Short-term complaints due to lack of estrogen
The very first symptom to appear is hot flashes, which starts on the face and spreads to
the neck and chest. When the venom in the air conditioned place to feel cold, but suddenly felt
hot and hot. Such symptoms are experienced by 70% of women. Such hot flashes are often
accompanied by sweating and sleep disturbances. Not infrequently fast women also emotional,
tired and irritable. Other symptoms are depressive, headache, lack of energy, forgetfulness,
difficulty concentrating, decreased sexual desire, weight gain and muscle pain and joint pain (3).
Menopausal women gained weight and fat usually accumulate in the abdomen. The accumulation
of fat in the abdomen is exposed to the risk of coronary heart disease. Removal of the uterus
present with complaints of psychosexual and psychological disorders, and pelvic pain,
depressive and sexual disorders (5).
Of the many complaints the short term, the most sexual disorders, many patients seek
help from a doctor. Women do not have the passion anymore, and even if the passion is still
there, but due to vaginal dryness caused tremendous pain, so that women avoid sexual
intercourse. Some evidence suggests that the decline in sexual function during the menopause
transition, but whether this decline is due to menopause, aging, or other factors such as the
availability of pairs, psychological function (5,6,7)
Estrogen makes vagina wet and slippery. In addition, women complain of frequent
urinary tract infections. Itching of the vagina and vulva and can not hold urine (incontinence).
Coughing, sneezing or lifting heavy objects will be accompanied by the release of urine, so it is
very disturbing and can not observe prayer. Skin wrinkles, dry, itchy, brittle nails and yellow. Dry
eyes and difficulty of using contact lenses. Thinning hair, loss, hair growing around the lips, nose
and ears. High cholesterol, HDL and LDL down ride. (2,3)
Long-term complaints due to estrogen deficiency
Long-term health problem that is feared is osteoporosis, coronary heart disease, stroke,
dementia, Alzheimer's disease and colon cancer. This disorder usually appears after a few years
after menopause. Osteoporosis likened termites eat wood, the wood becomes brittle and easily
broken. The same thing occurs in female bone, bones break easily. Fell slightly broken bones. In
the age of 70 years to the nearly 40% of women had fractures (8). The cost of a country for
osteoporosis is very expensive. In the USA, for example, costs 10 billion dollars per year to care
for osteoporotic fractures. Another long-term health problems is very important is coronary heart
disease (CHD). Before menopause women very rarely in contact with CHD, but upon entering
the age of menopause incidence rose sharply (2.9).
In industrialized countries cause of death in women over the age of 50 years is due to
CHD. In the USA CHD deaths 10 times higher than deaths from breast cancer (10). Although
cardiovascular disease is a major cause of morbidity adan mortality among women in the United
States, the initial strategy to address or early prevention is very important. The American Heart
Association's 2007 update of cardiovascular prevention should be done during a routine medical
examination visit the risks associated with gynecological conditions patients (11,12).
Colon cancer, stroke and dementia are also found to be high in women whose estrogen
levels low (13). Currently Indonesia ranks number three patients with colon cancer. Dementia is
most common in older women (14). Symptoms include forgetfulness, confusion, difficulty
remembering things, one select a destination, such as for example, want to pee in the shower but
it goes into the kitchen, ask him something many times. Disorientation of time, for example at
10pm go shopping outlets. As a result of estrogen deficiency to brain cells are easily damaged
and difficult to generations back and any treatment that will be given is no longer useful (2)