Menopause health management project

The core value of the menopausal health management project has never been to "eliminate menopausal symptoms" or "reverse aging", but to help 40-65 year olds smoothly pass this special physiological stage through personalized and multi-dimensional intervention, and to minimize the impact of long-term health risks such as osteoporosis, cardiovascular disease, and emotional disorders. This is the most practical conclusion reached by our team after three years of operation and serving more than 1,200 users.

Maybe many people’s impression of this project is either “IQ tax” or “selling health care products to rich aunts”. To be honest, I thought the same way when I first entered the industry, until I met Sister Zhang who came for consultation last month. She is 48 years old, retired from the bank, and started half a year ago. I started having hot flashes and night sweats. I heard from sisters in the community that soy isoflavones can "replenish the ovaries." I ate it online for more than half a year, but the hot flashes didn't go away. During the physical examination, the breast nodules directly increased from level 2 to level 3. I was so panicked when I took the report that I thought of looking for a professional management agency.

There are actually two mainstream ideas in the industry regarding menopausal intervention. There is no absolute right or wrong, it just depends on whether it is suitable or not. One is the idea of ​​​​evidence-based Western medicine, which strictly controls the indications of hormone replacement therapy (MHT). As long as there are no contraindications such as thrombosis and family history of breast cancer, low-dose supplementation of estrogen and progesterone can be said to have immediate effects on improving hot flashes, insomnia, and urogenital atrophy. However, hormone levels, breast ultrasound, and gynecological ultrasound must be reviewed every 3-6 months, and the dosage must be adjusted at any time. You must not buy it for yourself. The other is the idea of ​​adjusting balance in traditional Chinese medicine. It is believed that menopause is a natural physiological process caused by the exhaustion of Tiangui. There is no need to forcibly interfere with hormone levels in the body. Moxibustion at acupuncture points such as Guanyuan and Sanyinjiao, combined with prescriptions to soothe the liver, regulate qi, and nourish the liver and kidneys, plus mild exercises such as Baduanjin and Tai Chi to smooth the qi and blood, can also improve symptoms without the risk of exogenous hormones. We once had a 62-year-old aunt with abnormal coagulation function, which is an absolute contraindication for MHT. She suffered from dry mouth and night sweats during menopause for almost 10 years. She consulted the director of traditional Chinese medicine that we cooperated with for three months. Now she wakes up only once a night, and most of the dry mouth has been relieved. There is also a 45-year-old high school teacher who was under great pressure as a senior. His insomnia was so severe that he could only sleep 2 hours a day for a week and could not stand upright in class. After the evaluation, there were no contraindications. After taking low-dose MHT for two weeks, he was able to sleep for 6 hours. Now he has been continuously reviewed for a year, and all indicators are normal.

We are now doing health management, and we never prescribe plans for users right away. We first sit down and talk about the baseline situation for an hour and a half. Not only do we look at hard indicators such as six hormones, anti-Mullerian hormone (AMH), bone density, and blood lipids, but we also ask you whether you like to go out. Square dancing, do you often quarrel with your wife, do you want to help take care of your grandson every day, are there any things you wanted to do when you were young that you never did - you may not believe it, but at least 30% of users' symptoms of irritability and hot flashes are not caused by hormone levels at all, but by suppression. Last time, there was a 50-year-old Aunt Li who signed up for a Chinese painting class after she retired. However, her son gave birth to her second child. She took care of her two children at home every day, and she didn’t even have time to go out to buy groceries. After we evaluated the plan for her, she didn’t even prescribe half of the pills. We asked her to attend Chinese painting classes two afternoons a week, leaving the job of picking up her grandson to her husband. After just three weeks, she came to us and told us that the tightness in her chest that had been blocked for a long time was gone, and the number of hot flashes had been reduced by half.

There are all kinds of opinions about menopausal maintenance on the Internet. The most controversial one is whether to buy those health products for "ovarian maintenance" and "delaying menopause". Our attitude is very clear: in addition to the conventionally recommended supplements of vitamin D and calcium (the bone loss rate during menopause is 3-5 times that of usual, supplementing these two can really reduce the risk of osteoporosis), other things are amazing. 90% of its health products are added with unknown doses of exogenous estrogen. Taking them may make the skin slippery and relieve hot flashes in the short term, but long-term consumption will greatly increase the risk of endometrial lesions and breast lesions. Last year, we met three users who randomly consumed such health products and caused abnormal thickening of the endometrium. One of them even had a diagnosis and curettage. There is really no need to take this risk.

The longer I work on this project, the more I feel that people have too deep misunderstandings about menopause. Many people regard this stage as a "sign of aging". They are embarrassed to say that they have symptoms and bear it. They are even asked by family members, "Are you so pretentious about menopause?" In fact, it is just like adolescence and pregnancy and childbirth. It is a normal physiological stage of life, and there is no need to feel ashamed. We now have a free tea party every week. We don’t need to talk about professional knowledge. We just let everyone sit down and complain about the trivial things they have recently quarreled with their wives and what new hobbies they have. The effect is better than individual psychological counseling. Last week, an aunt said that it was not my temper that had become worse. It turned out that everyone had this stage, and she was relieved instantly.

Oh, by the way, if someone around you is in this stage, don’t always talk about “menopause” to get rid of them, give them more cups of warm water, and listen to her rants more patiently, it will be more effective than any expensive health care products. If the symptoms are severe enough to affect your sleep and normal work and life, don't just bear it. Seek a formal medical institution or health management institution for a comprehensive evaluation. The best solution is the one that suits you.