Why do many women find themselves aging quickly after the age of 35?

Ms. Truong Thi My (born in 1985, residing in My Dinh, Hanoi) lamented that she clearly felt that her body had begun to show signs of perimenopause 1 year ago. The menstrual cycle used to be very regular around 28-30 days, now it comes twice a month and then disappears for a few months.

My sister said that she woke up in the middle of the night because she was extremely hot and uncomfortable. Even lying in front of the air conditioner to let the cold air down, she still felt uncomfortable. Compared with the symptoms of dark skin and gray hair, the hot flashes made her more afraid.

Not only My, many women in their 40s are also suffering with perimenopause symptoms. A person who is always tired and exhausted even though she is only U40, Ms. Nguyen Thi Minh – Cau Giay, Hanoi complains of constant sleeplessness, erratic emotions and especially Ms. Minh clearly feels her body changes like wrinkled skin, gray hair and irregular menstrual cycle.

Previously, the cycle lasted only 3 days, now up to 7 days. Minh went to the doctor to check and said that it was due to a pre-menopausal hormone disorder. Minh herself still thinks that she is young, perimenopause is only at the age of 50.

Dr. Dr. Le Thi Anh Dao, Hanoi Obstetrics and Gynecology Hospital.

Minh is also a hard-working person who practices sports and takes care of beauty, but after only 1 year of perimenopause, her body seems to be 5-7 years older.

Dr. BS. Le Thi Anh Dao – Head of Department of Gynecology A5 – Hanoi Obstetrics and Gynecology Hospital, said that perimenopause is the transition window period from youth to menopause. At this stage, the ovaries are less active, reducing the amount of hormone secreted by the ovaries, reducing estrogen.

Leads to many consequences that make women have many changes in appearance such as wrinkled skin, fatter body, uneven fat distribution, more difficulty sleeping, not deep sleep, startled awake, concentration is very affected. enjoy forget forget remember remember.

Autonomic disorders such as hot flashes, menstrual disorders. Premenopausal women have irregular menstrual periods, more or less according to hormonal changes.

Diseases that often pursue premenopausal women such as:

Vaginitis: In premenopausal women, women are prone to vaginitis. The percentage of women with vaginitis increases significantly in this period because estrogen decreases, the tissue cells in the vagina do not convert progesterone into lactic acid that protects the vaginal environment. The pH level in the vaginal environment is higher than normal, the vaginal wall is thinner, the secretion is limited, so it leads to dryness during sex, increasing the risk of infection in the genital organs.

Menstrual disorders: Normally, each menstrual cycle has 1 follicle released, ovarian cells produce progesterone to help balance hormonal activity. From the age of 35, it is found that ovulatory and anovulatory cycles are equal.

After that, ovulation gradually decreases, the amount of progesterone does not exist, only estrogen affects the lining of the uterus, causing the uterine lining to proliferate, the necrotic vascular mucosa peels off and peels off a little each day, causing menorrhagia.

For women over the age of 35 who see menstrual irregularities, they should go to an obstetrics and gynecology facility to be treated for this phenomenon.

In addition, the common diseases of perimenopause are endocrine-related diseases, uterine fibroids. After the age of 30, uterine fibroids are 30% of women, but the older they get, the higher they get, over the age of 40, up to 50% of women have uterine fibroids, even higher.

Dr. Dao said that when there is a lack of progesterone, women also have hyperplasia of the uterine lining. If the disease is not controlled and treated, this is also a premise leading to a history of endometrial cancer. Gynecological cancers such as breast cancer, uterine cancer also increased much more.

Pre-menopausal women also have problems with urination, pelvic organ prolapse, vasomotor disorders, cardiovascular disorders, even estrogen, which reduces the risk of atherosclerotic disease greatly increased. Osteoporosis is also very dangerous in premenopausal women.

Dr. Dao advises women if they see abnormal signs such as menstruation lasting more than 7 days, irregular cycles, hot flashes, etc., they should go to an obstetrician-gynecologist to have a treatment plan to prolong their menstrual period. menstrual period, reducing unpleasant symptoms.

Khanh Chi