An Overview of Menopause and Depression

什么是更年期？

更年期是女性生活中的时间在月经期间停止时，最有可能在卵巢停止雌激素时。失去连续12个月（在没有其他明显原因的情况下）是日期血症的主要标准。当发生这种情况时，一个女人不再能够怀孕。更年期的平均年龄为51，过渡发生在45％和55岁之间。

Despite having an occasional period, many women believe they are menopausal when they are actually in a transition period called周刊。This refers to the time when your body makes the natural transition to menopause. It most often occurs sometime in your 40s, or right around the time of menopause.

什么是沮丧？

沮丧is a mood disorder that causes persistent feelings of sadness or loss of interest and affects how you feel, think, and handle daily activities. The two most common forms of depressive disorders are major (clinical) depression and persistent depressive disorder (Dysthymia).抑郁症的常见症状包括悲伤，曾经曾经享受过的事情，令人烦恼，疲劳和绝望，无价值和悲观的感觉伴有身体症状。

它们是如何相关的

许多经历过全身遗产或更年期的女性可以告诉你，激素水平的极端变化往往导致抑郁感。无论是从现有诊断中吞噬抑郁症状还是夸张的症状的新发病，有时会管理情绪波动随着其他症状，感觉非常压倒。

最近，医学界的评估和治疗妇女期抑郁症的指导方针唯一。

Some of the challenge in evaluating perimenopausal depression is due to the fact that several of the symptoms related to its hormonal changes overlap with common symptoms of depression and other menopausal symptoms that often present similarly.

Symptoms including, insomnia, hot flashes, sleep disturbances, and情绪问题are common during perimenopause and menopause.

众所周知，患有抑郁症有关的症状的风险是在妇女转移到更年期时的增加。

Symptoms

The signs and symptoms of depression include:

• Persistent feelings of sadness, anxiety, hopelessness, or pessimism
• Feelings of worthlessness
• 减少能量或疲劳
• 易怒
• 曾经享受的活动中的兴趣或乐趣丧失
• 困难睡觉或睡过头
• 食欲或重量变化
• 难以集中，记住或做出决定
• 缺乏自我照顾
• Aches or pains, headaches, cramps, or digestive problems
• 撤回社会活动
• 死亡或自杀的思想

更年期的症状可能包括：

• 不规则的时期或出血导致连续12个月失去了一段时间
• Problems with sleep due to low levels of progesterone and estrogen
• 热闪光和夜间汗水
• Problems with memory or being forgetful and struggling to focus
• 情绪变化，如烦躁和哭泣的法术
• Feelings of depression or anxiety
• 改变你的性健康的感受
• Vaginal dryness

Causes

症状沮丧在围窝和更年期期间可以存在于各种因素，包括激素变化，抑郁症的潜在脆弱性以及其他压力源。在女性生殖生活中发生在其他时间的荷尔蒙变换，例如产后期间，也与抑郁和情绪症状的增加相关。

雌激素水平下降当你通过围绕绝经移动时发生的事情可以促进悲伤，烦躁，疲劳，集中困难和情绪变化等情绪变化。也就是说，没有证据表明更年期导致抑郁症。如果症状严重或影响您的生活，请务必查看您的医生或心理健康专家。万博手机客户端

Diagnosis

Your doctor can perform an evaluation to determine where you are in the transition to menopause and recommend the next steps for potentially treating menopausal symptoms. But if the symptoms related to depression are severe or you have a previous diagnosis of depression, being evaluated by a mental health professional is the next step. They will be able to determine if you have a major depressive disorder or clinical depression.

治疗

For perimenopausal and menopausal women diagnosed with depression, adhering to the proven therapeutic options for treating depression should be followed. These include treatment with抗抑郁药和/或心理治疗（“谈话疗法”）。有几种形式的心理治疗，但其中一个被证明是成功的治疗抑郁症是认知行为治疗（CBT）。

有一些证据表明，用激素替代疗法治疗更年期的妇女可能有助于提高情绪，但它不被视为抑郁症的治疗形式。一些发现表明雌激素，可以帮助减少潮热和夜间汗水，也可能有助于轻度与情绪波动和抑郁情绪有关的中度症状。

应对

应对抑郁症状，伴随患有妇虫或更年期往往需要一个系统性方法。和许多其他人一样recommendations for depression或更年期，生活方式修改可能会产生显着差异的生活质量。

Daily exercise，与朋友和家人进行社交，冥想，mindfulness, and participating in activities that were enjoyable before depressive episodes started are just a few ways to cope with symptoms related to depression.

Reducing or eliminating alcohol, smoking, or other substances can help with certain symptoms of menopause. Also, taking extra care to follow a diet rich in fruits, vegetables, lean protein, complex carbohydrates, and healthy fats may help with symptom management.

A Word From Verywell

Mood swings and feelings of sadness and irritability are common occurrences during perimenopause and menopause. That said, it can be challenging to distinguish between clinical depression and the ups and downs related to shifting hormones. If you’re concerned about your physical or mental health, take the first step, and make an appointment with your doctor.

开放，诚实地了解您如何感受可以帮助缓解您可能正在经历的压力或焦虑。它还允许您的医生进行适当的诊断并创建一个专注于您需求的治疗计划。