Examination of patients with the typical form of climacteric syndrome

In cases where a woman has had a typical menopausal symptoms: hot flashes and abnormal sweating, increased body mass index, fatigue, but the overall condition is, overall, satisfactory, it shows the following additional examination.
The concentration of blood sugar (glycemic curve) is required in connection with the fact that in menopause most often occurs or appears diabetes. Often in the beginning this disease is latent, no characteristic symptoms: thirst, increased appetite, sometimes itching of the skin in the area of external genital organs, increases or decreases body weight, etc. In this regard, the determination of the level of sugar in the blood should be made to each patient with mild menopausal syndrome. At first once to define the content of fasting glucose, and if it is determined on a high limit of normal or increased, it is necessary to determine the level of sugar in dynamics (glycemic curve). According to our observations, this study often find prediabetes or diabetes, hypothyroidism, impaired liver function. Determination of blood sugar also highlighted hypoglycemia, to clarify the reasons of asthenic syndrome, which occurs periodically in patients with climacteric syndrome. When low blood sugar glycemic curve to determine not recommended due to the fact that dynamic definition of fasting glucose in women may be a sudden weakness, up to fainting.
Determination of the level of cholesterol in the blood. High concentrations of cholesterol in the blood find in atherosclerosis, hypothyroidism, some forms of hypothalamic syndrome. High cholesterol can help you diagnose hypothyroidism even before the appearance of typical symptoms of this pathology. With high cholesterol have an appropriate regimen for the prevention of atherosclerosis, obesity and other
The study of blood coagulation we believe it is necessary for those women who have varicose veins, thrombophlebitis, due to small injuries occur "bruises", nosebleeds, known as age tendency to increase in blood clotting.
Tests of functional diagnostics: Hairdryer of "maybe", cervical number, cytological examination of vaginal smear - very informative and allow you to specify which hormonal background flows menopause. Especially it is important to determine whether the nature of age-related changes of the biological age of the patient. If during examination of the patient, even with mild menopausal syndrome, discover not appropriate to the age of Hyper - or hypoestrogenia, you should perform additional tests. When showed early significantly expressed hypoestrogyny premenopausal or early postmenopausal women should even during the first visit to appoint a survey aimed primarily at identifying or the exception of brain tumors, pituitary, and chronic infectious diseases (tuberculosis, toxoplasmosis, rheumatism). If during the first examination in premenopausal show signs of hyperestrogenemia, you need dynamic observation of patients during 3-6 weeks. If the specified characteristics of hyperestrogenemia, not age-appropriate, are found in postmenopausal women, or are consistent in pre-menopausal women, it is necessary to conduct a survey to identify or exclude malignant diseases of ovaries (gormonoprodutsiruyuschuyu feminizing tumors, cancer of the ovary). Cancer cancer in postmenopausal women, as a rule, is not detected of hyperestrogenemia, but there are also signs hypoestrogyny typical of this age period. This contingent of patients is also in need of examination to clarify the diagnosis and exclude malignant process genitals.
Additional survey with clinical signs hypoestrogyny (not age-appropriate).
1. Overview of the profile picture of a skull and the Turkish saddle. If there is evidence - tomography of the skull.
2. Retinoscopy and color fields of view, EEG.
3. Determination of the level of gonadotropic hormones, FSH, LH and prolactin in the blood.
4. The definition in the blood of the ovarian hormones - estrogen and progesterone.
5. Consultation of neurologist.
6. Separate diagnostic curettage of the uterus (if necessary) with histological examination of scraping.
7. Ultrasound examination of small pelvis organs and hysterosalpingography (on indications).
Additional methods of examination by hyperestrogenemia. 1. General view of the skull and the Turkish saddle, EEG (on indications).
2. Retinoscopy and color fields of view.
3. Ultrasound examination of small pelvis organs.
4. Separate diagnostic curettage of the uterus with histological examination of scraping.
5. Hysterosalpingography (on indications).
6. EEG.
7. The study of hemostasis.