Menopause (रजोनिवृत्ति), also known as the climacteric, is the time in most women’s lives when menstrual periods stop permanently, and they are no longer able to bear children. Menopause typically occurs between 49 and 52 years of age. It may also be defined by a decrease in hormone production by the ovaries. Siddha Spirituality of Swami Hardas Life System appeals to our valuable readers to know in-depth about menopause, meaning, definition, symptoms, causes, mechanism, diagnosis, management, menopause in men, and learn free Siddha energy remedies for well-being.
Menopause Meaning (रजोनिवृत्ति का अर्थ)
The time in a woman’s life when she gradually stops having periods i.e. blood flow from her uterus each month.
Menopause Definition (रजोनिवृत्ति की परिभाषा)
Menopause is the end of a woman’s menstrual cycles. The term can describe any of the changes gone through just before or after the stopping period, marking the end of reproductive years.
Menopause Symptoms (रजोनिवृत्ति के लक्षण)
During the early menopause transition, the menstrual cycles remain regular but the interval between cycles begins to lengthen. Hormone levels begin to fluctuate. Ovulation may not occur with each cycle. The term menopause refers to a point in time that follows one year after the last menstruation. During the menopausal transition and after menopause, women can experience a wide range of symptoms:
Vagina and uterus (योनि और गर्भाशय)
During the transition to menopause, menstrual patterns can show shorter cycling (by 2–7 days); longer cycles remain possible. There may be irregular bleeding i.e. lighter, heavier, or spotting. Dysfunctional uterine bleeding is often experienced by women approaching menopause due to the hormonal changes that accompany the menopause transition. Spotting or bleeding may simply be related to vaginal atrophy, a benign sore, or maybe a functional endometrial response.
In post-menopausal women, however, any genital bleeding is an alarming symptom that requires an appropriate study to rule out the possibility of malignant diseases.
Symptoms that may appear during menopause and continue through post-menopause include:
- Painful intercourse
- Vaginal dryness
- Atrophic vaginitis – thinning of the membranes of the vulva, the vagina, the cervix, and the outer urinary tract, along with considerable shrinking and loss in elasticity of all of the outer and inner genital areas.
Other physical symptoms (अन्य शारीरिक लक्षण)
Some physical symptoms of menopause include:
- Lack of energy
- Joint soreness
- Back pain
- Breast enlargement
- Breast pain
- Heart palpitations
- Dry skin
- Itchy skin
- Tingling skin
- Weight gain
- Urinary incontinence
- Urinary urgency
- Interrupted sleeping patterns
- Heavy night sweats
- Hot flashes
Mood and memory effects (मनोदशा और स्मृति प्रभाव)
Psychological symptoms include:
- Poor memory
- Inability to concentrate
- Depressive mood
- Mood swings
- Less interest in sexual activity
Menopause-related cognitive impairment can be confused with the mild cognitive impairment that precedes dementia. Forgetfulness affects about half of menopausal women, and is probably caused by the effects of declining estrogen levels on the brain, or perhaps by reduced blood flow to the brain during hot flashes.
Long-term effects (दीर्घकालिक प्रभाव)
- A possible but contentious increased risk of atherosclerosis
- The risk of acute myocardial infarction and other cardiovascular diseases rises sharply after menopause, but the risk can be reduced by managing risk factors, such as tobacco smoking, hypertension, increased blood lipids and body weight
- Increased risk of osteopenia, osteoporosis, and accelerated lung function decline
Women who experience menopause before 45 years of age have an increased risk of heart disease, death, and impaired lung function.
Menopause Causes (रजोनिवृत्ति के कारण)
Menopause can be induced or occur naturally. Induced menopause occurs as a result of medical treatment such as chemotherapy, radiotherapy, oophorectomy, or complications of tubal ligation, hysterectomy, unilateral or bilateral salpingo-oophorectomy or leuprorelin usage.
Menopause Age (रजोनिवृत्ति आयु)
Menopause typically occurs between 49 and 52 years of age. Half of the women have their last period between the ages of 47 and 55, while 80% have their last period between 44 and 58. The average age of the last period in:
- The United States is 51 years
- The United Kingdom is 52 years
- Ireland is 50 years
- Australia is 51 years
- In India and the Philippines, the median age is considerably earlier, at 44 years
The menopausal transition or perimenopause leading up to menopause usually lasts 7 years (sometimes as long as 14 years).
In rare cases, a woman’s ovaries stop working at a very early age, ranging anywhere from the age of puberty to age 40. This is known as a premature ovarian failure and affects 1 to 2% of women by age 40.
Untreated coeliac disease (अनुपचारित सीलिएक रोग)
Undiagnosed and untreated coeliac disease is a risk factor for early menopause. Coeliac disease can present with several non-gastrointestinal symptoms, in the absence of gastrointestinal symptoms, and most cases escape timely recognition and go undiagnosed, leading to a risk of long-term complications. A strict gluten-free diet reduces the risk. Women with early diagnosis and treatment of coeliac disease present a normal duration of fertile life span.
Smoking or being extremely thin (धूम्रपान या बेहद पतला होना)
Women who have undergone hysterectomy with ovary conservation go through menopause on average 3.7 years earlier than the expected age. Other factors that can promote an earlier onset of menopause (usually 1 to 3 years early) are smoking cigarettes or being extremely thin.
Premature ovarian failure (समय से पहले डिम्बग्रंथि विफलता)
Premature ovarian failure (POF) is when the ovaries stop functioning before the age of 40 years. It is diagnosed or confirmed by high blood levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) on at least three occasions at least four weeks apart.
Known causes of premature ovarian failure include:
- Autoimmune disorders
- Thyroid disease
- Diabetes mellitus
- Being a carrier of the fragile X syndrome gene
However, in about 50–80% of spontaneous cases of premature ovarian failure, the cause is unknown, i.e. it is generally idiopathic.
Women who have a functional disorder affecting the reproductive system e.g. endometriosis, polycystic ovary syndrome, cancer of the reproductive organs, can go into menopause at a younger age than the normal timeframe. The functional disorders often significantly speed up the menopausal process.
Surgical menopause (सर्जिकल रजोनिवृत्ति)
Menopause can be surgically induced by bilateral oophorectomy i.e. removal of ovaries, which is often, but not always, done in conjunction with removal of the Fallopian tubes and uterus. Cessation of menses as a result of removal of the ovaries is called “surgical menopause”. Surgical treatments, such as the removal of ovaries, might cause periods to stop altogether. The sudden and complete drop in hormone levels usually produces extreme withdrawal symptoms such as hot flashes, etc. The symptoms of early menopause may be more severe.
Menopause Mechanism (रजोनिवृत्ति तंत्र)
The menopausal transition, and postmenopause itself, is a natural change, not usually a disease state or a disorder. The main cause of this transition is the natural depletion and aging of the finite amount of oocytes i.e. ovarian reserve.
This process is sometimes accelerated by other conditions and is known to occur earlier after a wide range of gynecologic procedures such as a hysterectomy (with and without ovariectomy), endometrial ablation and uterine artery embolization. The depletion of the ovarian reserve causes an increase in circulating follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels because there are fewer oocytes and follicles responding to these hormones and producing estrogen.
In younger women, during a normal menstrual cycle, the ovaries produce estradiol, testosterone, and progesterone in a cyclical pattern under the control of FSH and luteinizing hormone (LH), which are both produced by the pituitary gland.
Menopause occurs because of the sharp decrease of estradiol and progesterone production by the ovaries. After menopause, estrogen continues to be produced mostly by aromatase in fat tissues and is produced in small amounts in many other tissues such as ovaries, bone, blood vessels, and the brain where it acts locally.
Hot flashes and other vasomotor symptoms accompany the menopausal transition. While many sources continue to claim that hot flashes during the menopausal transition are caused by low estrogen levels, this assertion was shown incorrectly in 1935 and, in most cases, hot flashes are observed despite elevated estrogen levels.
Long-term effects of menopause may include osteoporosis, vaginal atrophy as well as changed metabolic profile resulting in cardiac risks.
Ovarian aging (डिम्बग्रंथि की उम्र बढ़ना)
Hastened ovarian aging has been observed after endometrial ablation. While it is difficult to prove that these surgeries are causative, it has been hypothesized that the endometrium may be producing endocrine factors contributing to the endocrine feedback and regulation of the ovarian stimulation.
Impaired DNA repair mechanisms may contribute to earlier depletion of the ovarian reserve during aging. As women age, double-strand breaks accumulate in the DNA of their primordial follicles.
Menopause Diagnosis (रजोनिवृत्ति निदान)
Ways of assessing the impact on women of some of these menopause effects include the Greene climacteric scale questionnaire, the Cervantes scale, and the Menopause rating scale.
Premenopause (पूर्व रजोनिवृत्ति)
It is a term used to mean the years leading up to the last period, when the levels of reproductive hormones are becoming more variable and lower, and the effects of hormone withdrawal are present. Premenopause starts sometime before the monthly cycles become noticeably irregular in timing.
The term “perimenopause”, which literally means “around the menopause”, refers to the menopause transition years before the date of the final episode of flow. According to the North American Menopause Society, this transition can last for four to eight years.
During perimenopause, estrogen levels average about 20–30% higher than during premenopause, often with wide fluctuations. These fluctuations cause many of the physical changes during perimenopause as well as menopause, especially during the last 1–2 years of perimenopause i.e. before menopause. Some of these changes are:
- Hot flashes
- Night sweats
- Difficulty sleeping
- Mood swings
- Vaginal dryness or atrophy
- Heart disease
The menopause transition typically begins between 40 and 50 years of age (average 47.5). The duration of perimenopause may be for up to eight years.
In some women, menopause may bring about a sense of loss related to the end of fertility. In addition, this change often occurs when other stressors may be present in a woman’s life:
- Caring for, and/or the death of, elderly parents
- Empty nest syndrome when children leave home
- The birth of grandchildren, which places people of “middle age” into a new category of “older people”
Postmenopause (रजोनिवृत्ति के बाद)
The term “postmenopausal” describes women who have not experienced any menstrual flow for a minimum of 12 months, assuming that they have a uterus and are not pregnant or lactating. In women without a uterus, menopause or postmenopause can be identified by a blood test showing a very high FSH level. Thus postmenopause is the time in a woman’s life that takes place after her last period or, more accurately, after the point when her ovaries become inactive.
A period-like flow during postmenopause, even spotting, maybe a sign of endometrial cancer.
Menopause Management (रजोनिवृत्ति प्रबंधन)
Perimenopause is a natural stage of life. It is not a disease or a disorder. Therefore, it does not automatically require any kind of medical treatment. However, in those cases where the physical, mental, and emotional effects of perimenopause are strong enough that they significantly disrupt the life of the woman experiencing them, palliative medical therapy may sometimes be appropriate.
Hormone replacement therapy (हार्मोन रिप्लेसमेंट थेरेपी)
In the context of menopause, hormone replacement therapy (HRT) is the use of estrogen in women without a uterus and estrogen plus progestin in women who have an intact uterus.
Hormone replacement therapy (HRT) may be unsuitable for some women, including those at increased risk of cardiovascular disease, increased risk of thromboembolic diseases such as those with obesity or a history of venous thrombosis or increased risk of some types of cancer. There is some concern that this treatment increases the risk of breast cancer.
Adding testosterone to hormone therapy has a positive effect on sexual function in postmenopausal women, although it may be accompanied by hair growth, acne, and a reduction in high-density lipoprotein (HDL) cholesterol. These side effects diverge depending on the doses and methods of using testosterone.
Selective estrogen receptor modulators (चयनात्मक एस्ट्रोजन रिसेप्टर न्यूनाधिक)
SERMs are a category of drugs, either synthetically produced or derived from a botanical source. They act selectively as agonists or antagonists on the estrogen receptors throughout the body. The most commonly prescribed SERMs are raloxifene and tamoxifen.
Other medications (अन्य दवाएं)
Some of the SSRIs and SNRIs appear to provide some relief from vasomotor symptoms. Low dose paroxetine is the only non-hormonal medication that was FDA-approved to treat moderate-to-severe vasomotor symptoms associated with menopause as of 2016. They may, however, be associated with appetite and sleeping problems, constipation and nausea.
Cognitive-behavioral therapy (CBT) [संज्ञानात्मक व्यवहारवादी रोगोपचार]
One review found mindfulness and cognitive behavioral therapy decreases the amount women are affected by hot flushes. Another review found not enough evidence to make a conclusion.
Exercise has been thought to reduce postmenopausal symptoms through the increase of endorphin levels, which decrease as estrogen production decreases. Additionally, high BMI is a risk factor for vasomotor symptoms in particular.
However, there is insufficient evidence to support the benefits of weight loss for symptom management. There are mixed perspectives on the benefits of physical exercise. While one review found that there was a lack of quality evidence supporting a benefit of exercise, another review recommended regular healthy exercise to reduce comorbidities, improve mood and anxiety symptoms, enhance cognition, and decrease the risk of fractures.
Yoga may help with postmenopausal symptoms similar to other exercises.
Alternative medicine (वैकल्पिक दवाई)
There is no evidence of the consistent benefit of alternative therapies for menopausal symptoms despite their popularity.
The effect of soy isoflavones on menopausal symptoms is promising for the reduction of hot flashes and vaginal dryness. Evidence does not support a benefit from phytoestrogens such as coumestrol, femarelle, or the non-phytoestrogen black cohosh.
Hypnosis may reduce the severity of hot flashes. In addition, relaxation training with at-home relaxation audiotapes such as deep breathing paced respiration, and guided imagery may have positive effects on relaxing muscles and reducing stress.
There is no evidence to support the efficacy of acupuncture as management for menopausal symptoms. A 2016 Cochrane review found not enough evidence to show a difference between Chinese herbal medicine and placebo for the vasomotor symptoms.
Other efforts (अन्य प्रयास)
Moisturizers and lubricants (मॉइस्चराइज़र और स्नेहक)
Lack of lubrication is a common problem during and after perimenopause. Vaginal moisturizers can help women with overall dryness, and lubricants can help with lubrication difficulties that may be present during intercourse. It is worth pointing out that moisturizers and lubricants are different products for different issues: some women complain that their genitalia are uncomfortably dry all the time, and they may do better with moisturizers. Those who need only lubricants do well using them only during intercourse.
Vaginal thinning and dryness (योनि का पतलापन और सूखापन)
Low-dose prescription vaginal estrogen products such as estrogen creams are generally a safe way to use estrogen topically, to help vaginal thinning and dryness problems while only minimally increasing the levels of estrogen in the bloodstream.
Hot flashes (गर्म चमक)
In terms of managing hot flashes, lifestyle measures such as drinking cold liquids, staying in cool rooms, using fans, removing excess clothing, and avoiding hot flash triggers such as hot drinks, spicy foods, etc., may partially supplement the use of medications for some women.
Individual counseling or support groups can sometimes be helpful to handle sad, depressed, anxious or confused feelings women may be having as they pass through what can be for some a very challenging transition time.
Smoking cessation (धूम्रपान बंद)
Osteoporosis can be minimized by smoking cessation, adequate vitamin D intake, and regular weight-bearing exercise. The bisphosphate drug alendronate may decrease the risk of a fracture, in women that have both bone loss and a previous fracture and less so for those with just osteoporosis.
Menopause in Men (पुरुषों में रजोनिवृत्ति)
The “male menopause” (sometimes called the andropause) is an unhelpful term sometimes used in the media. This label is misleading because it suggests the symptoms are the result of a sudden drop in testosterone in middle age, similar to what occurs in the female menopause. This is not true.
Although testosterone levels fall as men age, the decline is steady at less than 2% a year from around the age of 30 to 40, and this is unlikely to cause any problems in itself. A testosterone deficiency that develops later in life, also known as late-onset hypogonadism, can sometimes be responsible for the symptoms, but in many cases, the symptoms are nothing to do with hormones.
Menopause & Free Siddha energy remedies (रजोनिवृत्ति और नि:शुल्क सिद्ध ऊर्जा उपचार)
1. Siddha preventive measures (सिद्ध निवारक उपाय)
Everybody must practice Siddha preventive measures, whether a person is affected with menopause or not, but preventive measures are the primary steps for switching on to any other Siddha energy remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision making power, intellectuality and removing minor health problems. There are three types of preventive measures:
- Earthing – performed for earthing the negativity of our body
- Field Cleaning – cleans energy field (Aura) of our body
- Siddha Brain Exercise/Energizing – energizes our brain for proper functionality
Everybody’s tendency is to get attracted to the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail the benefits by practicing them sincerely, and regularly. For the ease of understanding what Siddha preventive measures are, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog (सिद्ध शक्तीदाता योग)
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to menopause with free Siddha energy remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or might be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana (सिद्ध कल्याण साधना)
Recite this Sadhana with a Sankalp “My problems of menopause are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice in a day. To know more, please click on this link.
4. A daily routine for menopause (रजोनिवृत्ति के लिए एक दैनिक दिनचर्या)
In general, a daily routine may look like this:
- Increase physical activities e.g. exercise, walking, swimming, and consume Sattvik diet, or Mediterranean diet, etc
- Apply free Siddha energy remedies minimum 3 times a day, as explained above
- Do Ananda Sadhana daily (irrespective of belonging to any religion)
- Perform Swayamsiddha Agnihotra daily, if feasible
- In case, if someone wishes to learn advanced methods of Swami Hardas Life System, undergo unique training
Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Along with all the above activities, apply above explained free Siddha energy remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 3 days.
Training of Swami Hardas Life System (स्वामी हरदास लाइफ सिस्टम का प्रशिक्षण)
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
In view of the above, I am confident that you have learned about menopause, meaning, definition, symptoms, causes, mechanism, diagnosis, and management. You also learned free Siddha energy remedies. Now, you have become self-sufficient, hence its right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
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