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Fit at 50, strong at 60

menopause. Fit at 50, strong at 60. Indian. Menopause society. Need. Elderly…. Valuable Resource…. A. Indian. Menopause society. Need. *. Global population of age 60 yrs. Currently - 580 million 2020 - One billion 75% - Elderly

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Fit at 50, strong at 60

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  1. menopause Fit at 50, strong at 60 Indian Menopause society

  2. Need... Elderly… Valuable Resource… A Indian Menopause society

  3. Need... * • Global population of age 60 yrs. • Currently - 580 million • 2020 - One billion • 75% - Elderly • 50% - Postmenopausal women • % Increase in elderly population by 2050 compared with 1999 in India is – 242% Indian Menopause society

  4. Why Menopause is so Significant ? Ageof Menopause and Life Expectancy The life span of a women has increased from 23 years in the Roman era to 65 years in India and 80 years in the west. 1/3 of women’s life is spent after Menopause. 80 60 Age (Year) 40 20 0 1850 1900 1950 2000 Date Indian Menopause society US Dept of Health and Human Services; 1999;47(28).

  5. Transitions in women's life • Menarche • Pregnancy • menopause Indian Menopause society

  6. Hormones… Chemical Substances • Estrogen • Progesterone • Testosterone Do you know who is In charge of the Changes in life? ‘HORMONES’ Indian Menopause society

  7. Menopause what happens? • Ovaries stop producing eggs • Declining levels of hormones Indian Menopause society

  8. Effect Of Menopause Menopausal Symptoms • Risk of • Fracture • Heart Disease Estrogen & Progesterone level Indian Menopause society

  9. Effect of Menopause Varies Response of Women • Relief from periods • Avoids late motherhood • Status in society • Loss of feminity • Heralds old age • Disrupts the routine life • Empty nest syndrome • Effect depends on the individual diet, social, economical and cultural factors. Indian Menopause society

  10. Menopause – How do you know it? • Effects every woman • Cessation of Menopause for the past twelve months • Average Age - 44 –51 • Natural, surgical, premature Indian Menopause society

  11. Menopause Phases Indian Menopause society

  12. Need To See The Doctor • Asymptomatic – Preventative strategies for prevention of disease and disability • Symptomatic relief Autumn of Life ? Spring of Life ? You can take control today Indian Menopause society

  13. Preventive Strategies • General Health examination • Gyanec Check - Breast examination - Pap’s Smear - Mammogram Indian Menopause society

  14. Short term problems • Menstrual irregularities • Hot flushes • Palpitation • Muscle And Joint Pain • Low Backache • Vaginal Dryness • Urinary Leak • Urinary Frequency • Fatigue • Mood Swings • Depression • Sleeping Problems • Memory Lapse • Decreased Libido • Weight Gain • Dryness Of Skin • Hair Loss Indian Menopause society

  15. Long term Problems Of Menopause • Osteoporosis • Heart Disease • Alzeihermen’s Disease Of Ageing • Arthritis • Diabetes • Hypertension • Problems of Hearing, vision Indian Menopause society

  16. A young women is a gift of nature, An old woman is a work of art Indian Menopause society

  17. Aims Of Menopause Management` Holistic Approach to increase the quality of life. Indian Menopause society

  18. What can you do about Hot flushes During an attack - Try to relax - Cool down the body temperature with moist wipes, switch on the fan Indian Menopause society

  19. What can you do about Hot flushes To reduce an attack - Avoid spicy food, coffee, tea, alcohol - Eat lentils Soya products, - Wear loose cotton clothes - Avoid hot water bath just before sleeping - Medical treatment options Indian Menopause society

  20. Psychological symptoms • Positive attitude • Healthy diet. Never skip meals. • Exercise regularly. • Deep breathing* • Pray, Meditation • Focus on hobbies, mental activities. • Medical treatment not required Indian Menopause society

  21. Urogenital Symptoms` • Kegel’s exercises • Vaginal lubricants • Sexual activity • Estrogen therapy Indian Menopause society

  22. Normal bone Micro-fracture Osteoporotic bone Osteoporosis –Your bones worst enemy Indian Menopause society

  23. Osteoporosis 1 in 2 Indian women above the age of 45 suffer from osteoporosis. Indian Menopause society health.indiatimes.com/articleshow

  24. FRACTURE CAN TURN YOUR LIFE INTO ONE OF DISABILITY Broken wrists interfere with daily life Indian Menopause society

  25. GETTING SHORTER MAY BE JUST THE BEGINNING • Bone becomes weak which leads to multiple breaks in the spine • With gradual accumulation of these breaks people get shorter • Could lead to a curved back known as “Dowager’s Hump” Indian Menopause society

  26. A FRACTURE CAN TURN YOUR LIFE INTO ONE OF DISABILITY Broken hips cause permanent disability One in four people who suffer a hip fracture due to osteoporosis will die within one year Indian Menopause society

  27. Prevention • Begins at childhood* • Stay Active • Weight bearing exercises • Resistance exercise • Calcium rich diet • Avoid caffeine,protein rich,salty food, alcohol, smoking • 15-30 minutes of sunshine a day Indian Menopause society

  28. Diagnosis ` • Asymptomatic -may not know till fracture occurs • Risk Assessment Female Menopause Premature Menopause Hereditary Hard work • Dexa ultrasound Low intake calcium low impact fracture Indian Menopause society

  29. Treatment Therapy` Hormonal Add on Non Hormonal • Calcium • Vit D • Analog • Alfacalcidol • Estrogen • Tibolone • SERMS • Raloxifine • Bisphosphonate • Alendronate • Risedronate • Others Indian Menopause society

  30. Heart Disease* Indian Menopause society

  31. Chest pressure, squeezing, or pain Pain in the jaw, neck, arms, shoulders, or back Nausea, sweating orfeeling faint Shortnessof breath SIGNS & SYMPTOMS OF Heart Disease Indian Menopause society

  32. Diabetes UNDERSTANDING THE RISK FACTORS FOR HEART DISEASE` Indian Menopause society

  33. General Management Indian Menopause society

  34. Living with menopause* Menopause society

  35. Dietary Tips* • Salt restricted diet • Cut down on sugar • Reduce caffeine, alcohol • Eat more fruits & vegetables • Include lean protein in diet • Choose heart healthy fats • Increase fibre & whole grain content of meals • Calcium rich diet Indian Menopause society

  36. Sources of calcium Daily calcium need 1500mg Source Calcium per serving (mg) Low fat milk 297 mg/cup Low fat curd 300mg/cup Dark Green Vegetables 200mg/cup Orange 52mg/one Wheat bread 32mg/one Increase in paneer 176mg/cup Indian Menopause society

  37. Exercises* • Aerobic • Anaerobic - Resistance training exercises - Weight bearing Exercises - Flexibility/ Stretching Exercises Indian Menopause society

  38. Calories Burned During Exercise` Average Calories Expended in 1 Hour Indian Menopause society

  39. Hormone Therapy* – Estrogen and Progesterone • Replaces the deficiency in the form and mode acceptable to the body. • Estrogen are given for women who have had a hysterectomy. • Estrogen and progesterone are given for women with an intact Uterus. Indian Menopause society

  40. Hormone Therapy` • Available as tablets, gel, patch, vaginal cream • Should be taken under the care of the Doctor • HT is not a contraceptive pill • HT is not a fountain of youth Indian Menopause society

  41. Benefit of Hormone Therapy` • Relief of Symptoms • Prevents Osteoporosis • Reduces risk of fracture • Reduce urinary tract infection and vaginal dryness • Increases the quality of life • No calories in Estrogen & increase in weight by 1/2kg for every intake of 3000cals Indian Menopause society

  42. The other Side of Hormone Therapy` • Breast Tenderness • Irregular Bleeding • Long term use- certain uncertainties Indian Menopause society

  43. “Growing Old is Natural But Feeling Old is Not.” Indian Menopause society

  44. Created by Dr. Meeta General secretary, IMS Dr. Asha kapadia Past- President, IMS With special gratitude to IMS- Executive council President : Dr. Behram Anklesaria Vice President : Dr.Duru Shah General Secretary : Dr Meeta Treasurer : Dr. Priti Galvankar Founder President : Dr.Rama Vaidya Past presidents : Dr.Urvashi Jha Dr. Asha Kapadia President Elect : Dr. Sonia Malik Indian Menopause society

  45. Thank you Indian Menopause society

  46. Governing council members Dr. Nirmala Agrawal Dr. P.D. Khandelwal Dr. Jayanti Reddy Dr. Saroj Shrivastaava Dr. Shona Nag Dr. Rajesh Soneji Dr. Ratnabali Chakraborty Dr. Nirja Chawla Dr. Nila Mohile Dr. Sudha Sharma Dr. Jayshree Gajaraj Dr. Anita Shah Dr. Ambrish Mithal Dr. Jayesh sheth Dr. Sharad Kumar Dr. Chouhan Indian Menopause society

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