Menopause se pehle

English lafz premenopause ka matlab hai menopause se pehle. Pakistan Menopause Society ki 2026 ki sifarishaat mein is ka matlab hai bachche paida karne ke saal: tabdeeli ke daur se pehle ka waqt, jab aap ki mahwari baqaida aati hai (1.2.3).

Yehi sifarishaat is ke baad aane wale marhalon ke naam bhi batati hain. Perimenopause tab shuru hota hai jab aap ki mahwari beqaida hone lage, aur aakhri mahwari ke aik saal baad tak chalta hai (1.2.4). Menopause khud aakhri mahwari hai, jis ki tasdeeq tab hi hoti hai jab poora aik saal koi aur mahwari na aaye (1.2.2). Menopause ke baad ka daur us aakhri mahwari se aage ka sab kuch hai (1.2.7).

Yeh lafz uljhata kyun hai

Kyunke yeh teen tarah istemaal hota aaya hai. World Health Organization ke aik group ne 1996 mein likha ke premenopause ya to menopause se pehle ke aik do saal ke liye istemaal hota tha, ya aakhri mahwari tak bachche paida karne ke saare saalon ke liye, aur doosre matlab ki sifarish ki. 2022 mein research ke papers ke aik jaize mein pata chala ke is lafz ki tareef ab bhi aik jaisi nahin thi, aur taqreeban har paanch mein se do studies ne is ki tareef ki hi nahin.

Aam bol chaal mein premenopause ko perimenopause ke maani mein bhi istemaal kiya jata hai. Pakistan Menopause Society ki tareefein donon ko alag rakhti hain. Agar aap ka doctor premenopausal kahe, to yeh poochne mein koi harj nahin ke un ka matlab kaun sa hai.

Pakistan Menopause Society ki tareef ke mutabiq menopause se pehle ka daur baqaida mahwari ka marhala hai, alamaat ka koi majmooa nahin.

STRAW+10 ke paimane in saalon ko teen hisson mein baantte hain: shuru ka hissa, urooj ka hissa aur aakhri hissa. Late reproductive stage, yani bachche paida karne ki umar ke aakhri hisse mein, STRAW+10 ke mutabiq bachche paida karne ki salahiyat kam hone lagti hai, aur is ke aakhir ki taraf mahwari ka waqfa thora chhota ho sakta hai ya khoon ki miqdar badal sakti hai. Yeh tabdeeliyan halki hoti hain. Perimenopause ki shuruaat us tabdeeli se hoti hai jo tiki rahe aur mahwari ko beqaida kar de.

STRAW+10 kehta hai ke late reproductive stage mein, mahwari mein koi tabdeeli nazar aane se pehle hi, kuch hormone aur ande dani mein andon ke zakheere ki kuch nishaniyan badalna shuru ho jati hain.

NHS ki website ke mutabiq perimenopause ki pehli nishaniyon mein se aik aam taur par mahwari mein tabdeeli hoti hai. Yehi tabdeeli donon marhalon ke beech ki lakeer hai.

• Pakistan Menopause Society aurat ki bachche paida karne ki umar ke poore safar ko STRAW+10 ke saat moron mein baantti hai, paanch aakhri mahwari se pehle aur do baad, jo us ki mahwari aur hormone par bane hain (1.1). In mein se teen bachche paida karne ke saal hain.
• Yeh kehti hai ke menopause ki alamaat aakhri mahwari se pehle shuru ho sakti hain (section 2). Yeh nahin kehti ke woh mahwari badalne se pehle shuru hoti hain.

Hamari raaye

Agar aap ki umar 40 ya zyada hai, mahwari nahin badli lekin neend, mood ya garmi sardi ka ehsaas badal gaya hai, to aap aik aisi beech ki jagah par hain jise marhalon ke naam theek se bayan nahin karte. STRAW+10 ke paas is ke sab se qareeb naam late reproductive stage hai. Abhi se apni mahwari aur alamaat par nazar rakhne ka matlab hai ke jab kuch badle, to aap use dekh sakein gi. Main kahan hoon? chhe sawal poochta hai aur woh mor batata hai jis ki taraf aap ke jawab ishara karte hain.

Pakistan Menopause Society ki tareef ke mutabiq menopause se pehle ka daur bachche paida karne ke aam saal hain, is liye khud is marhale mein ilaaj karne ko kuch nahin. Jo alamaat aap ko tang karti hain, unhein alag se dekha jana chahiye, marhale ka naam chahe kuch bhi ho. Alamaat ka score aap ko aik record deta hai jo aap saath le ja sakti hain.

Pakistan Menopause Society jinsi taalluq ke baad khoon aane, do mahwariyon ke darmiyan bila wajah khoon aane, aur achanak bohat bhaari ya lambi mahwari ko khatre ki nishaniyan kehti hai (2.3), aur doctoron se kehti hai ke ghair mamooli khoon aane ko menopause ke khaate mein daalne ki bajaye is ki jaanch karein (Table 1).

Yeh apni khatre ki nishaniyon mein 40 se pehle ki woh alamaat bhi ginti hai jo ande dani ka waqt se pehle kaam chhor dena (POI) ki taraf ishara kar sakti hain (2.3). Agar aap ki mahwari 40 se pehle ruk jaye ya beqaida ho jaye, to intezar na karein.

Bohat se gharon mein mahwari rukne tak in mein se kisi marhale ki baat koi nahin karta. In se pehle ke saalon ke liye aik lafz kaam aata hai: menopause se pehle, yeh itna seedha hai ke ghar mein kaha ja sake. Yeh jaanna ke aap kis marhale mein hain, un amali sawalon mein bhi madad karta hai jo auratein namaz, roze aur khoon aane ke baare mein poochti hain. Yeh sawal kisi mustanad aalim se poochne ke hain. Yeh khoon kya hai, yeh sawal aap ke doctor ka hai.