Apne GP ya family doctor se baat

Perimenopause ki appointment aik aam appointment hai, aap ke apne doctor ke saath, jis mein aane ki wajah menopause ki alamaat hain. Bartania mein yeh GP hota hai. Pakistan aur Khaleeji mulkon mein yeh family doctor, kisi clinic ka doctor ya gynae doctor ho sakta hai, wohi gynae doctor jis ke paas bohat si auratein mahwari ke liye pehle se jati hain. Pakistan Menopause Society ne apni 2026 ki sifarishaat gynae doctoron aur aam doctoron donon ke liye likhi hain, is liye donon mein se kisi se bhi shuru karna theek hai.

Perimenopause (mahwari band hone ke aas paas ka waqt) par baat shuru karne ke liye specialist ki zaroorat nahin. NICE ki hidayat NG23 kuch khaas haalaat mein kisi aise maahir ke paas bhejne ka kehti hain jise menopause ka zyada tajurba ho: jab yeh saaf na ho ke kaun sa raasta behtar hai, ya koi aisi wajah ho ke HRT aap ke liye theek na ho (1.5.26). Menopause specialist se milna isi qadam ke baare mein hai.

Doctor se kya dekhne ko kaha gaya hai

Pakistan Menopause Society achhe muayine ki kaafi tafseel deti hai (section 2.2). Pehle khule sawal, phir aik check list: hot flush aur paseene, mahwari, neend, mood aur yaaddasht, jor aur patthe, aur andaam nihani, peshaab aur jinsi sehat ki alamaat. Doctoron se kaha gaya hai ke roz ki zindagi par asar dekhein, jis mein namaz, kaam, miyan biwi ka taalluq aur rishte bhi shamil hain, aur mil kar faisla kar ke aik plan tay karein.

NICE ki hidayat NG23 kehti hain ke aap ko jo maloomat di jayen un mein yeh ho: menopause kya hai, is se aam taur par juri alamaat kaun si hain, aur kaun si tabdeeliyan aur ilaaj aap ki sehat ke liye madadgar ho sakte hain (1.2.1).

Kya test zaroori hai

45 se zyada umar ki zyada tar auraton ke liye hidayat ka jawab hai: nahin. NICE ki hidayat NG23 aur PMS ki sifarishaat donon kehti hain ke perimenopause ki pehchaan alamaat aur mahwari mein tabdeeli se hoti hai, khoon ke test ke baghair. 40 se 45 saal ki jin auraton ko alamaat hain aur mahwari badal rahi hai, un ke liye NICE kehta hai ke menopause ki tasdeeq ke liye FSH ke khoon ke test par ghaur kiya ja sakta hai. 40 se kam umar mein hidayat aik alag muayine ki taraf ishara karti hain, jis ki tafseel ande dani ka waqt se pehle kaam chhor dena (POI), yani ande dani ka waqt se pehle kaam chhor dena, ke safhe par hai.

Yahan umar itni aham hai jitna bohat se doctoron ko yaad nahin rehta. NICE doctoron se kehta hai ke dhyan rakhein ke kuch aqliyati naslon ki auraton ko menopause kam umar mein ho sakta hai (1.3.3), aur PMS ki sifarishaat Pakistan mein menopause ki ausat umar 45 se 49 saal batati hain, jo gori auraton se kam hai. Agar aap 42 ki hain aur doctor kahe ke aap abhi bohat chhoti hain, to narmi se yeh baat yaad dilana banta hai.

Mushkil baatein kaise kahein

PMS ki sifarishaat kehti hain ke Pakistan mein bohat si auratein jinsi sehat, peshaab ya mood ki alamaat ka zikr shayad tab tak na karein jab tak un se izzat se aur akele mein na poocha jaye. Agar doctor na pooche, tab bhi aap khud baat chhed sakti hain. Pehle likh lene se aasaani hoti hai: list mez ke us paar barha dein, ya apna alamaat ka score nikal lein, jo aik lafz bole baghair har alamat kaghaz par le aata hai.

Agar alamaat aap ko pareshan kar rahi hain to yehi kaafi wajah hai. NHS ki website kehti hai ke GP se rabta karein agar aap ko lagta hai ke aap ko perimenopause ki alamaat hain aur aap apne raaste jaanna chahti hain, agar dil ki dharkan tez ho, agar mahwari ab bhi aa rahi hai magar khoon pehle se zyada aata hai, ya agar 12 maheene mahwari na aane ke baad kisi bhi tarah khoon aaye. 45 saal se pehle shuru hone wali alamaat ka zikr karna bhi banta hai.

Kuch baatein aam appointment ka intezar nahin kar saktin. PMS ki sifarishaat un khatre ki nishaniyon ki list deti hain jin ka muayina ya refer karna zaroori hai (section 2.3). Un mein yeh shamil hain: menopause ke baad khoon aana, jinsi taalluq ke baad ya do mahwariyon ke beech khoon aana, achanak bohat zyada khoon aana, chhaati mein gilti, seene mein dard, achanak saans phoolna, aur khudkushi ke khayalat. In mein se koi baat bhi ho to fauran doctor ko dikhayen.

Bohat si auratein appointment par behen, beti ya shohar ke saath jati hain. NICE ki hidayat NG23 kehti hain ke jahan munasib ho, maloomat ghar walon ko bhi di ja sakti hain, aur yeh tab kaam aata hai jab aap chahti hain ke ghar mein koi baat samjhe. Magar is se niji sawal poochna mushkil bhi ho sakta hai. Aap rishtedar se aakhri chand minute ke liye bahar jane ka keh sakti hain, aur aasaan lage to appointment lete waqt hi bata dein. Shohar aur ghar walon ka saath mein ghar walon ko saath le kar chalne par mazeed hai.