了解更年期前期、更年期與更年期後
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提升您對更年期的理解,無論身處旅程的哪個階段,都能獲取正確資訊,掌握更年期的主導權
"更年期迎面重擊我,猶如一列貨運火車般猛烈撞來……我曾以為自己再也無法站起。如今,我正活出夢想,享受著最美好的人生。別放棄,充實自己,勇敢掌握命運 !"
艾莉·佩珀
更年期的不同階段
每位女性的更年期體驗都不同,這一過渡期可能持續幾個月到數年不等。但在每個階段會發生什麼變化呢?探索下方的內容,深入了解更年期的不同階段。
更年期前期
更年期前期指的是您開始出現更年期症狀,但仍有月經(可能不規律)。此階段可能持續 4 年以上。1
在這段過渡到更年期的期間,女性卵巢內成熟卵子的數量減少,導致排卵變得不規律。2 此外,三種女性荷爾蒙的分泌也開始下降:雌激素(oestrogen)、黃體素(progesterone)與睪固酮(testosterone)。2,3 You can explore more about these hormones and how they cause the symptoms of menopause in the next tab.
當您連續 12 個月未來月經時,更年期前期即結束,正式進入更年期。4-6
更年期前期期間雌激素、黃體酮與睪固酮的變化12,13
想了解更多更年期症狀嗎?
探索更年期症狀
- Harlow SD, et al. Executive summary of the Stages of Reproductive Aging Workshop + 10: addressing the unfinished agenda of staging reproductive aging. Menopause. 2012; 19(4): 387-395.
- John Hopkins Medicine. Introduction to menopause [Internet]. Available at: https://www.hopkinsmedicine.org/health/conditions-and-diseases/introduction-to-menopause#:~:text=During%20this%20transition%20time%20before,of%20the%20symptoms%20of%20menopause. Last accessed October 2024.
- Scott A, Newson L. Should we be prescribing testosterone to perimenopausal and menopausal women? A guide to prescribing testosterone for women in primary care. Br J Gen Pract. 2020 Mar 26;70(693):203-204.
- World Health Organization. Menopause [Internet]. Available at: https://www.who.int/news-room/fact-sheets/detail/menopause Last accessed October 2024.
- NICE. Menopause [Internet]. Available at: https://cks.nice.org.uk/topics/menopause/ Last accessed October 2024.
- NHS. Menopause [Internet]. Available at: https://www.nhs.uk/conditions/menopause/ Last accessed October 2024.
- Thiyagarajan DK, Basit H, Jeanmonod R. Physiology, Menstrual Cycle. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan. Available at: https://www.ncbi.nlm.nih.gov/books/NBK500020/
- Medical News Today. Estrogen [Internet]. Available at: https://www.medicalnewstoday.com/articles/277177#sources-and-uses Last accessed October 2024.
- Cable JK, Grider MH. Physiology, Progesterone. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan. Available at: https://www.ncbi.nlm.nih.gov/books/NBK558960/ Last accessed October 2024.
- Healthline. What to Know About Progesterone Therapy for Menopause [Internet] Available at: https://www.healthline.com/health/progesterone-for-menopause Last accessed October 2024.
- NIH. What is menopause? [Internet] Available at: https://www.nia.nih.gov/health/menopause/what-menopause Last accessed October 2024.
- Haufe A, et al. The role of ovarian hormones in the pathophysiology of perimenopausal sleep disturbances: A systematic review. Sleep Med Rev 2022; 66: 101710.
- Davis S, et al. Testosterone in women—the clinical significance. Lancet Diabetes Endocrinol. 2015; 3: 980–992.