Home Coated tongue Menopausal neurosis (syndrome), symptoms and treatment in women. Menopausal neurosis: causes, symptoms and treatment Menopausal neurosis symptoms

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Menopausal neurosis (syndrome), symptoms and treatment in women. Menopausal neurosis: causes, symptoms and treatment Menopausal neurosis symptoms

This is an inevitable period in the life of every representative of the fair sex. It signals the end of a woman's reproductive age. Hormonal changes occur in a woman’s body, which is accompanied by various manifestations.

According to medical statistics approximately 50% of women develop neurosis during menopause. The lady experiences changes in her mental state, accompanied by autonomic nervous disorders. In this article we will look at what symptoms climacteric neurosis has and in what cases medical help is needed.

Not long ago, doctors believed that during menopause Women develop neurosis due to a decrease in the level of sex hormones -. But studies have been carried out on patients' medical histories. menopausal age diagnosed with neurosis, which were refuted current opinion and put forward a new one.

First, let's take a look at the results of the study. Approximately 15% of women diagnosed with neurosis had regular periods and normal hormonal levels. In almost 40% of women, neurosis appeared only 5-15 years after menopause, when the body was stable. low level hormones.

In half of the patients, neurosis began to develop simultaneously with menopausal symptoms: menstrual irregularities, irritability and others. Scientists have concluded that neurotic manifestations, just like menopause, cause age-related changes in the hypothalamus. It is located in the brain and is responsible for endocrine functions in a woman’s body, as well as her behavior and emotions.

That's why so often to women mature age menopause and neurosis arrive at the same time. But you should know that these states are not interrelated. After all, only half of all female representatives during menopause experience symptoms of neurosis. The other half of women during menopause do not experience mental disorders.

Features of neurosis

You should know that neurosis has the following types: mental disorders:

Vegetative system.
These include: fast fatiguability, memory deterioration, difficulty concentrating, sleep disturbances up to the development. As a result, performance decreases sharply.
Hysterical.
The woman's resistance to stress is significantly reduced, and it is difficult for her to cope with even minor stress. The woman becomes capricious, whiny and prone to hysterics. This manifests itself in increased sensitivity and making claims against loved ones.
Hypochondriacal.
They manifest themselves in increased attention to one’s own person and the state of one’s health. A woman demands constant attention from those around her. She looks for symptoms of diseases and finds non-existent diseases or pathologies.
Depressed.
The lady's mood often changes. She develops an anxious mood and loses the desire to do anything.

When a woman develops neurosis during menopause, she may have either one type of the disorders discussed, or several, or the entire list.

Symptoms of pathology

Let's consider what symptoms climacteric neurosis may have:

sudden change in mood;
the appearance of unreasonable irritability;
negative perception of one's external data;
suspiciousness;
dizziness;
noise in ears;
decreased appetite;
feeling of chronic fatigue;
increased sweating;
sleep disturbance: difficulty falling asleep in the evening, sudden awakening at night after which it is difficult to fall asleep again;
insomnia;
heart pain not caused by organic causes;
constipation or flatulence;
excessive concern for one’s appearance or, conversely, complete indifference to it;
lack of desire to communicate, up to the development of social phobia.

Another manifestation of this condition is a decrease in self-esteem. A woman may have obsessive thoughts that she has lost her attractiveness to her husband and may be abandoned. She tries to become more helpful to everyone in the family and tries to do more work. As a result, the woman becomes more tired and the disease worsens.

How the disease develops

The development of menopausal neurosis during menopause goes through 3 stages:

The first stage is characterized by periodic disturbances in the functioning of the vegetative-vascular system, as well as rapid changes psycho-emotional state. As a rule, women attribute the signs that appear to fatigue, the consequences of experienced stress, or the onset of menopause.
At the second stage, intensive development of the disease occurs. The lady begins to worry about the symptoms of neurosis, which can manifest themselves with varying intensity and duration.
The third stage – the disease has become chronic. Changes occur in the personality structure.

It is very important to start therapy as early as possible to prevent serious complications.

Treatment of neuroses during menopause

At the first stage, strong medications will not be required for treatment. Sometimes, it is enough to make adjustments to the way of life and help a woman accept the age-related changes that happen to her. At the second stage, it is important to seek medical help.

Treatment of menopausal neurosis should be carried out only in a comprehensive manner. You need to be examined by a therapist, gynecologist and endocrinologist. If you are worried about heart pain, then you need to consult a cardiologist in order not to miss the development of diseases of the cardiovascular system. At this stage, sedative medications are often sufficient to calm, stabilize the pulse, normalize blood pressure, and eliminate sleep problems.

Expert opinion

Elena Sergeevna

Gynecologist-obstetrician, professor, work experience 19 years.

Ask a question to an expert

You should not refuse to consult a psychologist. An experienced specialist will be able to identify serious psychological trauma and problems that could provoke the development of neurosis.

In this case, working with a psychologist will stabilize the patient’s condition without the use of sedatives and antipsychotics.

Possible reasons.

What adjustments should be made to the way of life?

If a woman notices several signs of neurosis, then she should immediately reconsider her way of life. You need to create or adjust your existing daily routine. It is very important that the lady sleeps at least 7-8 hours a day.

Moreover, it is preferable to go to bed between 22 and 23 hours. During sleep, serotonin is produced, which is necessary to overcome mental disorders.

If it is difficult to fall asleep, then you must first resort to folk recipes, then to herbal-based drugs, and only then to sleeping pills. Among folk remedies, the leader is taking a glass of warm milk with honey before bedtime, herbal teas with chamomile, lemon balm, mint and thyme, as well as aromatherapy with lavender oil.

Key points of a proper daily routine

It is necessary to pay attention to the following aspects:

Review your diet.
You should completely avoid consuming foods that have a stimulating effect on the psyche: coffee, tea, chocolate, cocoa, ginger and spices. It is advisable to minimize the consumption of simple carbohydrates. But you can’t completely give up eating sweets. For this purpose, sugar, sweets and baked goods are replaced with honey and dried fruits. The basis of proper nutrition is fresh vegetables and fruits. The menu should include whole grain cereals, dairy products, different types nuts, fatty fish and seafood.
You should take a walk in the fresh air every day.
It is important to do this in a park area. At every opportunity you need to get out into nature. Beautiful views mountains, ponds, forests have a strong positive effect in the treatment of all types of neuroses. Patients are advised to start photographing nature. This way the woman will focus her attention on beautiful places, and get more positive emotions.
Be sure to include time in your daily schedule for physical activity.
This includes physical therapy, yoga and swimming in the pool. Very good effect In the treatment of neuroses, massage and aromatherapy are used.

But perhaps the most important thing during this stage of life is to love your age and stop being afraid of getting old. When a woman cannot independently accept the events happening to her, she needs to seek professional help from a psychotherapist.

It should be noted that the practical application of all these points with the onset of menopause will be an effective prevention of mental disorders.

Bottom line

We looked at the symptoms and treatment of neuroses during menopause. It should be remembered that the starting point in the development of any type of neurosis is a woman’s attitude towards herself. It is important to learn to love and appreciate yourself at any age and condition. Accept that eternal youth does not exist, and the body begins to gradually age.

At the first stage of the disease, a woman can cope on her own. To do this, you need to adhere to a healthy lifestyle: normalize sleep, eat right, walk in the fresh air every day and have a positive outlook on life. If problems arise with the last point, then you need to seek help from a psychotherapist. We wish you good health!

What do you know about the development and treatment of neuroses during menopause?

Menopausal neurosis means general state the psyche of a woman with the expression of disorders of a vegetative-nervous nature. Such changes are only partly related to changes in the body’s hormonal levels. Pathological changes in the functioning of the hypothalamic and other centers have a more significant influence nervous system.

Climacteric neurosis is serious illness which needs timely diagnosis and treatment ii. If in the early stages the treatment process goes smoothly, then in an advanced form serious consequences appear, up to a change in the structure of a person’s personality.

Almost 60% of women during menopause suffer from menopausal neurosis. If earlier doctors associated this disease with a lack of hormones, now experts are increasingly paying attention to age-related changes in the functioning of the hypothalamus.

Of course, the unpleasant symptoms of menopause caused by changes in hormonal levels affect the psychological state of a woman, but they act as a kind of amplifier of the symptoms of menopausal neurosis, and not its main cause.

Besides this, a lot important role The following factors play a role:

Hereditary predisposition.
Characteristics of a person's personality.
Stressful situations of the past (present).
Weak immunity.
Constant overstrain of the body.
Wrong lifestyle.
Lack of nutrients in the body.
Chronic fatigue.
Sleep disturbance (systematic lack of sleep).

Menopausal neurosis can be caused by either a single cause or a combination of factors. Only a specialist can establish the exact picture of the disease. It is the doctor who will analyze the situation and select the appropriate treatment. Because harmless symptoms may hide not only disorders metabolic processes, but also vegetative-vascular, as well as serious mental disorders.

Signs of menopausal neurosis

Neurosis during menopause has a number of characteristic signs:

chronic fatigue,
general irritability
sweating during menopause,
sudden awakenings at night (difficulty falling asleep),
hypertonic disease,
sudden pressure surges,
heart ailments,
sudden changes moods,
the occurrence of tinnitus,
unstable emotional state.
apathy,
negative perception of one's appearance,
dizziness during menopause,
loss of appetite.

Menopause and neurosis are not considered interrelated concepts, because in some women mental disorders do not manifest themselves during menopause. But still there is a certain connection, especially if you pay attention to the behavior of women during this period of life and their perception of the world around them.

It is worth remembering that neurosis during menopause may include one, several or all 4 types of the following mental disorders:

Asthenic (memory deterioration, fatigue, sharp decrease in performance).
Depressive (change in mood in a negative direction).
Hypochondriacal (obsessive, excessive concern about the state of one’s health, attribution of “unnecessary diseases”).
Hysterical (instability to the slightest stressful situations, increased manifestation of touchiness, capriciousness, tearfulness).

Timely treatment of menopausal neurosis protects against a large number of negative consequences, which are often irreversible.

The hypothalamus is responsible for many activities of the autonomic nervous system. For example, it affects the stability of metabolic processes, the disruption of which during menopause can cause such a serious disease as osteoporosis.

Stages of development of neurosis during menopause

Neurosis during menopause goes through three stages of development. The first stage is characterized by the appearance of precursors of neurosis. At this time, a woman feels the first signs, which can manifest themselves unstably, so she rarely pays serious attention to such changes in behavior, attributing them to fatigue. The second stage is the height of the disease. Women at this stage begin to seriously worry about their health and go to the doctor. If appropriate treatment is not organized at this stage, the disease moves into the third stage of a chronic disease. Here are observed characteristic changes in the personality structure, and even properly selected therapy may not correct the situation.

Where does the treatment of the disease begin?

The nature of the treatment of climacteric neurosis depends on the severity of the disease. In the early stages, there is no point in resorting to potent drugs, but you should pay attention to:

Correct diet. A diet based on plant, dairy products, vegetables, fruits. Avoid eating cholesterol-rich foods. Alcohol, an abundance of spices, strong coffee, and tea are completely excluded.
Complete rest and sleep. If a woman does not get enough sleep, then treatment of neurosis will give almost no results. It is recommended to take short breaks throughout the day.
Regular walks in the fresh air. Constant walks have a beneficial effect on the overall psychological state. Still can't hurt Spa treatment.
Therapeutic exercise, massage. They have a beneficial effect not only on the mental state, but also on the physical indicators of the body.

As for drugs for the treatment of neurosis during menopause, they are selected strictly individually. Without a real need, there is no point in taking potent drugs that are more likely to harm than help.

Doctors are confident that in the early stages neurosis can be defeated with the help of sedatives, which stabilize the pulse, improve blood pressure, have a positive effect on sleep and reduce the frequency and severity of hot flashes.

Important! Drug therapy is possible only after consultation with the attending physician and under his strict supervision.

Restoring hormonal levels to combat neurosis

Neurosis during menopause, as mentioned above, may not be associated with changes in hormonal levels. But it cannot be denied that hot flashes and other unpleasant symptoms of menopause do not affect a woman’s psyche. Therefore, it makes sense to prescribe hormonal therapy.

Hormonal drugs are divided into two categories:

synthetic (artificial),
homeopathic (phytohormones have a milder effect).

Such therapy will not only improve hormonal levels, but also stabilize the woman’s psychological state.

The role of psychotherapy in the treatment of illness

Climacteric neurosis must be treated comprehensively. You cannot take only medications, hoping for a quick and painless improvement. The occurrence of neurosis may be based on serious psychological problems and injuries, which only a qualified psychologist can help overcome.

Psychotherapy for the right approach and the patient’s honesty can solve several problems at once. Surprisingly, sometimes psychologists manage to stabilize a woman’s condition even without prescribing serious antipsychotics and sedatives.

Regular visits to a psychologist during menopause are just as important as going to the gynecologist. After all, psychological health disorders very often provoke physiological diseases.

Prevention of mental disorders during menostasis

A woman's health during menopause needs constant support. The body is no longer young, so it is more difficult for it to cope with difficulties. If we take menopausal neurosis, then the woman’s attitude towards herself comes first.

If you accept the changes in your body, regularly visit doctors and react to the slightest ailment (serious attitude, not hysteria), then your body is already protected. The advantage of this lifestyle lies in timely treatment emerging diseases.

The basis for the prevention of menopausal neurosis is a healthy lifestyle, stable sleep, proper nutrition and a positive attitude towards life.

Often, the course of menopause is complicated by menopausal neurosis, which manifests itself as VSD and panic attacks. Symptoms this state significantly worsen a woman’s quality of life and require timely treatment with sedatives and antidepressants. Lack of treatment, which includes taking antidepressants and sedatives, can cause complications.

Menopausal neurosis and the causes of its occurrence

A woman's reproductive function begins to fade during menopause. This is a natural stage in the development of the female body, which consists of a gradual cessation of the synthesis of sex hormones by the ovaries.

Despite the fact that menopause directly involves changes in the functioning of the ovaries, this process affects the entire woman’s body. This is due to the fact that hormones produced in the ovaries provide and regulate the functioning of various internal organs.

Estrogens are extremely important for the functioning of the female body. These hormones are produced by the woman's follicular apparatus. It is noteworthy that estrogens are capable of self-conversion in various tissues. For example, estrone can be converted to estradiol.

At birth, the female body contains about 2-3 million eggs. A small proportion of eggs are lost during ovulation. In the first phase, hormones ensure the growth of several follicles, which also synthesize the necessary hormones. By the middle of the cycle, the highest quality follicle with a viable egg remains. The remaining follicles are discarded. During ovulation, the follicle membrane ruptures, releasing an egg capable of fertilization. The egg is viable for two days. A cystic lesion forms in place of the follicle corpus luteum, producing progesterone. On the eve of menstruation, in the absence of conception, the corpus luteum regresses.

Before the onset of menopause, about 10,000 follicles remain. After the cessation of menstruation, single follicles are observed, which soon also disappear. The ovaries decrease in size.

With a sharp drop in estrogen, increased production of FSH and LH is observed. This mechanism is necessary to increase estrogen levels. However, during menopause, the synthesis of sex hormones continues to decline.

During menopause, there is a decrease in estrogen synthesis until it completely stops. Female body reacts negatively to estrogen deficiency, since these sex hormones:

regulate the activity of the cardiovascular, nervous and endocrine systems, musculoskeletal system, and gastrointestinal tract;
ensure the supply of calcium and phosphorus to the bones;
strengthen nails and hair;
affect the processes of thermoregulation and metabolism;
affect vascular tone and skin elasticity;
are responsible for female type figures.

When menopause occurs, a woman’s body first adapts to a lack of hormones, and then to their complete absence. Each woman experiences menopause differently and has her own set of symptoms.

Gynecologists note that menopause is a long process necessary for the body to fully adapt to decline hormonal function. The slower the synthesis of hormones stops, the fewer consequences and complications arise.

There are several phases of menopause, unequal in duration.

Perimenopause starts at approximately 45 years of age. It is possible that menopause may occur earlier or later, which can be either normal or pathological. At this stage, there is a decrease in estrogen synthesis, which primarily affects the menstrual cycle. Discharge during menstruation becomes abundant or scanty, and the cycle itself may lengthen or shorten. In the presence of spontaneous ovulation, pregnancy may occur. The main symptoms during the premenopausal period are hot flashes, pressure surges, heart pain, tachycardia, headaches, and VSD.
Menopause occurs 4-5 years after the onset of premenopause. Menopause includes the date of the last menstrual period, after which there should be no bleeding for a year. Urogenital disorders come to the fore, which include processes of mucosal atrophy and changes in the quality of cervical mucus.
Postmenopause is the longest period, which lasts until 65-69 years. During postmenopause, various metabolic disorders are possible. The risk of atherosclerosis, stroke, heart attack and Alzheimer's disease increases significantly.

The age of 45 years is conventionally considered the start of menopause. It is impossible to accurately determine the onset of menopause due to the mildness of the first symptoms. Women without serious pathologies experience a mild menopause. Gynecological and extragenital pathologies, which can lead to menopausal neurosis, significantly worsen the manifestations of menopause.

The age at which menopause occurs depends on the following factors:

heredity;
working and environmental conditions;
accompanying illnesses;
bad habits.

Menopause occurs earlier in women living in mountainous areas. Women who smoke have an early onset of menopause. To some extent, this factor reduces the risk of developing uterine cancer.

The onset of menopause can be:

physiological;
early;
late.

Early and late onset of menopause does not always indicate pathology. In 3-5% of women, menopause develops earlier due to genetic predisposition. U smoking women menopause occurs three years earlier. In women with a history of fibroids, menopause occurs later due to the influence of an estrogen-producing tumor. In addition, usually in this category, menopausal syndrome usually does not develop.

Late menopause deserves close attention from both doctors and the woman herself. Hormone-producing hormones are often disguised as late menopause. malignant tumors, the risk of which increases with age. In particular, breast and endometrial cancer occupy leading positions in terms of prevalence.

Early menopause often indicates premature ovarian failure syndrome, which can occur at 38 years of age. Hormone levels drop rapidly, causing shock in the young body, accompanied by serious symptoms. It is in this case that climacteric neurosis can develop. If ovarian depletion occurs in total form, the follicles are completely subject to adhesion. With a milder course, spontaneous ovulation may occur.

Early menopause develops when the ovaries are removed or as a result of damage to the follicular apparatus. The synthesis of hormones abruptly stops, causing the appearance of menopausal neurosis. Usually in such cases replacement is recommended hormone therapy And sedatives.

Often, menopausal neurosis develops in women whose bodies cannot adapt to hormonal decline. Typically, menopausal neurosis is observed in women with a history of various somatic pathologies.

Menopausal neurosis is a serious complication that requires diagnosis and treatment. If left untreated, they develop dangerous consequences, for example, a change in a woman's personality.

About 60% of women experience symptoms of menopausal neurosis to one degree or another. Until recently, experts associated the symptoms that are characteristic of menopausal neurosis, for example, VSD and panic attacks, with estrogen deficiency. The role of age-related changes in the functioning of the hypothalamus has now been proven.

Symptoms of menopause affect a woman’s psychological state, especially if panic attacks are observed. However, they are a kind of amplifier of symptoms in menopausal neurosis, but not its cause.

The development of symptoms of menopausal neurosis may be associated with the following factors:

individual personality characteristics;
prolonged stress;
weakened immunity;
prolonged mental and physical stress;
wrong lifestyle;
deficiency of vitamins and minerals;
sleep-related disorders.

It is known that menopausal neurosis can be caused by one or several factors. Only a doctor can determine the cause and prescribe sedatives after examination.

It should be borne in mind that the symptoms of menopausal neurosis may hide various metabolic disorders, vegetative-vascular disorders, for example, VSD. In addition to panic attacks during menopausal syndrome, serious mental disorders are sometimes identified that require treatment.

Developmental stages and symptoms

Menopausal neurosis is characterized by the presence of the following symptoms:

chronic fatigue and irritability;
increased sweating;
sleep disorders;
hypertension;
pressure surges;
heart pain and tachycardia;
mood lability;
noise in ears;
emotional instability;
apathy;
critical attitude towards one's appearance;
dizziness;
loss of appetite.

Menopause and neurosis are not always interconnected. Some women do not develop neurosis during menopause.

Menopausal neurosis includes several types of mental disorders:

asthenic: memory loss, fatigue, decreased performance;
depressive: prolonged bad mood, depression;
hypochondriacal: excessive worry about one’s health, attributing to oneself symptoms of various diseases;
hysterical: instability to stress, touchiness, tearfulness, capriciousness.

Symptoms of menopausal neurosis must be treated promptly. It is known that treatment of symptoms of menopausal neurosis, for example, VSD and panic attacks, is the prevention of many complications.

The hypothalamus is responsible for the functioning of the autonomic nervous system. The hypothalamus influences the stable course of metabolic processes, the disruption of which can lead to osteoporosis.

Menopausal neurosis occurs in three stages.

Precursors of neurosis appear. The woman observes the first irregular symptoms. This is why women usually ignore symptoms, attributing them to fatigue.
The severity of symptoms increases. As a rule, at this stage women visit a doctor. In the absence of treatment, the transition of menopausal neurosis to the next stage occurs.
Serious changes are observed that affect the structure of the personality. The selected treatment is not effective.

Panic attacks

In 15% of cases during menopause, symptoms of panic attacks are detected. Women experience an uncontrollable feeling of fear, which significantly reduces their quality of life.

Fear is a natural feeling associated with the instinct of self-preservation. However, with menopausal neurosis, fear arises unreasonably and without cause.

Panic attacks are manifested by causeless anxiety and fear. Uncontrollable symptoms of panic attacks appear as a result of malfunctions of the nervous system. The female body experiences stress, which causes increased production of cortisol and adrenaline.

In addition to fear and anxiety, women with panic attacks experience following symptoms:

cardiopalmus;
difficulties associated with the act of breathing;
pressure surges;
fainting;
dizziness and headache;
rapid pulse;
nausea;
chills;
numbness of hands and feet;
tides.

With menopausal neurosis, panic attacks occur against the background of malfunctions of the autonomic nervous system and vasospasm.

Panic attacks are similar to heart attacks. The duration of a panic attack varies from several minutes to several hours.

Mental manifestations of panic attacks include:

feeling of danger;
fear of death and madness;
lump in the throat;
distortion of reality;
clouding of mind;
lack of control over one's own actions.

With menopausal neurosis, unusual symptoms of panic attacks sometimes appear:

loss of voice;
gait disturbance;
speech problems;
deterioration of hearing and vision.

Panic attacks often develop with the following pathologies:

migraine;
diseases of the cardiovascular system;
diseases of the adrenal glands and thyroid gland;
allergy;
smoking and excessive alcohol consumption.

Treatment of panic attacks includes taking sedatives, antidepressants, tranquilizers, hormonal drugs, massage, breathing exercises, psychotherapy. Treatment for panic attacks takes a long time and is not always effective.

During a panic attack, experts recommend performing breathing exercises. The woman takes in air for three seconds, holds her breath, and exhales. The technique includes 15 repetitions. Some women find it helpful to think about something pleasant to distract them from negative thoughts and abstract themselves from feelings of fear. Whenever serious symptoms you need to call an ambulance.

Prevention of panic attacks includes:

adequate sleep, which should be at least 8 hours;
rejection of bad habits;
lack of stress;
compliance with the work and rest regime;
breathing exercises and light physical exercises;
proper balanced nutrition;
drinking regime.

Panic attacks need to be treated by a specialist. Self-medication can cause panic attacks to progress.

VSD

Symptoms of menopausal neurosis are often associated with VSD. This pathology has the following reasons for its appearance:

the effect of estrogen deficiency on the functioning of the central nervous system and brain;
circulatory disorders and changes in vascular tone;
cholesterol deposits on the walls of blood vessels;
metabolic disorders;
obesity;
poor nutrition;
physical inactivity;
stressful state;
smoking.

VSD in menopausal neurosis is manifested by the following symptoms:

weakness and fatigue;
asthenic syndrome;
pressure changes and rapid pulse;
panic attacks;
violation of thermoregulation;
severe headaches;
mood lability;
bitterness in the mouth;
heart pain;
nausea and vomiting;
frequent urination;
increased nervousness.

With menopausal neurosis, four forms of VSD can develop.

Cardiological. The following symptoms occur: heart pain, palpitations, pressure surges.
Hypertensive. Symptoms associated with increased blood pressure increase: hot flashes, sweating, palpitations, headache, panic attacks.
Hypotonic. The pressure drops, asthenic syndrome, dizziness and fatigue occur. Symptoms include: nausea and vomiting, mood lability, panic attacks, bitterness when lying.
Mixed. The symptoms are varied and do not belong to any of the above forms.

In case of VSD, it is important to carry out differential diagnosis with pathologies of the cardiovascular system. Treatment includes normalization of sleep, work and rest schedules, nutritional correction, physical activity, taking vitamins, hormonal and homeopathic remedies, sedatives, antidepressants and traditional medicine methods.

Treatment

The prescribed treatment depends on the severity of menopausal neurosis. In the early stages, doctors advise paying attention to the following components.

Full sleep. It is important to go to bed on time. The duration of night sleep should be at least eight hours. It is also necessary to observe a work and rest schedule. While working, you should take breaks periodically.
Balanced diet. During menopause, nutrition plays an important role. The diet helps prevent many pathologies, in particular, menopausal neurosis and panic attacks. Fatty, spicy and salty foods, strong tea, coffee and alcohol are excluded.
Walking in the fresh air and physical activity. Staying in the fresh air and exercising have a beneficial effect on psychological well-being and health.

Treatment for menopausal neurosis is selected individually. Often, for panic attacks and VSD, sedatives and antidepressants are prescribed.

Hormonal drugs

Neurosis and menopause are often interrelated. Estrogen deficiency affects the functioning of the cardiovascular and nervous systems, in particular the autonomic one. In addition, all the centers of the brain are located in close proximity, which causes the occurrence of characteristic symptoms.

In some cases, it is advisable to prescribe drugs that affect hormonal levels. Hormonal drugs are:

synthetic;
homeopathic.

Hormone replacement therapy is used to treat menopausal neurosis, in particular panic attacks. HRT involves the use of estrogen, progesterone and androgens. Included combination treatment low-dose drugs are most effective. On initial stages Hormonal treatment is used in courses, while in advanced forms it is used continuously.

Hormonal treatment may increase the risk of heart attack and stroke. In addition, the treatment has a lot of side effects. In some cases, hormonal treatment is contraindicated:

tumors;
kidney and liver pathologies;
endometriosis;
hypertension;
diabetes;
thrombosis.

Hormonal drugs are used in the form of:

tablets and capsules;
suppositories;
ointments, gels and creams;
plasters.

Estrogen-progesterone drugs include:

Klimonorm;
Divina;
Trisequence.

Preparations containing estrogen:

Divigel;
Estrofem;
Szigetin;
Cliogest;
Divitren.

Medications that include melatonin:

Melaxen;
Epithalamin;
Circadin.

Drugs with a sedative effect:

Grandaxin;
Ovestin.

Hormonal treatment is often replaced by homeopathic treatment, which uses phytoestrogens, which are plant analogues of female sex hormones. This treatment has a minimum of side effects and includes the following drugs:

Estrovel;
Feminal;
Klimadinon;
Inoclim;
Remens;
Klimaktoplan.

Psychotherapy

Often, in case of menopausal neurosis, psychotherapy, rather than sedatives and antidepressants, is recommended first. Moreover, many experts believe that without psychotherapy sessions, taking sedatives and hormonal drugs, like other drugs, will be ineffective. This is due to the fact that climacteric neurosis is often based on serious psychological problems that need to be resolved.

Psychotherapy sessions can be either individual or group. As a rule, psychotherapy is long-term, especially for panic attacks.

Use of antidepressants

The use of sedatives and antidepressants is justified by the fact that in 40% of cases the symptoms of menopausal neurosis, for example, panic attacks, have a psychosomatic basis. Doctors may prescribe antidepressants as a sedative during treatment. Unlike hormonal drugs, antidepressants have a small number of contraindications during treatment.

Sedatives, in particular antidepressants, prevent disorders in the nervous system and prevent neuroses, stress and depression, and panic attacks. Sedatives or antidepressants have both analgesic and restorative effects.

Experts highlight the main advantages of antidepressants.

Complex impact. Antidepressants relieve unpleasant symptoms by acting on nerve receptors. Anti-anxiety medications or antidepressants are used to prevent cardiovascular diseases.
Normalization of thermoregulation processes. As a result, the symptoms of hot flashes and sweating can be eliminated. Antidepressants have a sedative, antispasmodic, and analgesic effect.
Various dosage forms. Antidepressants can be used in the form of tablets, dragees, drops, syrups and tinctures.

Like all medications, antidepressants have a number of disadvantages. Sedatives or antidepressants can be addictive, and the intensity of symptoms may increase after you stop taking the drugs. Treatment with antidepressants and sedatives is sometimes accompanied by drowsiness.

Natural antidepressants include the following sedatives.

Valerian. The sedative is effective in the initial stages. Valerian stabilizes blood pressure, eliminates anxiety, insomnia, and reduces pain.
Motherwort. The sedative normalizes sleep, eliminates cramps, irritability and increased excitability.
Oregano. A natural antidepressant relieves hot flashes and copes with various nervous disorders. It is most often used in the form of an herbal tea.

Sedatives are often used in the form of herbal remedies and teas.

Medicinal sedatives are represented by the following drugs.

Grandaxin. The sedative has a minimum of contraindications and side effects. Grandaxin eliminates asthenic disorders.
Novo-Passit. This is a tranquilizer that is available in the form of tablets and medicine. Due to its estrogen-like effect, the sedative stabilizes sleep, blood pressure and thermoregulation processes. In addition, the product eliminates pain, anxiety and irritability.
Persen. It is a natural antidepressant that includes valerian, motherwort and mint. It has a calming effect, eliminates the symptoms of hot flashes, sleep disorders, and neuroses.

Homeopathic sedatives:

Remens;
Inoclim;
Climaton.

Selective serotonin reuptake inhibitors are the most popular antidepressants, which are often prescribed for menopause, in particular, menopausal neurosis and panic attacks. One of these antidepressants is Coaxil. The antidepressant has an analgesic effect and eliminates disorders of the nervous system. Antidepressants and other anti-anxiety medications should be prescribed after the examination.

Anticonvulsants

Preparations of this drug group relax muscles, improve blood flow. Anticonvulsants reduce the frequency of hot flashes, which are accompanied by redness and heat. The following side effects may occur during treatment: dizziness, insomnia, allergies.

Antihypertensives and antispasmodics

Menopause causes increased stress on blood vessels due to loss of elasticity of their walls. As a result, blood pressure often increases. Jumps in blood pressure may occur. Elimination of hypertension improves thermoregulation, eliminates fever, sweating, and headache. Antispasmodics weaken vascular spasm, reduce blood pressure, and improve heart function.

For persistent hypertension it is necessary permanent treatment antihypertensive drugs.

Treatment with sedatives and antidepressants should be prescribed by a doctor. Self-treatment with sedatives is unacceptable. Antidepressants, like many sedatives, are available from pharmacies only by prescription. Taking antidepressants is long-term and lasts at least six months.

Sooner or later, a middle-aged woman faces the symptoms of menopause. This natural state, in which the sex glands stop working. The decline of reproductive function is accompanied by various ailments. Some patients are debilitated by neurosis during menopause.

Causes of nervousness during menopause

For many women, menopause occurs with complications. From a medical point of view, this is easy to explain. The body depends on hormones. Estrogens are invisible protectors of mental and physical health female patients. When their production by the ovaries decreases, women experience disruptions in the menstrual cycle. After some time it stops, and the woman loses her ability to bear children.

A sharp decrease in estrogen in the blood becomes a serious stress for the patient’s body and nervous system. Often women develop climacteric neurosis with vegetative-vascular disorders.

What happens when the ovaries stop producing estrogen:

blood vessels become less elastic;
the patient's metabolism slows down;
the skin loses its elasticity.

Not all women can be philosophical about the fading of their beauty.

Impressionable and suspicious natures can fall into long-term depression. A vulnerable woman perceives the aging of her body with rejection and bitterness.

One of the causes of neuroses in middle-aged patients is changes in the hypothalamus. This is the name of the part of the diencephalon that regulates the work most important glands human body. This part is connected by nerve pathways to almost all parts of the central nervous system.

The hypothalamus regulates the following reactions of the human body:

feeling of hunger and satiety;
falling asleep and staying awake;
sexual desire.

This organ affects a person’s ability to remember information and the patient’s emotional state. It is easy to guess that age-related transformations of the hypothalamus affect the functioning of the most important organs of a woman.

Manifestations of the problem

Common symptoms of menopausal neurosis in women:

increased sweating;
dyspnea;
noise in ears;
sudden jumps in blood pressure;
heart pain;
a feeling of unbearable heat, which is accompanied by redness of the skin;
increased irritability;
apathy;
tearfulness;
sudden change in mood.

A woman complains of constant fatigue. She may also have trouble sleeping. Many ladies at this time of life are bothered by numbness in their arms and legs. This unpleasant condition develops due to poor circulation.

Menopausal neurosis, manifested by vegetative-vascular pathologies, is eliminated by drugs with phytohormones. The patient may need sedatives.

People around you may notice that the woman’s suspiciousness has increased. During menopause, a woman may exaggerate her ailments, and also perceive with painful attention the signs of aging (gray hair, wrinkles, dark spots on the skin). Ladies over 45 often go to extremes regarding their appearance. They come in two types.

The woman stopped taking care of herself and keeping her clothes tidy.
The lady resorts to bold methods of rejuvenation (does Botox injections, turns to plastic surgeons). Many women dress too brightly and provocatively.

A sociable woman during menopause can turn into a strict recluse who tries with all her might to avoid visiting crowded places. Ladies who were previously confident become touchy and whiny. Some women during menopause are terrified of being alone. They may be exhausted by the fear of the appearance of a young rival. The most dangerous manifestation of neurosis is thoughts of suicide.

Frequent ailments

People far from medicine may think that neurosis during menopause is the usual whims of middle-aged women. This opinion is wrong. Every second woman experiences the painful symptoms of menopausal neurosis to one degree or another.

A dangerous relationship arises between the instability of the lady’s emotional state and physical ailments. Deterioration in well-being causes a woman to become hot-tempered and tearful. Too violent emotional reactions become the culprits of tachycardia (rapid heartbeat), shortness of breath and insomnia.

Severe discomfort for women is caused by a decrease in the functions of the vestibular apparatus. How do these changes manifest themselves?

a woman is sometimes worried about imbalance;
my head is spinning.

Vascular pathologies are frequent accompaniments of menopause. The heart also has to deal with increased stress.

A cough during menopause indicates that the woman does not have enough oxygen. Emotional instability is to blame for this malaise. The patient is negative, so she worries too much about her appearance and is suspicious of any criticism (even that which is not related to appearance). As a result of frequent worries, healthy hearts begin to work intermittently.

Physical weakness and the inability to get a good night's sleep also negatively affect the woman's general condition. including on her appearance. A woman’s desire to keep herself in good shape disappears. If previously she spent time every day morning exercises, during menopause, he can give up on himself.

Constant nervous tension can have such dangerous consequences as uterine bleeding and glaucoma.

Complicating factors

Two women of the same age may exhibit different intensity manifestations of menopause. Menopausal neurosis and its symptoms hit women who do not care too much about their health the most. The course of menopause is complicated by the following habits:

smoking;
frequent consumption of sugar and rich foods;
love of salty and smoked foods;
decreased physical activity;
addiction to tea and coffee.

Elimination of neurosis

No matter what ailments you may experience during menopause, you should not become discouraged. Seeing a doctor will help avoid worsening neurotic symptoms. Some women are embarrassed to consult a neurologist and ignore painful conditions. As a result, the disease can lead to personality disorders.

You should not turn a blind eye to the existing problem. Modern medicine is armed effective methods combating menopausal neurosis. Patients who adhered to the doctor’s recommendations soon noted that their emotional background had stabilized.

Special treatment will help get rid of the signs of neurosis during menopause.

Replenishment of estrogen deficiency. If a woman contacts a specialist in the initial stages neurotic disorder, the doctor can advise her homeopathic medicines. Medicines with synthetic estrogens help to achieve positive changes.

Soothing massage - excellent remedy bringing unbalanced emotions into order.
Antidepressants.
Sedatives.
Psychotherapy sessions.
An important assistant in normalizing a woman’s psychological well-being is physical therapy.

Traditional methods of treatment

In order for menopausal neurosis and its symptoms to become a thing of the past, healing must be comprehensive. Treat folk remedies a woman can be treated if the illness has appeared recently, but without consulting a doctor, the patient will not be able to determine what the body and nervous system need most.

We will consider in detail proven ways to eliminate neurotic manifestations.

Dill elixir. You need to take 3 tbsp. l. dill seeds and pour boiling water. The liquid is poured into a thermos, where it is infused for an hour and a half. You need to add a liter of cool water to the resulting infusion. Drink a tablespoon of dill water 3 times a day. The course of treatment lasts a month.
Tea made from mint leaves. Take a spoonful of fresh or dried plant per liter of boiling water. Oregano infusion: 2 tbsp. l. herbs need to be poured with 200 g of boiling water and left for 5 hours. Drink it three times a day, 10 minutes before meals.
Healing baths with herbs. Chamomile and thyme are best.

A balanced diet plays an important role in normalizing a woman’s emotional background. Use fresh vegetables, fruits, nuts, raisins, dried apricots, boiled turkey and beef will help saturate the body useful substances. Both in youth and in the “autumn season,” women should not give up sea fish and dairy products.

Conclusion

The onset of menopause affects not only a woman’s physical well-being. Menopause can seriously shake the patient's emotional background. Many people develop neurosis. The causes of the disease are age-related changes affecting the hypothalamus, as well as estrogen deficiency in the patient’s blood. Loss of interest in life, increased suspiciousness, unreasonable fear, dizziness, numbness of the hands are common ailments that bring discomfort to women. The symptoms of the disease can be eliminated if the patient consults a specialist in a timely manner.

To normalize the emotional state, the doctor will prescribe medications with estrogen. A neurologist may recommend antidepressants. Physical therapy, massage and proper nutrition will help a woman get back to normal faster and feel a surge of vigor.

This article was written with the support of a site expert Marianna Piyanova- Master of Psychology. Crisis psychologist. Experience since 2011. Portfolio

Scientific articles used:

ASSESSMENTS AND MODELS OF REALITY IN COGNITIVE SCIENCES (Sutuzhko)
THE PROBLEM OF TIME PERCEPTION: RESEARCH RESULTS AND PROSPECTS (Bushov)
IDEOLOGY AS A CONCEPT (Khmylev)

References:

Cialdini, R. Psychology of influence / R. Cialdini. – St. Petersburg: Peter, 2000. – 270 p.
Khukhlaeva, O.V. Developmental psychology: Youth, old age, maturity: textbook. allowance / O.V. Khukhlaeva. – M.: Publishing Center “Academy”, 2002. – 208 p.
Godefroy, J. What is psychology. At 2 o'clock / J. Godefroy. – M.: Mir, 2000. – Part 1. – 472 p.
Zimnyaya, I.A. Pedagogical psychology: textbook allowance / I.A. Winter. –2nd ed., additional, corrected. and processed – M.: Logos, 2002. – 384 p.

Menopause is a natural condition in which a transformation of the female body occurs, caused by the extinction of specific (reproductive) female functions preceding menopause. This period of life is always accompanied by a variety of symptoms with to varying degrees expressiveness. Menopausal syndrome(also called menopausal) is a set of symptoms that are often considered as a complication of natural menopause. According to statistics, climacteric syndrome during menopausal changes in the body occurs in 40-60% of women.

Symptoms of menopausal neurosis associated with physical and mental disorders. This condition is a reversible mental disorder caused by hormonal changes and changes in the functioning of the hypothalamus.

The physical manifestations of menopausal neurosis include:

hot flashes - sudden attacks of intense heat, which are accompanied by redness of the face and neck, severe sweating;
blood pressure disorders, discomfort in the heart area, tachycardia;
attacks of shortness of breath;
vestibular disorders - dizziness, noises in the head;
gastrointestinal disorders;
constant unreasonable fatigue;
numbness of the limbs, tingling in different parts of the body.

Menopausal neurosis with vegetative-vascular disorders symptoms are similar to vegetative-vascular dystonia, a favorite among doctors. The difference is that menopausal neurosis affects the activity of female reproductive hormones, and with vegetative-vascular dystonia, it affects the activity of the autonomic nervous system. Often, autonomic symptoms of disorders during menopause are provoked by a woman’s mental state.

Menopausal neurosis symptoms mental sphere:

disturbances in the psycho-emotional state - increased irritability, attacks of anger and aggression, and a frequent desire to cry are possible;
sleep disorders - inability to fall asleep, early awakenings, nightmares;
increased anxiety;
social apathy - lack of desire and motivation for activity;
Increased suspiciousness and sensitivity;
negativism, inadequate hot-tempered emotional reaction;
negative assessment or demonstrative indifference to one’s appearance;
asthenic, depressive, hypochondriacal manifestations.

In the patient’s phrases and expressions, there are notes of “hopelessness” and “uselessness” - on a subconscious level, she perceives herself as “unfit” due to the disappearance of her reproductive purpose.

Provoking factors

The course of menopausal neurosis can be aggravated by previous mental disorders women in their youth, as well as an unbridled lifestyle. Diet also plays an important role in the course of menopause. It is necessary to avoid excessive consumption of sugar, flour products, salty and smoked foods, and also control the consumption of caffeine-containing drinks. Factors that influence how severe menopause will be:

genetic predisposition;
physical activity;
the character and temperament of a woman;
traumatic situations in the past;
stressful background in the present and past tense;
weakness of the immune system;
a sufficient amount of vitamins and other useful elements in food;
overstrain of the body, improper distribution of work and rest.

An important point is how the woman herself perceives menopause. An adequate understanding of menopause as a natural aging process is the key to ensuring that menopause passes without significant complications. The perception of menopause as a tragedy affects the appearance of negative mental and physical symptoms.

Treatment of menopausal neurosis

IN modern medicine climacteric neurosis, especially in the early stages, is considered completely curable. Ignoring contact with a doctor can lead to serious personality disorders and somatic pathologies.

Symptoms and treatment of menopause neurosis should be examined by a neurologist, gynecologist and endocrinologist. In some cases, work with a psychotherapist is required.

Drug correction includes taking hormonal and sedative medications, as well as massages, psychotherapeutic consultations, adjusting diet and sleep patterns, and physical therapy.

Climacteric neurosis is characterized by a vegetative nervous disorder. The main reason is hormonal changes. But a similar condition can occur against the background pathological change, directly from the central nervous system. Therefore, it is important to understand why neurosis occurs during menopause and how treatment is carried out.

Every woman should understand that neurosis is conventionally divided into several types psychological disorders.

Vegetative system. With this type, it is noted that a woman has problems concentrating, and her memory gradually worsens.
Hysterical type of neurosis. In this case, stress resistance decreases, so it is very difficult for a woman to cope with even minor stress. Signs: moodiness, tendency to constant hysterics. Some women with a hysterical type of neurosis experience increased sensitivity.
Hypochondriacal appearance. Doctors consider this type of neurosis to be the saddest. Women begin to look for symptoms on their own and make diagnoses for themselves, sometimes resorting to radical methods of treatment.

In medical practice it is noted that depressed look neurosis. It is characterized by frequent mood swings, decreased performance, and apathy.

Stages of development

Mental disorders during menostasis develop gradually; there is a certain mechanism.

Mechanism of development of the climacteric state:

At the first stage, there is a periodic disturbance directly from the vegetative-vascular system. Severe irritability appears during menopause due to pronounced psycho-emotional changes.
At the second stage, the symptoms of menopausal neurosis become more pronounced.
At the third stage, a chronic form is noted. It is worth paying special attention to the fact that it is at this stage that a pronounced personality disorder occurs.

Causes

If you look closely at the statistics, you will notice that almost 60% of women suffer from severe menopausal neurosis.

Previously, from a medical point of view, doctors argued that the main cause was hidden due to changes in the function of the hypothalamus, in other words, a lack of hormones in the body. But, at present, scientists have concluded that this is not the only cause of menopausal neurosis; now doctors also take into account age-related changes in the hypothalamus.

So, the main reason is a change in hormonal levels, which in turn affects the psychological state. Let's consider additional provoking factors.

Heredity.
Experienced stressful situations, including negative moments of the present.
Characteristics of a woman's personality.
Neglecting the rules of healthy sleep and work schedule.

In addition, lack of nutritional components, disturbed sleep and chronic fatigue play an important role.

It is important to understand that nervousness, irritation and other signs of menopausal neurosis can occur either against the background of one of the reasons described above, or in combination.

Signs

Symptoms during menopause can range from mild to pronounced.

General symptoms:

During menopause, a woman experiences chronic fatigue;
increased excitability is noted;
a woman has a hard time falling asleep;
signs develop;
there are constant changes in blood pressure;
less often, heart failure is observed in menopausal neurosis;
In the middle of the cycle, sudden mood swings are observed.

If the neurosis is pronounced, then tinnitus appears. In some categories of women, in addition to the symptoms described above, there is also a negative perception of their appearance. Apathy occurs less frequently (emotional passivity and hopelessness dominate).

Treatment: main features

Treatment is not just about taking medications. Every woman with such a problem must follow and general recommendations doctor

Features of the treatment of menopausal neurosis:

Needs to be adjusted. Include vegetable, fermented milk and other various products containing calcium.
Exclude from the diet: alcoholic and energy drinks, spices, strong tea or coffee. Please note that alcohol can cause hot flashes.
Maintain a sleep and rest schedule. Patients with menopausal neurosis need to get a good night's sleep not only at the time of treatment, otherwise positive result will not be.
Walk more in the fresh air.

Psychotherapy

This condition should only be treated comprehensively. You should not expect improvement from taking medications alone.

After all, menopausal neurosis is a serious psychological problem, so it is necessary to strictly follow the recommendations described above and, if necessary, seek help from a psychologist.

Psychotherapy will help solve problems, thereby quickly stabilizing the woman’s general condition even without taking antipsychotics with wide range actions.

Drug treatment

Treatment tactics depend on the severity clinical signs. In addition, before prescribing the drug, the doctor must take into account the patient’s age and medical history.

The age period is almost always accompanied by unpleasant symptoms. Therefore, in addition to the main treatment, it is necessary to additionally restore and maintain hormonal levels.

For, synthetic or homeopathic hormones are prescribed. As a rule, drugs are prescribed for this condition if a woman experiences panic attacks.

Low-dose drugs are used as treatment: estrogen, progesterone and androgen.

Dosage: hot temper during menopause, take 1 tablet per day. Klimonorm: a combined antimenopausal drug that contains gestagen and estrogen. Active components means that help normalize the psychological and emotional state of a woman, thereby reducing the symptoms of neurosis. The drug has wide list contraindications, therefore it is dispensed from the pharmacy only with a prescription from a doctor.

If a woman exhibits pronounced signs, then Divigel is prescribed, which has a feminizing effect. The initial dosage is 1.0 g of gel, use once a day. If necessary, doctors prescribe the drug in cycles with a dosage of 1.5 g per day.

Often, with menopausal neurosis, a woman is prescribed the drug Melaxen, an adaptogenic agent (improves the functions of the hypothalamus and eliminates signs of neurosis). Dosage: take ½ tablet orally in the evening. It is best to take the medicine half an hour before bedtime.

Sedatives

During menopause, sedatives are also prescribed medicines. The drug Grandaxin has proven itself well, the main component is tofisopam. It has a pronounced anxiolytic effect on the body. Prescribed in a dosage of 50-100 mg 2-3 times a day.

Ovestin is based on estriol (a natural analogue female hormone). The dosage is selected individually. Do not take the drug if: venous thrombosis, thrombophilia, serious illnesses nervous system, as well as hypersensitivity to the additional composition of the drug.

Antidepressants

If panic attacks have a psychological basis, then in this case it is necessary to take antidepressants.

Natural antidepressants: Valerian, Motherwort, Oregano.

Homeopathic antidepressants: Inoclim, Remens.

Important! Do not take the listed drugs on your own; there is a wide list of contraindications, and there is also a risk of developing a severe adverse reaction.

Herbal treatment

Traditional methods of treatment can be used not only to normalize the menstrual cycle, but also to eliminate menopausal neurosis.

Recipe No. 1

Tincture based on prickly hawthorn. To prepare, you will need 1 tablespoon of chopped berries, pour 0.5 cups of alcohol. It is best to use 40%. Infuse for 14 days. Before use, strain, drink 20-30 drops 2-3 times a day.

Recipe No. 2

Tincture based on medicinal valerian. In a container, mix 1 tablespoon of dry ingredient and 250 ml of boiling water. Leave for 24 hours. Take 50-60 grams per day. The course of treatment lasts for a month.

Recipe No. 3

Collection based on medicinal herbs. You will need yarrow; to achieve a better result, add elderberry flowers and centaury grass. Take all the herbs in equal proportions, 10 grams each, pour boiling water (250 ml), leave for 30 minutes. Before use, strain through cheesecloth or a clean cloth. Take the finished product 30-40 ml 2 times a day.

Prevention of nervousness

Gynecological diseases in women must be adequately treated. But, in addition to this, it is worth observing simple rules prevention.

The body is no longer young, so by all means you need to be patient and behave calmly in a stressful situation.

Sticking to proper nutrition and getting enough sleep will help avoid many health problems.

Remember, if pronounced signs of menopausal neurosis occur, you must immediately begin treatment. But you can’t take the drugs yourself. Each drug has its own contraindications and side effects, so treatment is prescribed only by a doctor, based on the severity of the condition and the patient’s general medical history.

Content

Often, the course of menopause is complicated by menopausal neurosis, which manifests itself as VSD and panic attacks. Symptoms of this condition significantly worsen a woman’s quality of life and require timely treatment with sedatives and antidepressants. Lack of treatment, which includes taking antidepressants and sedatives, can cause complications.

Menopausal neurosis and the causes of its occurrence

At birth, the female body contains about 2-3 million eggs. A small proportion of eggs are lost during ovulation. In the first phase, hormones ensure the growth of several follicles, which also synthesize the necessary hormones. By the middle of the cycle, the highest quality follicle with a viable egg remains. The remaining follicles are discarded. During ovulation, the follicle membrane ruptures, releasing an egg capable of fertilization. The egg is viable for two days. In place of the follicle, a cystic corpus luteum is formed, producing progesterone. On the eve of menstruation, in the absence of conception, the corpus luteum regresses.

Before the onset of menopause, about 10,000 follicles remain. After the cessation of menstruation, single follicles are observed, which soon also disappear. The ovaries decrease in size.

During menopause, there is a decrease in estrogen synthesis until it completely stops. The female body reacts negatively to estrogen deficiency, since these sex hormones:

regulate the activity of the cardiovascular, nervous and endocrine systems, musculoskeletal system, and gastrointestinal tract;
ensure the supply of calcium and phosphorus to the bones;
strengthen nails and hair;
affect the processes of thermoregulation and metabolism;
affect vascular tone and skin elasticity;
are responsible for the female body type.

When menopause occurs, a woman’s body first adapts to a lack of hormones, and then to their complete absence. Each woman experiences menopause differently and has her own set of symptoms.

Gynecologists note that menopause is a long process necessary for the body to fully adapt to the decline of hormonal function. The slower the synthesis of hormones stops, the fewer consequences and complications arise.

There are several phases of menopause, unequal in duration.

Perimenopause starts at approximately 45 years of age. It is possible that menopause may occur earlier or later, which can be either normal or pathological. At this stage, there is a decrease in estrogen synthesis, which primarily affects the menstrual cycle. Discharge during menstruation becomes abundant or scanty, and the cycle itself may lengthen or shorten. In the presence of spontaneous ovulation, pregnancy may occur. The main symptoms during the premenopausal period are hot flashes, pressure surges, heart pain, tachycardia, headaches, and VSD.
Menopause occurs 4-5 years after the onset of premenopause. Menopause includes the date of the last menstrual period, after which there should be no bleeding for a year. Urogenital disorders come to the fore, which include processes of mucosal atrophy and changes in the quality of cervical mucus.
Postmenopause is the longest period, which lasts until 65-69 years. During postmenopause, various metabolic disorders are possible. The risk of atherosclerosis, stroke, heart attack and Alzheimer's disease increases significantly.

The age at which menopause occurs depends on the following factors:

heredity;
working and environmental conditions;
accompanying illnesses;
bad habits.

Menopause occurs earlier in women living in mountainous areas. Women who smoke have an early onset of menopause. To some extent, this factor reduces the risk of developing uterine cancer.

The onset of menopause can be:

physiological;
early;
late.

Early and late onset of menopause does not always indicate pathology. In 3-5% of women, menopause develops earlier due to genetic predisposition. Women who smoke experience menopause three years earlier. In women with a history of fibroids, menopause occurs later due to the influence of an estrogen-producing tumor. In addition, usually in this category, menopausal syndrome usually does not develop.

Late menopause deserves close attention from both doctors and the woman herself. Often, late menopause disguises hormone-producing malignant tumors, the risk of which increases with age. In particular, breast and endometrial cancer occupy leading positions in terms of prevalence.

Early menopause develops when the ovaries are removed or as a result of damage to the follicular apparatus. The synthesis of hormones abruptly stops, causing the appearance of menopausal neurosis. Usually in such cases, hormone replacement therapy and sedatives are recommended.

Often, menopausal neurosis develops in women whose bodies cannot adapt to hormonal decline. Typically, menopausal neurosis is observed in women with a history of various somatic pathologies.

Menopausal neurosis is a serious complication that requires diagnosis and treatment. If left untreated, dangerous consequences develop, for example, a change in a woman’s personality.

Symptoms of menopause affect a woman’s psychological state, especially if panic attacks are observed. However, they are a kind of amplifier of symptoms in menopausal neurosis, but not its cause.

The development of symptoms of menopausal neurosis may be associated with the following factors:

genetic predisposition;
individual personality characteristics;
prolonged stress;
weakened immunity;
prolonged mental and physical stress;
wrong lifestyle;
deficiency of vitamins and minerals;
sleep-related disorders.

It is known that menopausal neurosis can be caused by one or several factors. Only a doctor can determine the cause and prescribe sedatives after examination.

Developmental stages and symptoms

Menopausal neurosis is characterized by the presence of the following symptoms:

chronic fatigue and irritability;
increased sweating;
sleep disorders;
hypertension;
pressure surges;
heart pain and tachycardia;
mood lability;
noise in ears;
emotional instability;
apathy;
critical attitude towards one's appearance;
dizziness;
loss of appetite.

Menopause and neurosis are not always interconnected. Some women do not develop neurosis during menopause.

Menopausal neurosis includes several types of mental disorders:

asthenic: memory loss, fatigue, decreased performance;
depressive: prolonged bad mood, depression;
hypochondriacal: excessive worry about one’s health, attributing symptoms of various diseases to oneself;
hysterical: instability to stress, touchiness, tearfulness, capriciousness.

Symptoms of menopausal neurosis must be treated promptly. It is known that treatment of symptoms of menopausal neurosis, for example, VSD and panic attacks, is the prevention of many complications.

Menopausal neurosis occurs in three stages.

Precursors of neurosis appear. The woman observes the first irregular symptoms. This is why women usually ignore symptoms, attributing them to fatigue.
The severity of symptoms increases. As a rule, at this stage women visit a doctor. In the absence of treatment, the transition of menopausal neurosis to the next stage occurs.
Serious changes are observed that affect the structure of the personality. The selected treatment is not effective.

Panic attacks

In 15% of cases during menopause, symptoms of panic attacks are detected. Women experience an uncontrollable feeling of fear, which significantly reduces their quality of life.

Fear is a natural feeling associated with the instinct of self-preservation. However, with menopausal neurosis, fear arises unreasonably and without cause.

In addition to fear and anxiety, women with panic attacks experience the following symptoms:

cardiopalmus;
difficulties associated with the act of breathing;
pressure surges;
fainting;
dizziness and headache;
rapid pulse;
nausea;
chills;
numbness of hands and feet;
tides.

For climacteric neurosis panic attacks occur against the background of malfunctions of the autonomic nervous system and vasospasm.

Panic attacks are similar to heart attacks. The duration of a panic attack varies from several minutes to several hours.

Mental manifestations of panic attacks include:

feeling of danger;
fear of death and madness;
lump in the throat;
distortion of reality;
clouding of mind;
lack of control over one's own actions.

With menopausal neurosis, unusual symptoms of panic attacks sometimes appear:

loss of voice;
gait disturbance;
speech problems;
deterioration of hearing and vision.

Panic attacks often develop with the following pathologies:

migraine;
diseases of the cardiovascular system;
diseases of the adrenal glands and thyroid gland;
allergy;
smoking and excessive alcohol consumption.

Treatment of panic attacks includes taking sedatives, antidepressants, tranquilizers, hormonal drugs, massage, breathing exercises, and psychotherapy. Treatment for panic attacks takes a long time and is not always effective.

During a panic attack, experts recommend performing breathing exercises. The woman takes in air for three seconds, holds her breath, and exhales. The technique includes 15 repetitions. Some women find it helpful to think about something pleasant to distract them from negative thoughts and abstract themselves from feelings of fear. If serious symptoms occur, you should call an ambulance.

Prevention of panic attacks includes:

adequate sleep, which should be at least 8 hours;
rejection of bad habits;
lack of stress;
compliance with the work and rest regime;
breathing exercises and light physical exercises;
proper balanced nutrition;
drinking regime.

Panic attacks need to be treated by a specialist. Self-medication can cause panic attacks to progress.

VSD

Symptoms of menopausal neurosis are often associated with VSD. This pathology has the following reasons for its appearance:

the effect of estrogen deficiency on the functioning of the central nervous system and brain;
circulatory disorders and changes in vascular tone;
cholesterol deposits on the walls of blood vessels;
metabolic disorders;
obesity;
poor nutrition;
physical inactivity;
stressful state;
smoking.

VSD in menopausal neurosis is manifested by the following symptoms:

weakness and fatigue;
asthenic syndrome;
pressure changes and rapid pulse;
panic attacks;
violation of thermoregulation;
severe headaches;
mood lability;
bitterness in the mouth;
heart pain;
nausea and vomiting;
frequent urination;
increased nervousness.

With menopausal neurosis, four forms of VSD can develop.

Cardiological. The following symptoms occur: heart pain, palpitations, pressure surges.
Hypertensive. Symptoms associated with increased blood pressure increase: hot flashes, sweating, palpitations, headache, panic attacks.
Hypotonic. The pressure drops, asthenic syndrome, dizziness and fatigue occur. Symptoms include: nausea and vomiting, mood lability, panic attacks, bitterness when lying.
Mixed. The symptoms are varied and do not belong to any of the above forms.

In case of VSD, it is important to carry out a differential diagnosis with pathologies of the cardiovascular system. Treatment includes normalization of sleep, work and rest schedules, nutritional correction, physical activity, taking vitamins, hormonal and homeopathic remedies, sedatives, antidepressants and traditional medicine methods.

Treatment

The prescribed treatment depends on the severity of menopausal neurosis. In the early stages, doctors advise paying attention to the following components.

Full sleep. It is important to go to bed on time. The duration of night sleep should be at least eight hours. It is also necessary to observe a work and rest schedule. While working, you should take breaks periodically.
Balanced diet. During menopause, nutrition plays an important role. The diet helps prevent many pathologies, in particular, menopausal neurosis and panic attacks. Fatty, spicy and salty foods, strong tea, coffee and alcohol are excluded.
Walking in the fresh air and physical activity. Staying in the fresh air and exercising have a beneficial effect on psychological well-being and health.

Treatment for menopausal neurosis is selected individually. Often, for panic attacks and VSD, sedatives and antidepressants are prescribed.

Hormonal drugs

In some cases, it is advisable to prescribe drugs that affect hormonal levels. Hormonal drugs are:

synthetic;
homeopathic.

Hormone replacement therapy is used to treat menopausal neurosis, in particular panic attacks. HRT involves the use of estrogen, progesterone and androgens. As part of combination treatment, low-dose drugs are most effective. In the initial stages, hormonal treatment is used in courses, while in advanced forms it is used continuously.

Hormonal treatment may increase the risk of heart attack and stroke. In addition, the treatment has a lot of side effects. In some cases, hormonal treatment is contraindicated:

tumors;
kidney and liver pathologies;
endometriosis;
hypertension;
diabetes;
thrombosis.

Hormonal drugs are used in the form of:

tablets and capsules;
suppositories;
ointments, gels and creams;
plasters.

Estrogen-progesterone drugs include:

Klimonorm;
Divina;
Trisequence.

Preparations containing estrogen:

Divigel;
Estrofem;
Szigetin;
Cliogest;
Divitren.

Medications that include melatonin:

Melaxen;
Epithalamin;
Circadin.

Drugs with a sedative effect:

Grandaxin;
Ovestin.

Estrovel;
Feminal;
Klimadinon;
Inoclim;
Remens;
Klimaktoplan.

Psychotherapy

Psychotherapy sessions can be either individual or group. As a rule, psychotherapy is long-term, especially for panic attacks.

Use of antidepressants

Experts highlight the main advantages of antidepressants.

Complex impact. Antidepressants relieve unpleasant symptoms by acting on nerve receptors. Anti-anxiety medications or antidepressants are used to prevent cardiovascular diseases.
Normalization of thermoregulation processes. As a result, the symptoms of hot flashes and sweating can be eliminated. Antidepressants have a sedative, antispasmodic, and analgesic effect.
Various dosage forms. Antidepressants can be used in the form of tablets, dragees, drops, syrups and tinctures.

Natural antidepressants include the following sedatives.

Valerian. The sedative is effective in the initial stages. Valerian stabilizes blood pressure, eliminates anxiety, insomnia, and reduces pain.
Motherwort. The sedative normalizes sleep, eliminates cramps, irritability and increased excitability.
Oregano. A natural antidepressant relieves hot flashes and copes with various nervous disorders. It is most often used in the form of an herbal tea.

Sedatives are often used in the form of herbal remedies and teas.

Medicinal sedatives are represented by the following drugs.

Grandaxin. The sedative has a minimum of contraindications and side effects. Grandaxin eliminates asthenic disorders.
Novo-Passit. This is a tranquilizer that is available in the form of tablets and medicine. Due to its estrogen-like effect, the sedative stabilizes sleep, blood pressure and thermoregulation processes. In addition, the product eliminates pain, anxiety and irritability.
Persen. It is a natural antidepressant that includes valerian, motherwort and mint. It has a calming effect, eliminates the symptoms of hot flashes, sleep disorders, and neuroses.

Homeopathic sedatives:

Remens;
Inoclim;
Climaton.

Anticonvulsants

Drugs of this drug group relax muscles and improve blood flow. Anticonvulsants reduce the frequency of hot flashes, which are accompanied by redness and heat. The following side effects may occur during treatment: dizziness, insomnia, allergies.

Antihypertensives and antispasmodics

For persistent hypertension Continuous treatment with antihypertensive drugs is necessary.

Menopausal neurosis is a complication that occurs in 45-60% of women during menopause. Occurs by various reasons, has severe symptoms. Treated with medications and psychotherapy sessions.

Causes and symptoms of neurosis during menopause

Initially, experts considered the cause of this condition to be a lack of hormones. Today its occurrence is associated with problems with the hypothalamus and hormonal levels in women.

Changes in psychological state are promoted external factors. Neurosis can develop due to:

character traits;
constant lack of sleep;
hereditary predisposition;
weak immune defense;
stressful situations;
chronic fatigue;
overstrain of the body.

With climacteric neurosis, symptoms appear on different levels(physical, vegetative). They are expressed in:

constipation, flatulence;
heart pain;
increased fatigue;
itching of the genitals;
hot flashes;
pain accompanying urination;
tachycardia;
the appearance of tinnitus;
increased bone fragility;
paresthesia;
excessive sweating;
problems with the cardiovascular system;
dizziness.

Among the signs:

headache;
problems falling asleep;
unstable mood;
irritability;
touchiness;
negative, overly attentive, indifferent attitude towards one’s appearance;
tearfulness;
decreased appetite.

Neurosis is dangerous due to complications: depression, self-isolation, apathy, panic, mania. Such signs of the disease are the result internal state a woman who has lost childbearing function. Patients often develop suicidal tendencies.

Of the severe complications that can lead to hormonal disbalance, development:

cancer of the genital organs, mammary glands;
mastopathy;
osteoporosis.

Among the symptoms of neurosis is the appearance of wrinkles. At the same time, posture and body may change, and weight may increase/decrease. The condition is complex when a woman suffers from both VSD and menopausal neurosis. Signs that appear in this case:

pressure surges;
appearance bad taste in the mouth;
frequent urination;
Strong headache;
fear accompanied by hysteria, panic;
pain in the heart area.

Treatment of menopausal neurosis

The process takes into account the neglect of the condition. At an early stage, strong medications are not required. Experts recommend:

Stick to the right diet. It is necessary to exclude alcoholic drinks, give up tea and coffee. Prohibited - frequent use spices, foods with a lot of cholesterol. The diet uses vegetables, dairy and plant products, and fruits.
Get proper rest and sleep. Short breaks during the day are necessary.
Go outside regularly to breathe fresh air. Spa treatment is useful.
Do physical therapy and massage. This helps to maintain a good state of mind and maintain physical performance of the body.

Psychotherapy

Neurosis often develops against the background psychological trauma, problems, because his treatment is impossible without the help of a psychologist. It is important to communicate regularly with a specialist and to be honest in conversations with him. There are often cases when stabilization of the condition occurs after psychotherapy sessions, without the use of sedatives or antipsychotics.

Drug treatment

The selection of medications for menopause is carried out by a doctor individually. Preference is initially given to weakly acting antidepressants, drugs that are less harmful to the body. Among them are sedative sedatives, with the help of which:

pulse stabilizes;
blood pressure improves;
sleep is normalized;
the strength and frequency of hot flashes decreases.

To restore hormonal levels, hormone-based therapy is prescribed. The drugs used in this case are:

synthetic;
homeopathic.

Prevention of mental disorders during menostasis

Menopause is a period of a woman's life. It occurs in older people, when it is more difficult for the body to cope with problems. The appearance of disorders at this time depends on the woman’s attitude towards herself. For minor ailments or changes, you should contact a specialist. This helps to detect diseases in a timely manner and treat them without delay.

Prevention of psychological disorders associated with menostasis involves healthy way life, proper nutrition. You need to have a positive attitude towards life.

Features of neurosis

Symptoms of pathology

How the disease develops

Treatment of neuroses during menopause

What adjustments should be made to the way of life?

Key points of a proper daily routine

Bottom line

Signs of menopausal neurosis

Stages of development of neurosis during menopause

Where does the treatment of the disease begin?

Restoring hormonal levels to combat neurosis

The role of psychotherapy in the treatment of illness

Prevention of mental disorders during menostasis

Menopausal neurosis and the causes of its occurrence

Developmental stages and symptoms

Panic attacks

VSD

Treatment

Hormonal drugs

Psychotherapy

Use of antidepressants

Anticonvulsants

Antihypertensives and antispasmodics

Provoking factors

Treatment of menopausal neurosis

Stages of development

Causes

Signs

Treatment: main features

Psychotherapy

Drug treatment

Herbal treatment

Prevention of nervousness

Menopausal neurosis and the causes of its occurrence

Developmental stages and symptoms

Panic attacks

VSD

Treatment

Hormonal drugs

Psychotherapy

Use of antidepressants

Anticonvulsants

Antihypertensives and antispasmodics

Causes and symptoms of neurosis during menopause

Treatment of menopausal neurosis

Psychotherapy

Drug treatment

Prevention of mental disorders during menostasis

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