，有些女性可能会更早或更晚经历更年期。
更年期是衰老的自然过程，通常发生在卵巢停止释放卵子并减少激素分泌时，标志着生育期的结束。
更年期过渡期，或称围绝经期，通常会持续4到8年，但有时会长达14年。症状可能会在最后一次月经后的几个月或几年内持续。
压力、睡眠不足、不健康的饮食和吸烟都会加剧症状。此外，咖啡因和酒精等某些食物和饮料，可能会引发潮热。
是的，围绝经期时你仍然有怀孕的可能。如果你不想怀孕，在已经12个月没有月经后，仍然需要使用避孕措施。
会的，更年期可能会影响睡眠。潮热、热潮和情绪波动可能让入睡或整晚睡得更困难。
由于激素变化，新陈代谢变慢，身体可能会在腰部周围储存更多脂肪，导致体重增加。保持健康饮食和定期锻炼可以帮助你管理体重。
是的，雌激素水平下降可能导致阴道干涩和性欲降低，这些变化可能会影响性生活，但有一些治疗方法可以帮助缓解。
男性不会经历更年期，但有些男性会经历所谓的“男性更年期”，即睾酮水平逐渐下降，这可能导致类似女性更年期的症状。
医学参考文献
Al-Azzawi, Farook, and Santiago Palacios. “Hormonal Changes During Menopause.” Maturitas, vol. 63, no. 2, Apr. 2009, pp. 135–37, doi:10.1016/j.maturitas.2009.03.009.
Monteleone, Patrizia, et al. “Symptoms of Menopause — Global Prevalence, Physiology and Implications.” Nature Reviews Endocrinology, vol. 14, no. 4, Feb. 2018, pp. 199–215, doi:10.1038/nrendo.2017.180.
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