Teen maheene ho gaye, aur hot flush (achanak garmi lagna) waise hi hain. Ya woh kam ho gaye, magar tab se aap apne aap mein nahin. Ya appointment aap ki baat poori hone se pehle khatam ho gayi. Aik aur nazar dalwana apne doctor se bewafai nahin. Hidayat ise shuru se shamil rakhti hain.
Doosri raaye aur ilaaj badalna
Aisa ilaaj jis se faida nahin ho raha, side effects jo theek nahin ho rahe, ya yeh ehsaas ke aap ki baat suni nahin gayi. Hidayat jaize aur referral ke baare mein kya kehti hain, aur jhagra kiye baghair doosri raaye kaise maangein.
Lafz aur hidayat
- English
- Second opinion
- Urdu
- دوسری رائے
- Roman Urdu
- doosri raaye
- NICE ki hidayat NG23 kehti hain ke menopause ke har ilaaj ka teen maheene par jaiza liya jaye, yeh dekhne ke liye ke faida ho raha hai ya nahin aur jism ise kaise seh raha hai, phir saal mein aik baar, ya jaldi agar ilaaj se faida na ho ya side effects hon (sifarish 1.9.2).
- NICE ki hidayat NG23 yeh bhi kehti hain ke agar ilaaj se menopause ki alamaat behtar na hon ya side effects khatam na hon to aise maahir ke paas refer kiya jaye jise menopause ki khaas maharat ho (1.9.3).
- Pakistan Menopause Society ki 2026 ki sifarishaat kehti hain ke har jaize mein aurat ki yeh marzi dekhi jaye ke woh ilaaj jaari rakhna, badalna ya band karna chahti hai (section 3.4).
Yeh kya hai
Doosri raaye ka matlab hai kisi aur doctor ki nazar, aap ki alamaat ya aap ke ilaaj par. Ilaaj badalna woh hai jo jaize ke baad ho sakta hai, apne doctor ke saath ya kisi aur ke saath. Donon menopause (mahwari ka band hona) ke ilaaj ke aam hisse hain, aur kisi ka matlab yeh nahin ke pehle doctor ne ghalti ki. Jo ilaaj aik aurat ko raas aaye woh doosri ko shayad na aaye, isi liye hidayat shuru se jaizon ka plan rakhti hain.
Hidayat mein kya likha hai
Jaize
NICE ki hidayat NG23 kehti hain ke menopause ke har ilaaj ka teen maheene par jaiza liya jaye, yeh dekhne ke liye ke woh faida de raha hai ya nahin aur aap ise kaise seh rahi hain, phir har saal. Yeh kehti hain ke jab koi doctori wajah ho to jaldi jaiza liya jaye, jaise ilaaj se faida na hona, side effects, ya koi bura asar (1.9.2).
Pakistan Menopause Society ki sifarishaat yeh bhi kehti hain ke agar alamaat na jayen ya khatre ki nayi baatein saamne aayen to jaiza jaldi bhi ho sakta hai (section 3.4). Har jaize mein yeh doctoron se kehti hain ke blood pressure, wazan aur khoon aana dekhein, aur aap se poochein ke aap ilaaj jaari rakhna, badalna ya band karna chahti hain. Aap ki raaye jaize ka hissa hai, jaan boojh kar.
Refer karna
NICE ki hidayat NG23 kehti hain ke jab ilaaj se alamaat behtar na hon ya side effects khatam na hon to menopause ki khaas maharat rakhne wale maahir ke paas refer kiya jaye (1.9.3), aur jab yeh saaf na ho ke aap ke liye behtareen raasta kya hai to is par ghaur kiya jaye (1.5.26). PMS ki sifarishaat milti julti wajoohat ginwati hain, jin mein shadeed ya na jane wali alamaat aur khatron ka pecheeda hisaab bhi hai. Menopause specialist se milna batata hai ke yeh kaisa hota hai.
Kaise poochein
Pehle apne doctor se hi pooch sakti hain. Kya koi aur hai jise aap yeh dikhana chahein ge? aik darwaza kholta hai, koi band kiye baghair. Ilaaj se pehle ka aur abhi ka apna alamaat ka score saath le jayen, aur aik list ke kya aazmaya, kitne arse, aur kya hua. Yeh record kitna bhi manane se zyada kaam karta hai.
Doctor ko kab dikhayen
Agar kisi ilaaj ko teen maheene ho gaye hain aur aap ko pakka nahin ke faida ho raha hai to salana jaize ka intezar karne ke bajaye jaize ki appointment le lein. Agar side effects pareshan kar rahe hain to koi dawa apne aap na band karein na badlein: jis ne likhi hai us se baat karein.
Jis khoon aane se aap pareshan hain woh jaize ka intezar nahin karta. PMS ki sifarishaat HRT ke dauran baar baar be-waqt khoon aane ko un masail mein ginti hain jin ki jaanch zaroori hai (Table 4).
Doctor se poochne ke sawal
- Hum ne is ilaaj ka jaiza lene ki baat ki thi. Kya ab sahi waqt hai?
- Is se itna faida nahin hua jitni umeed thi. Hidayat mein aur kaun se raaste hain?
- Kya kisi aise doctor ki raaye lena faida de ga jise menopause ka zyada tajurba ho?
- Hum ne ab tak jo aazmaya hai, kya aap woh aik khat mein likh sakte hain taake main saath le ja sakoon?
Deen aur ghar wale
Kuch gharon mein doctor se sawal karna kisi buzurg se sawal karne jaisa lagta hai. Yeh jaanna shayad madad kare ke PMS ki sifarishaat mil kar faisla karne ka kehti hain, aur kehti hain ke har aurat izzat aur waqar ke saath ilaaj ki haqdar hai, jis mein khatre aur faide samjhaye jayen. Doosri raaye maangna isi ka hissa hai.
Is par nazar rakhein
- Roshara ka alamaat ka score chand minute mein 27 alamaat ko number deta hai, account ke baghair. Kul number apni appointment par saath le jayen. Alamaat ka score shuru karein
- “Main kahan hoon?” us mor ko naam deta hai jis par aap shayad hain. Chhe sawal. Main kahan hoon? Shuru karein
- Tracker mein roz ka haal likhein, aur yeh bhi ke us se zara pehle kya hua tha. Is ke liye muft account chahiye. Tracker kholein
Aam sawal
- Kya doosri raaye maangna badtameezi hai?
- Poochna mil kar faisla karne ka hissa hai, aur NICE ki hidayat NG23 aur Pakistan Menopause Society donon apni sifarishaat isi par banati hain. NICE ki hidayat NG23 kehti hain ke jab ilaaj se faida na ho ya side effects khatam na hon to refer kiya jaye (1.9.3). (Hawala: NICE NG23, Menopause: identification and management (last updated 15 April 2026))
- Agar ilaaj se faida nahin ho raha to kya ise band kar doon?
- Kuch bhi band karne ya badalne se pehle us doctor se baat karein jis ne dawa likhi. NICE ki hidayat NG23 kehti hain ke HRT band karne wali aurat chun sakti hai ke ise aahista aahista kam kare ya aik dam band kar de, aur yeh ke lambe arse mein is se alamaat par koi farq nahin parta (1.8.6, 1.8.7). (Hawala: NICE NG23, Menopause: identification and management (last updated 15 April 2026))
Hawale
- NICE NG23, Menopause: identification and management (last updated 15 April 2026)Hissa: 1.5.26; 1.8.6; 1.8.7; 1.9.2; 1.9.3 · 1 October 2026 ko khola gaya
- Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: Introduction; 3.3, Table 4; 3.4 · 1 October 2026 ko khola gaya