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以往日本的妇科著作都将更年期障碍定义为“更年期引起的不定愁诉综合征”,并分自主神经失调症、心因性神经症及自主神经性和心因性并存的心身症三型。但作者提出反对意见。根据如下。1.该定义易将发生于更年期的非更年期障碍的各种症状如头痛、肩凝、原发性高血压等都误为更年期障碍而忽略原发疾病的检查和治疗。因卵巢机能减退、激素分泌降低、并从外部投用雌激素,症状可于一周内消失的才是真正的更年期障碍。用雌激素1～2周不能治愈的偶发症状不能算更年期障碍。另外大体上每月都有月经,基础体温为双相性,虽有头痛、肩凝、失眠等,但不要误为更年期障碍。2.心因性症状以及抑郁症并不限于更年期,可发生于妇女各个生理时期。从治疗上讲,更年期障碍用雌激素能马上改善,但用雌激素立即改
In the past, gynecology works in Japan defined menopausal disorders as “menopause induced depression syndrome” and classified psychosomatic disorders with autonomic disorders, psychogenic neurosis, and autonomic and psychogenic factors. However, the author raised objections. According to the following. 1. This definition is easy to occur in menopause non-menopausal symptoms such as headache, shoulder coagulation, essential hypertension and so mistaken for menopausal disorders and neglect of primary disease examination and treatment. Due to ovarian dysfunction, decreased hormone secretion, and external administration of estrogen, symptoms disappear within a week is the real menopause. Occasional symptoms that can not be cured with estrogen for 1 to 2 weeks can not be considered as menopausal disorders. In addition there are generally monthly menstruation, basal body temperature biphasic, although headache, shoulder coagulation, insomnia, etc., but do not mistaken for menopausal disorders. 2. Psychogenic symptoms and depression are not limited to menopause, can occur in women’s various physiological periods. From a therapeutic point of view, menopausal disorders with estrogen can be immediately improved, but with estrogen immediately changed