Friday, 04 December 2020 | 02:30 WIB

The Three Phases of Menopause

The Three Phases of Menopause (freestockphoto)

JAKARTA, NETRALNEWS.COMIn the course of her life, a woman usually passes  through menstrual period and pregnancy, and after that, enters the menopause phase. Many complications and diseases can occur during this menopause phase.

Vice Chairman of Menopause Society Indonesia Branch Jakarta Raya (PERMI JAYA) dr. Ni Komang Yeni DS, SpOG, explains that menopause is a normal physiological stage of every woman. The transition period  normally starts from the age range 35-55 years.

In this period, the ovaries begin to decrease the production of the hormones estrogen and progesterone, which usually play a role in the menstrual cycle. At this time also fertility (fertility) of a woman began to bloom, although it is still very possible for the occurrence of a pregnancy.

"Menopause occurs in three stages: Premenopause, Menopause, and Post Menopause. At the Perimenopause stage, estrogen and progesterone levels begin to decline, usually starting in their 40s, ranging from 3-5 years before menopause," she said.

At this stage also, a woman begins to experience irregular menstruation and some symptoms such as hot flashes in the face and chest, sleep disturbances, insomnia, night sweats, mood changes, feeling sensitive, depression, anxiety, vaginal dryness or feeling Uncomfortable during intercourse, and urinary disorders.

The next stage is Menopause. A woman can be said to enter the stage of menopause if she does not experience menstruation without any triggers such as certain diseases, certain medications, pregnancy or lactation, for 12 months in a row.

The average woman enters the menopause stage at the age of 50-52 years. The transition from the premenopausal stage to the menopause stage usually lasts between 1-3 years.

And the last stage is Post Menopause. This stage starts after 1 full year since the last menstrual period. Complaints from the stage of premenopause are usually still felt, though not all women may feel the symptoms.

Meanwhile, if a woman experiences menstrual cessation before entering the real age of menopause, continued dr. Yeni, then the situation can be said early menopause.

Besides being caused by premature aging naturally, early menopause is often caused by a condition called Premature Ovarian Failure (POF), a condition in which the ovaries (ovaries) are inactive because of something like surgery, cancer therapy, radiation, chemotherapy Or due to genetic factors.

POF also occurs due to ovarian dysfunction or a lack of the number of mature follicles from the ovaries. Hysterectomy (removal of the uterus from a tumor) or Ovorectomy (removal of the ovaries) may also lead to premature menopause.