Menopause or amenorrhea

Question

Hello. I'm 41 years old. Weight 160, weight 40 kg, maybe less, was 42 in August, now I feel that I have lost weight. I am worried about the lack of menstruation and feeling hot during the day. The last menstruation was on 08/27/2024, normal, moderate. In September, I didn't wait, I donated blood, went for an ultrasound, to a gynecologist. The doctor's verdict: the beginning of menopause, if it's simple.
On ultrasound, there is a decrease in ovarian reserve.
There is an ultrasound on 07.2024, without pathology. There were no complaints.
The doctor said it was wrong, it doesn't happen that way. I appointed Femoston 2/10 after the UAC. She said the tests for estradiol, lh and fsh were normal, she took them in vain.
I want to hear alternative opinions of doctors about the whole picture of the disease

Dr Sujal Patil · Accepted Answer

Hello Vangala, 
Can you give details of your last USG scan here? It could be a phase of peri-menopause itself if the ovarian reserve is showing a decrease.

Dr. Harsha Joy · Answer

At 41 years old, you are experiencing weight loss, hot flashes, and changes in your menstrual cycle, which may indicate the onset of menopause, especially given the ultrasound findings of decreased ovarian reserve. While traditional medicine may suggest hormone replacement therapy like Femoston 2/10, exploring Ayurvedic perspectives can provide additional insights and alternatives for managing symptoms associated with this transition. In Ayurveda, menopause is viewed as a natural phase of life linked to a decline in Vata and Pitta doshas. To manage symptoms like hot flashes and weight changes, consider dietary adjustments, such as incorporating whole grains, healthy fats (like ghee and sesame oil), and plenty of fruits and vegetables while avoiding overly spicy foods. Herbal formulations like Shatavari (Asparagus racemosus), known for supporting female reproductive health, Ashwagandha (Withania somnifera) for stress relief, and Brahmi (Bacopa monnieri) for mental clarity can also be beneficial. Engaging in detoxification therapies such as Abhyanga (full-body oil massage) and Shirodhara (pouring warm oil over the forehead) can help reset your body's balance. Additionally, adopting stress-relieving practices like yoga and meditation, ensuring proper hydration, and getting adequate rest are vital. It’s essential to consult with an experienced Ayurvedic practitioner to create a tailored plan that aligns with your specific needs and to address any concerns regarding your overall health during this transitional phase.

Menopause or amenorrhea - #153

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