ESTROGEN

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Onset of Estrogen Deficiency

 

Determining the Onset of ESTROGEN DEFICIENCY
Onset Before or at puberty Later in adulthood

 

BODY

Physical
appearance

 Eunuchoid (“neutral”), or
Android (“boy-like”)
Sexual immature body		 Gynoid (female)

Sexually mature body

Breasts

 Micromastia (small breasts) Breast Ptosis (droopy breasts)

Peivis

 Android (narrow) Gynoid (wide)
Underdeveloped:
Smaller vagina and uterus		 Normal size, but atrophying

Genitals
 

 

History

 Late menarche (age 15 and up) Normal menarche (ages 12-14)
Early appearance of menstruation
Problems, namely at puberty
Irregular menstrual cycles, esp.
Spano-menorrhea (long cycles of
More than 32 days)
Hypo-or amenorrhoea (scanty or
No menstruation)
Lowered fertility , necessity of in-
Vitro fertilizations to become
Pregnant
Spasmodic dysmenorrhea
 		 Menstruation problems appeared
Later, namely in adulthood
Irregular menstrual cycles, esp.
Spano-menorrhea (long cycles of
More than 32 days)
Hypo-or amenorrhoea (scanty or
No menstruation)
Lowered fertility , necessity of in-
Vitro fertilizations to become
Pregnant
Spasmodic dysmenorrhea

Complaints of Estrogen

 

Complaints of Female Hormone DEFICIENCY

Type

ESTROGEN DEFICIENC

PROGESTERONE DEFICIENCY
(= Estrogen excess)
PSYCHIC complaints
Vitality Fatigue (persistent) Muscle and nervous tenseness
Mood Depression (persistent) Irritability, aggressiveness (esp. as
Premenstrual syndrome (PMS))
Anxiety and anger, climaxing in
Outbursts of panic or rage
Sex Poor libido (sex drive)  
Memory Poor memory
Pain   Increased sensitivity to pain,
Increased expression of pain,
Sleep Insomnia with excessive nervous
Tension and anxiety
PHYSICAL complaints
Face,
chest		 Hot flushes with excessive
Night sweats (esp at night)		  
Breasts Breast ptosis Premenstrual tension with breast
Tenderness and swollen breasts
Abdomen   Swollen belly, bloating
Menstrual
Cycle		 Menstrual cycle irregularities
With polymenorrhea and/or
spanomenorrhea		 Premenstrual abdominal bloating
Menstruation Hypo- or amenorrhea
Vaginal dryness
Vaginal itching		 Menorrhagia
(excessive menstruation)
Uterus Uterine prolapse  
Vagina Vaginal prolapse  

Sexual
Intercourse

 Decreased vaginal lubrication
During sexual intercourse
Dyspareunia (painful intercourse
Caused by poor lubrication or
Vaginal atrophy)		 Endometriosis-caused complaints
(deep pain during intercourse)
Urological Recurrent cystitis
(bladder infections)
Urinary stress incontinence
Bladder prolapse		  
Joints Arthralgias ((osteo) arthritis, …)  

Physical Signs of Estrogen

 

Physical Signs of Female Hormone DEFICIENCY
Where?

ESTROGEN DEFICIENCY

PROGESTERONE DEFICIENCY
 

 

Face

 Pale face Reddish face
Hollow face
Dry (mucous membranes
Of the) eyes, mouth
Small sharp wrinkles (above
Upper lip, corner of the eyes)		  

Swollen face
Breasts Micromastia (small breasts)
Breast ptosis (droopy breasts)		 Macromastia (enlarged breasts)
Mammary edema (swollen breasts
Mastalgia (painful breasts)
Breast cysts
Abdomen Distended abdomen
Painful abdomen upon palpation
Increased abdominal fat
Hands Hand palms: small, sharp folds
Skin Pale skin
Dry, dehydrated skin
Small, sharp wrinkles		  

Reddish skin
Swollen skin
Vagina Vaginal dryness
(atrophied , thin vaginal
Mucous membranes resulting
In a dry vagina)
Uterus Atrophied endometrium
(uterine lining)		 Endometrial hyperplasia (glandulocystic)
Fibroids
Feet Swollen feet, ankles