Perimenopause aakhri mahwari se pehle ke woh saal hain (mahwari band hone ke aas paas ka waqt), aur jis hormone ka naam is ke saath sab se zyada liya jata hai, estrogen, woh kam hi waisa chalta hai jaisa aap sochti hain. Aahista aahista, seedhi lakeer mein kam hone ke bajaye estrogen aksar mahine mahine mein zor se oopar neeche hota hai. Yehi utaar charhao un alamaat ke peeche hai jo auratein sab se pehle mehsoos karti hain: mood ka bohat oopar neeche hona, mahwari ka jaldi jaldi aana, bhaari mahwari, aur hot flush (achanak garmi lagna) ki woh achanak garmi.
Yeh utaar charhao kyun
Aap ki ande dani andon ka zakheera samet rahi hai, aur dimagh is ke jawab mein FSH (follicle-stimulating hormone, woh hormone jo ande dani ko kaam par lagata hai) barha deta hai taake ande dani ko dhakelta rahe. Kisi mahine ande dani abhi bhi estrogen ka zor daar rela banati hai, kisi mahine bamushkil jawab deti hai. Nateeja aik be tarteeb hormone hai, seedhi neeche jati lakeer nahin.
Aap kya kar sakti hain
Apni mahwari aur alamaat ka haal likhna sab se kaam ka aik qadam hai. Do teen mahinon mein aise pattern nikal aate hain jo roz roz nazar nahin aate. Woh record doctor ke paas le jayen: saaf adaad aik dhundle "main apne aap mein nahin" ko kaam ki baat cheet bana dete hain.
Rozmarra ki buniyadein bhi aham hain: neend ka waqt aik sa rakhna, baqaida warzish, aur stress sambhalna, yeh sab garhon mein madad dete hain. Jab alamaat roz ki zindagi ke aare aane lagein to NICE ki hidayat NG23 aur Pakistan Menopause Society ki 2026 ki hidayat, donon HRT ko pehle darje ka option likhti hain, jis ke baare mein poocha jaye. Is ke khatron ki jo tasveer NICE deti hai woh 2002 ki surkhiyon wala sab par laagu hone wala khatra nahin. Yeh aap ke liye theek hai ya nahin, yeh doctor ka faisla hai. Aise doctor se baat karein jo menopause ko samajhta ho, kisi bhi doctor se nahin.