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Menopause is a natural physiological process in a woman's life, the basis of which is hormonal restructuring of the body. It occurs when the ovaries stop producing female sex hormones—estrogens and progestins—leading to a decrease in fertility. This typically happens about two years after the final menstrual period. The body gradually begins to decline; the follicular reserve and estrogen levels decrease. Menopause, or climacteric, is an entire period in a woman's life that generally begins after the age of 45. Nature intends for a woman to have hormonal reserves up to a certain point, after which they gradually become depleted. The first sign is a menstrual cycle irregularity, which is called perimenopause and can last for several years. Menopause then follows. This period is accompanied by various symptoms and discomforts that can be corrected if a competent doctor is consulted, preferably a gynecologist-endocrinologist or a menopause specialist gynecologist.
Factors Accelerating the Climacteric
For several reasons, a woman's hormone levels may decline faster. Factors that accelerate menopause include:
Stress. It is accompanied by a massive release of cortisol (an adrenal hormone), which performs various functions to mobilize the body as a whole. When stress occurs, the body doesn't differentiate between what events caused it; if you react emotionally, your hormonal reserves are mobilized. If this stress is chronic, the body produces fewer and fewer sex hormones. This impairs menstrual function, the capacity for conception, and childbearing. If escaping chronic stress independently is impossible, it is necessary to consult specialists.
Sleep and Rest Regimen. A lack of sleep also negatively affects the production of sex hormones. Even upon returning home, many women don't allow themselves time to rest. This critical period, when sex hormones should be replenished (from 10:00 PM), is often missed by women. Yet, it is during sleep that essential hormones are produced, including melatonin, follicle-stimulating hormone (FSH), and luteinizing hormone (LH), which significantly influence the body's overall state and the female reproductive system in particular. Therefore, it is important to go to bed before 10–11 PM. It is also important not to look at a phone or laptop before bed to avoid irritating the cerebral cortex and overloading the mind with unnecessary information.
Work. It should not be physically exhausting or stressful. In this case, one can preserve their sex hormones for as long as possible. However, the paradox is that if a woman is responsible and goal-oriented, even minimal stress is unavoidable. In such a situation, one should return to the first point, regulate the situation, and learn to manage their emotions.
Furthermore, it is necessary to eat balanced meals throughout the day. Nutrients such as protein and fat are involved in the synthesis of sex hormones. Moreover, if you have a sedentary job, you must periodically stand up, walk, and perform simple exercises to improve blood flow in the pelvic area. This will nourish the gonads and ovaries.
Deficiencies in Microelements, Vitamins, and Nutrients. A woman may "lose" them due to stress, an unhealthy lifestyle, or because they are poorly absorbed in the intestine. If the intestine is chronically inflamed and the diet contains an excess of unhealthy food, sweets, and fried items, beneficial substances will be poorly absorbed. Additionally, a woman doesn't receive the necessary microelements if she eats insufficient fish and meat, i.e., protein-rich foods. In cases where rapid replenishment of beneficial element deficiencies is impossible, doctors often prescribe Dietary Supplements (Biologically Active Supplements) or, in more complicated cases, administer intravenous therapy.
Intoxication (smoking, alcohol, polluted air). These block the receptors that should be sensitive to minerals and microelements. In this case, nutrient deficiencies are virtually inevitable.
Types and Stages of Climacteric
Various types of climacteric syndrome are distinguished. Depending on age, climacteric is classified as: premature (30–40 years), early (41–45 years), timely (45–55 years), and late (after 55 years).
The climacteric period consists of the following stages:
Premenopause. Starts 10 years before the cessation of menstruation, i.e., at 35–40 years of age. Levels of progesterone and estrogens decline.
Menopause. It is diagnosed when there has been no menstruation for one year.
Postmenopause. A deficiency of sex hormones is observed; tissues and organs age.
Symptoms of Menopause
The symptoms of menopause manifest when there is a deficiency of sex hormones—estrogens and progestins. The most frequently observed phenomenon is hot flashes—sudden and unpleasant bouts of heat. They can last from a few seconds to several minutes. Approximately 70% of women are affected by them. The function of noradrenaline and dopamine (hormones involved in thermoregulation) is disrupted.
Other symptoms indicating hormonal restructuring in a woman's body include: shortening of the menstrual cycle, unmotivated mood swings, vaginal mucosal dryness, anxiety, insomnia, loss of libido, depression, elevated blood pressure, reduced skin elasticity, and weight gain.
Upon the appearance of these symptoms, it is necessary to visit a gynecologist, who will determine the onset of the climacteric and, if necessary, prescribe treatment.
Diagnosis of Climacteric
A visit to the clinic is necessary if: menopause has occurred too early, sleep disturbances have appeared, discomfort or pain is felt during sex (dyspareunia), episodes of irritation or sentimentality have become frequent, or overall well-being has deteriorated.
Diagnosis typically involves consultation and examination by a gynecologist, hormone tests (FSH, LH, estradiol, testosterone, progesterone, DHEAs, and others), ultrasound of the mammary gland and pelvic organs, and a range of other procedures.
How Climacteric is Treated in a Clinic
At the first "harbingers" of climacteric, one should consult a gynecologist, undergo all necessary tests, and have examinations. If necessary, specialized doctors are consulted: a cardiologist, an endocrinologist, etc. Patients are prescribed Menopausal Hormone Therapy (MHT), which compensates for the deficiency of estrogens and progestogens. Additionally, local-action preparations (suppositories, creams), herbal preparations, vitamins, and microelements are prescribed.
Treatment for climacteric syndrome allows for the normalization of hormonal balance, a reduction in stress and anxiety levels, the restoration of healthy sleep, and a return of vitality. In cases of severe stress and depression, women undergo a course of psychotherapy. Special physical exercises and breathing exercises are immensely beneficial.
Diagnosis and Treatment of Climacteric in Moscow at Expert Clinics
Our doctors also effectively solve the problem of early menopause, restoring women's good health and the possibility of experiencing the joy of motherhood. Patient management generally involves:
Consultation with a Gynecologist-Endocrinologist. They will help identify risk factors that may accelerate the loss of female sex hormones.
Ultrasound of the Pelvic Organs. The examination will determine the structure of the uterus, adnexa, and ovaries. If the follicle reserve has decreased, it suggests the approach of menopause.
Blood Tests, including Hormone Levels. The specific hormones tested are determined by the doctor based on the patient's anamnesis (medical history) and complaints.
Hormone Replacement Therapy (HRT). To alleviate the symptoms of climacteric syndrome, the production of the female hormone estradiol must be regulated. Hormones administered externally as gels, suppositories, or tablets can help with this. They contain the same sex hormones that were produced by the woman during her menstrual cycle. Hormone therapy must be prescribed strictly individually by a physician. It should be noted that Expert Clinics doctors strive to select the minimal dosages of hormonal preparations that will be 100% effective in each specific case and without risks.
Herbal Drug Therapy. This is an alternative method to HRT, which involves the use of preparations containing phytoestrogens, developed from plants rather than chemical substances. They are created for women who have contraindications to the use of synthetic drugs. For instance, they may contain extracts of clover, coniferous trees, and soy.
Thanks to a personalized approach, the experienced doctors at Expert Clinics restore ladies' "second youth," excellent well-being, and a radiant appearance.
Prevention of Early Climacteric
It includes the following measures:
Healthy lifestyle: regular and moderate physical activity, body hardening (adaptation to cold), body weight control.
Rational nutrition.
Intimate hygiene.
Timely treatment of common cold and infectious diseases.
Regular sexual life.
Avoidance of stress.
Methods for Alleviating Menopause Symptoms
Menopause brings not only unpleasant symptoms like hot flashes and increased irritability but also makes a woman more vulnerable to various diseases. For example, due to hormonal restructuring during climacteric, bones become more fragile, leading to the risk of osteoporosis and frequent fractures. Women also face a high risk of developing diabetes mellitus and cardiovascular diseases. Therefore, it is important not only to consult a doctor at the first signs of menopause but also to adjust one's habits. For example:
Regulate the sleep regimen. Women experiencing hot flashes, sweating, and severe fatigue must pay attention to their lifestyle. Most importantly, they need to go to bed on time (10–11 PM). The room should be aired beforehand, and the last meal should be no later than 3 hours before sleep.
Reduce the number of easily digestible carbohydrates in the diet. This primarily refers to baked goods, as well as products containing sugar. The fact is that their absorption worsens with age, and body weight starts to increase. It is also worth avoiding fatty, fried, and smoked dishes. They can intensify manifestations of sweating, hot flashes, and so on.
Engage in physical activity. Even small but regular exercise can reduce sweating and hot flashes. Furthermore, exercises excellently strengthen bones, which become more fragile over time.
A careful and attentive attitude towards oneself and one's health will help women preserve their femininity and self-confidence for many years.
Treatment of Male Climacteric
In men aged 45–60, the hormonal system also undergoes restructuring due to a decrease in testosterone production. This period is called andropause and, unlike in women, proceeds more gradually and smoothly over approximately 10–15 years.
Factors causing male climacteric: mature age, presence of testicular tumors, inflammation (prostatitis, orchitis), circulatory impairment, etc.
One should be concerned in the following cases: weakened sexual function, erectile problems, hot flashes, impaired heart rate, high blood pressure, increased fatigability, fatigue, mood swings, tendency toward depression, impaired memory, enlargement of the mammary glands (gynecomastia), etc.
Treatment includes: androgen hormonal therapy, vitamin intake, physiotherapy, reflexology (acupuncture). Additionally, medications that eliminate erectile dysfunction and intracavernous injections ("potency shots") are administered.
Why Consult Expert Clinics in Moscow?
Professionalism. Expert Clinics doctors have extensive experience managing women with menopause and restoring their hormonal balance. The clinic's staff includes gynecologist-endocrinologists with fundamental knowledge in integrative anti-aging medicine, allowing them to work with each patient as delicately and effectively as possible.
Individualized Treatment Program. Doctors select the optimal methodology for each patient. Hormonal preparations are prescribed taking into account the time of day, in accordance with the body's circadian rhythms.
Proven, evidence-based methods and preparations.
Comprehensive approach to solving aesthetic and medical problems associated with age-related changes. The clinic practices advanced methods of anti-aging and bioregenerative medicine.
Moderate cost of climacteric treatment. The cost of medical services is calculated individually.
To find out details or to schedule an appointment with an Expert Clinics doctor, please fill out the feedback form, and we will call you back.
Factors Accelerating the Climacteric
For several reasons, a woman's hormone levels may decline faster. Factors that accelerate menopause include:
Stress. It is accompanied by a massive release of cortisol (an adrenal hormone), which performs various functions to mobilize the body as a whole. When stress occurs, the body doesn't differentiate between what events caused it; if you react emotionally, your hormonal reserves are mobilized. If this stress is chronic, the body produces fewer and fewer sex hormones. This impairs menstrual function, the capacity for conception, and childbearing. If escaping chronic stress independently is impossible, it is necessary to consult specialists.
Sleep and Rest Regimen. A lack of sleep also negatively affects the production of sex hormones. Even upon returning home, many women don't allow themselves time to rest. This critical period, when sex hormones should be replenished (from 10:00 PM), is often missed by women. Yet, it is during sleep that essential hormones are produced, including melatonin, follicle-stimulating hormone (FSH), and luteinizing hormone (LH), which significantly influence the body's overall state and the female reproductive system in particular. Therefore, it is important to go to bed before 10–11 PM. It is also important not to look at a phone or laptop before bed to avoid irritating the cerebral cortex and overloading the mind with unnecessary information.
Work. It should not be physically exhausting or stressful. In this case, one can preserve their sex hormones for as long as possible. However, the paradox is that if a woman is responsible and goal-oriented, even minimal stress is unavoidable. In such a situation, one should return to the first point, regulate the situation, and learn to manage their emotions.
Furthermore, it is necessary to eat balanced meals throughout the day. Nutrients such as protein and fat are involved in the synthesis of sex hormones. Moreover, if you have a sedentary job, you must periodically stand up, walk, and perform simple exercises to improve blood flow in the pelvic area. This will nourish the gonads and ovaries.
Deficiencies in Microelements, Vitamins, and Nutrients. A woman may "lose" them due to stress, an unhealthy lifestyle, or because they are poorly absorbed in the intestine. If the intestine is chronically inflamed and the diet contains an excess of unhealthy food, sweets, and fried items, beneficial substances will be poorly absorbed. Additionally, a woman doesn't receive the necessary microelements if she eats insufficient fish and meat, i.e., protein-rich foods. In cases where rapid replenishment of beneficial element deficiencies is impossible, doctors often prescribe Dietary Supplements (Biologically Active Supplements) or, in more complicated cases, administer intravenous therapy.
Intoxication (smoking, alcohol, polluted air). These block the receptors that should be sensitive to minerals and microelements. In this case, nutrient deficiencies are virtually inevitable.
Types and Stages of Climacteric
Various types of climacteric syndrome are distinguished. Depending on age, climacteric is classified as: premature (30–40 years), early (41–45 years), timely (45–55 years), and late (after 55 years).
The climacteric period consists of the following stages:
Premenopause. Starts 10 years before the cessation of menstruation, i.e., at 35–40 years of age. Levels of progesterone and estrogens decline.
Menopause. It is diagnosed when there has been no menstruation for one year.
Postmenopause. A deficiency of sex hormones is observed; tissues and organs age.
Symptoms of Menopause
The symptoms of menopause manifest when there is a deficiency of sex hormones—estrogens and progestins. The most frequently observed phenomenon is hot flashes—sudden and unpleasant bouts of heat. They can last from a few seconds to several minutes. Approximately 70% of women are affected by them. The function of noradrenaline and dopamine (hormones involved in thermoregulation) is disrupted.
Other symptoms indicating hormonal restructuring in a woman's body include: shortening of the menstrual cycle, unmotivated mood swings, vaginal mucosal dryness, anxiety, insomnia, loss of libido, depression, elevated blood pressure, reduced skin elasticity, and weight gain.
Upon the appearance of these symptoms, it is necessary to visit a gynecologist, who will determine the onset of the climacteric and, if necessary, prescribe treatment.
Diagnosis of Climacteric
A visit to the clinic is necessary if: menopause has occurred too early, sleep disturbances have appeared, discomfort or pain is felt during sex (dyspareunia), episodes of irritation or sentimentality have become frequent, or overall well-being has deteriorated.
Diagnosis typically involves consultation and examination by a gynecologist, hormone tests (FSH, LH, estradiol, testosterone, progesterone, DHEAs, and others), ultrasound of the mammary gland and pelvic organs, and a range of other procedures.
How Climacteric is Treated in a Clinic
At the first "harbingers" of climacteric, one should consult a gynecologist, undergo all necessary tests, and have examinations. If necessary, specialized doctors are consulted: a cardiologist, an endocrinologist, etc. Patients are prescribed Menopausal Hormone Therapy (MHT), which compensates for the deficiency of estrogens and progestogens. Additionally, local-action preparations (suppositories, creams), herbal preparations, vitamins, and microelements are prescribed.
Treatment for climacteric syndrome allows for the normalization of hormonal balance, a reduction in stress and anxiety levels, the restoration of healthy sleep, and a return of vitality. In cases of severe stress and depression, women undergo a course of psychotherapy. Special physical exercises and breathing exercises are immensely beneficial.
Diagnosis and Treatment of Climacteric in Moscow at Expert Clinics
Our doctors also effectively solve the problem of early menopause, restoring women's good health and the possibility of experiencing the joy of motherhood. Patient management generally involves:
Consultation with a Gynecologist-Endocrinologist. They will help identify risk factors that may accelerate the loss of female sex hormones.
Ultrasound of the Pelvic Organs. The examination will determine the structure of the uterus, adnexa, and ovaries. If the follicle reserve has decreased, it suggests the approach of menopause.
Blood Tests, including Hormone Levels. The specific hormones tested are determined by the doctor based on the patient's anamnesis (medical history) and complaints.
Hormone Replacement Therapy (HRT). To alleviate the symptoms of climacteric syndrome, the production of the female hormone estradiol must be regulated. Hormones administered externally as gels, suppositories, or tablets can help with this. They contain the same sex hormones that were produced by the woman during her menstrual cycle. Hormone therapy must be prescribed strictly individually by a physician. It should be noted that Expert Clinics doctors strive to select the minimal dosages of hormonal preparations that will be 100% effective in each specific case and without risks.
Herbal Drug Therapy. This is an alternative method to HRT, which involves the use of preparations containing phytoestrogens, developed from plants rather than chemical substances. They are created for women who have contraindications to the use of synthetic drugs. For instance, they may contain extracts of clover, coniferous trees, and soy.
Thanks to a personalized approach, the experienced doctors at Expert Clinics restore ladies' "second youth," excellent well-being, and a radiant appearance.
Prevention of Early Climacteric
It includes the following measures:
Healthy lifestyle: regular and moderate physical activity, body hardening (adaptation to cold), body weight control.
Rational nutrition.
Intimate hygiene.
Timely treatment of common cold and infectious diseases.
Regular sexual life.
Avoidance of stress.
Methods for Alleviating Menopause Symptoms
Menopause brings not only unpleasant symptoms like hot flashes and increased irritability but also makes a woman more vulnerable to various diseases. For example, due to hormonal restructuring during climacteric, bones become more fragile, leading to the risk of osteoporosis and frequent fractures. Women also face a high risk of developing diabetes mellitus and cardiovascular diseases. Therefore, it is important not only to consult a doctor at the first signs of menopause but also to adjust one's habits. For example:
Regulate the sleep regimen. Women experiencing hot flashes, sweating, and severe fatigue must pay attention to their lifestyle. Most importantly, they need to go to bed on time (10–11 PM). The room should be aired beforehand, and the last meal should be no later than 3 hours before sleep.
Reduce the number of easily digestible carbohydrates in the diet. This primarily refers to baked goods, as well as products containing sugar. The fact is that their absorption worsens with age, and body weight starts to increase. It is also worth avoiding fatty, fried, and smoked dishes. They can intensify manifestations of sweating, hot flashes, and so on.
Engage in physical activity. Even small but regular exercise can reduce sweating and hot flashes. Furthermore, exercises excellently strengthen bones, which become more fragile over time.
A careful and attentive attitude towards oneself and one's health will help women preserve their femininity and self-confidence for many years.
Treatment of Male Climacteric
In men aged 45–60, the hormonal system also undergoes restructuring due to a decrease in testosterone production. This period is called andropause and, unlike in women, proceeds more gradually and smoothly over approximately 10–15 years.
Factors causing male climacteric: mature age, presence of testicular tumors, inflammation (prostatitis, orchitis), circulatory impairment, etc.
One should be concerned in the following cases: weakened sexual function, erectile problems, hot flashes, impaired heart rate, high blood pressure, increased fatigability, fatigue, mood swings, tendency toward depression, impaired memory, enlargement of the mammary glands (gynecomastia), etc.
Treatment includes: androgen hormonal therapy, vitamin intake, physiotherapy, reflexology (acupuncture). Additionally, medications that eliminate erectile dysfunction and intracavernous injections ("potency shots") are administered.
Why Consult Expert Clinics in Moscow?
Professionalism. Expert Clinics doctors have extensive experience managing women with menopause and restoring their hormonal balance. The clinic's staff includes gynecologist-endocrinologists with fundamental knowledge in integrative anti-aging medicine, allowing them to work with each patient as delicately and effectively as possible.
Individualized Treatment Program. Doctors select the optimal methodology for each patient. Hormonal preparations are prescribed taking into account the time of day, in accordance with the body's circadian rhythms.
Proven, evidence-based methods and preparations.
Comprehensive approach to solving aesthetic and medical problems associated with age-related changes. The clinic practices advanced methods of anti-aging and bioregenerative medicine.
Moderate cost of climacteric treatment. The cost of medical services is calculated individually.
To find out details or to schedule an appointment with an Expert Clinics doctor, please fill out the feedback form, and we will call you back.
+7 (495) 154-21-44 
admin@expertclinics.ru 
Moscow, Starovolynskaya st., 12 bld. 1