日大医学雑誌
Online ISSN : 1884-0779
Print ISSN : 0029-0424
ISSN-L : 0029-0424
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2021 年 80 巻 4 号 p. 177-180

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Menopausal symptoms are defined as symptoms that are not caused by organic changes among a wide varietyof symptoms that appear during menopause. When these symptoms interfere with daily life, the pathological condition is defined as menopausal disorder. Ovarian dysfunction is a major factor in the pathogenesis of menopause,but sociopsychological stress, which is a family and workplace problem women experience during this period,is also an important factor. Personality factors are also intricately intertwined and show various symptoms. Thediagnosis is that the patient is menopausal and has the peculiar symptoms mentioned. If organic disease is denied,the condition is considered to be menopausal disorder, but there are no international standard diagnostic criteria.Comprehensive evaluation of women with menopausal disorder shows ovarian function decline, age-related physical changes, psychological and psychological factors, and sociocultural environmental factors. Hormone therapy,the use of psychotropic drugs, and other treatments are effective. In Japan, kampo drug treatment for menopausalsymptoms has been adopted for a long time. Furthermore, counseling and psychotherapy are also effective.

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