The main treatment for menopausal symptoms is hormone replacement therapy , although other treatments are also available for some of the symptoms. First patient must be checked for smear test, mammograpy, transvaginal ultrasound. After all the test results are good we can start HRT.
Estrogen and progesterone treatment must be done bioidentical. They are not to be sentetic. These bioidentical medications must be taken cream or gel form. Because hormon medication can be cause trombosis if they are taken orally.
For vaginal dryness estriol cream can be used .
Patients hormon levels must be tested Dutch test. If not at least by the blood they have to checked.
Patients must get regular physical activity, don’t smoke, eat balanced diet, practice relaxation techniques, and get enough sleep.
They have to focus on mitocondrial health. Vit D , B12, selenium, magnesium , ferritin ,calsium levels must be enough.
For sleep disturbance melatonin can be used every day.
