Menopause Depression
Introduction
Introduction Menopausal depression is most common in women. According to reports that women enter menopause, about 46% of people suffer from this disease, which is obviously higher than other age groups can not adapt to new changes in living environment, such as moving to leave the old place of long-term residence, to a new environment unfamiliar; with children, new families Live or die alone to live alone and so on. Therefore, a correct understanding of the triggering factors of this disease is necessary to prevent the occurrence and development of this disease. Clinical symptoms are the main manifestations: loss of appetite, upper abdominal discomfort, dry mouth, constipation, diarrhea, palpitations, blood pressure changes, pulse increase or slowness, chest tightness, numbness of the limbs, chills, fever, loss of libido, menstrual changes and sleep disorders Endocrine examination function abnormalities such as dizziness and fatigue.
Cause
Cause
Causes:
(1) After women enter menopause, the ovaries begin to shrink, and the estrogen secretion decreases sharply after menopause. Symptoms of menopausal syndrome such as irritability, irritability, hot flashes, etc., sometimes occur in public, making patients anxious and unhappy; If you can't adjust your mindset in time, treat it correctly, and repeat it will be prone to depression.
(2) Postmenopausal women have caused great inconvenience to the world of the two because of the exhaustion of estrogen in the body, resulting in loss of sexual desire or even sexlessness. If the husband does not understand his wife, the original intimate relationship between the two sides will be cracked, which will inevitably increase the psychological burden of the wife, and will lead to depression in the long run.
(3) Menopausal women are more likely to be near retirement or being laid off, causing multiple concerns among patients. Some are leaders in the unit, and they are the backbone of the business. After retirement, they feel that there is nothing to do, which leads to loneliness and depression. The laid-off workers have greater psychological pressure. After the layoff, the economic income seems to be difficult to protect, and the social status will have As a result, these factors have plagued them all the time, causing them to gradually develop depression from a sense of crisis.
(4) Some women can't take the initiative to participate in social activities after entering the menopause, and they don't want to develop a good life and enjoy the fun of life. Instead, they are closed and self-conscious, sullen and unhappy, and they ask for pain. Over time, they will have mental depression.
Examine
an examination
Related inspection
Sex hormones six tests for ovarian function tests
1, the main symptoms are: loss of appetite, upper abdominal discomfort, dry mouth, constipation, diarrhea, palpitations, blood pressure changes, pulse increase or slow, chest tightness, numbness of the limbs, chills, fever, loss of libido, menstrual changes and Sleep disorders, dizziness, fatigue, etc.
2, endocrine examination function is abnormal, the patient's plasma and cerebrospinal fluid cortisol and other often show abnormalities.
3, brain electrophysiological changes: sleep EEG shows that the total sleep time of patients with depression, sleep latency increased, the number of awakening increased, depression is not a persistent depression, easy to identify.
Diagnosis
Differential diagnosis
Differential diagnosis of menopausal depression:
1. Neurosis depression: Depressive neurosis, also known as neuropathic depression, is caused by psychosocial factors and is often related to the patient's personality deviation; it is a neurotic disorder characterized by persistent low mood; Often accompanied by anxiety, physical discomfort and sleep disorders. The patient has treatment requirements, but there is no obvious motor inhibition or hallucinations, delusions, and life work is not seriously affected.
2, affective disorder, depressive episodes: also known as endogenous depression, no obvious psychosocial factors and onset, the condition is heavier, often mental retardation; depressive symptoms can be accompanied by psychotic symptoms, such as delusions, hallucinations Self-blame and self-blame; there are still biological changes, such as depression, often with heavy rhythm changes, early onset of insomnia, significant weight loss due to non-physical factors; history of serious suicide attempts or attempted suicide Family history, past bipolar episodes, or three episodes of unipolar depressive episodes, are easily differentiated from depressive neurosis.
3, neurasthenia: sometimes there are symptoms of depression, but the clinical manifestations of neurasthenia are mainly characterized by excitement and fatigue. Depressive symptoms are not the first symptoms, but secondary symptoms, few interest reduction, suicidal concept, self-evaluation Inferiority, depression is not a persistent depression and is easily identifiable.
4, schizophrenia: often have special thinking disorders and common symptoms such as hallucinations and delusions, although accompanied by depressive symptoms, it is not difficult to distinguish with depressive neurological symptoms.
5, anxiety disorders: often accompanied by depressive symptoms, identification difficulties, some people even called anxiety and depression syndrome. But it is important to first distinguish who is the primary symptom. Anxiety disorders are mainly characterized by anxiety. If you have an acute anxiety attack, or refer to the test results of the anxiety and depression scale, it is easier to identify with depressive neurosis.
