Как пережить климакс? Заместительная гормональная терапия

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Как пережить климакс?

Заместительная гормональная терапия (ЗГТ) существует уже десять лет. К нам она пришла с опозданием, но сегодня никому не нужно объяснять, что это такое. Определились с отношением к ЗГТ и наши гинекологи. Которые поначалу с настороженностью отнеслись к новой методике, и, главное, сами женщины.

Они усвоили, наконец, истину, давно очевидную для их сверстниц на Западе (для них она просто-напросто элемент культуры). Климакс не лишает женственности. Только надо помочь организму освоиться с новыми для него условиями существования.

Период риска

До сих пор речь шла о симптомах климакса, которые, можно сказать, автоматически приводят женщину к гинекологу-эндокринологу. Но не за горами проблемы, не столь для неё очевидные (зато врачи понимают, что в ЗГТ женщина нуждается прежде всего из-за симптомах ). Это резко возрастающий в климактерический период риск сердечно-сосудистых заболеваний и опасность остеопороза (вымывание кальция из костей, которое приводит к внезапным переломам). Столь разнородные и многочисленные проявления климакса ставят перед производителями препаратов ЗГТ весьма непростые задачи. Ставит их и сама практика применения заместительной гормональной терапии теми женщинами, которым её назначают гинекологи.

Сформировавшееся отношение женщин к заместительной гормональной терапии стало фактором, совершенствующим эту методику.

Чего ждут от неё прежде всего?

  1. Быстрого и безопасного снятия самых субъективно неприятных климактерических симптомов — приливов, внезапного сердцебиения, потливости. Вызываются они гормональным дисбалансом — яичники женщины, вступившей в период менопаузы, работают уже не столь интенсивно, и попытки организма совладать с дефицитом эстрогенов вызывают вегетативные расстройства, которые очень многих женщин приводят в ужас, вызывают у них панику.
    И хотя врачей эти явления не слишком пугают — известно, что они, преходящие — тем не менее именно эти симптомы климакса, заметные, как полагают женщины, невооружённым глазом, приводят их к мысли о ЗГТ.
  2. Следующая по значимости причина, побуждающая женщин искать спасения в заместительной гормональной терапии, — попытка сохранить женственность, своё женское «я». Которое его обладательница выстроила, с которым сжилась и без которого не мыслит дальнейшего существования. Атрибуты этого «я» — волосы, кожа, фигура. Климакс накладывает отпечаток на каждую из этих составляющих женской красоты. Волосы тускнеют и истончаются; кожа блёкнет, она уже не так упруга; очертания фигуры теряют лёгкость. У многих женщин наступает дисбаланс гормонов с преобладанием андрогенов (мужских половых гормонов), что не лучшим образом сказывается на их женственности. Подвергается испытанию и сексуальная жизнь. Сам половой акт становится затруднительным из-за сухости слизистых и по чисто психологическим мотивам: близость перестаёт казаться пружиной женской жизни; сам секс обесцвечивается.
Читать
Лубриканты при климаксе: отзывы женщин, как правильно выбрать

Нет нужды говорить, что это обстоятельство, которое женщина, по сути, не может не воспринимать трагически, становится мощным доводом в пользу заместительной гормональной терапии.
И наконец, деятельные женщины с громадным огорчением замечают снижение работоспособности, провалы в памяти, порой невозможность сосредоточиться на простейших вещах и что совершенно непереносимо женщин, перешагнувших 50-летний рубеж, тяготят ежемесячные маточные кровотечения. Немалое число пациенток бросают ЗГТ из-за плохой переносимости препаратов, что также вынуждает разработчиков продолжать исследования. И они не остались безрезультатными. Немецкая фирма Шеринг — лидер этого направления — вывела на российский фармацевтический рынок новый препарат Климодиен, учитывающий запросы и самих женщин, и медиков, к которым они обращаются. Климодиен

Климодиен предназначен для непрерывного приёма в постменопаузе, то есть через год и более после последней менструации. Он эффективно справляется со всеми вышеуказанными симптомами климакса:

  • улучшает сон, настроение,
  • нормализует обмен веществ, и соответственно — массу тела,
  • обладает антиандрогенным эффектом.

Климодиен хорошо переносится. На фоне приёма этого лекарства у женщин отсутствуют кровотечения отмены, что важно для многих. Поэтому правильно подобрать препарат для ЗГТ может только ваш врач — гинеколог.

Климадинон при климаксе: инструкция, отзывы женщин

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