1. How should menopausal women respond to hot flushes and fever during the epidemic?

Climacteric hot flushes are common manifestations caused by the decrease of estrogen levels in menopausal women. They are more likely to occur after stress, mental tension, activity and eating. They can occur several times a day and last for a short time and can subside naturally.

Fever refers to the pathological temperature rise, the most common of which is respiratory system illness caused by virus or bacterial infection. Fever can be persistent, often accompanied by symptoms such as nasal congestion, a runny nose, sore throat and aching all over the body. Generally, it can only be improved after taking medicine and cannot disappear automatically in a short time.

Be alert if:

(1). You have been in close contact with a suspected or confirmed case of novel coronavirus pneumonia within two weeks before onset.

(2). There's coronavirus pneumonia clustering occurred at your place or community of residence.

2. How should menopausal women at home manage their own health during the COVID-19 outbreak?

(1). Slow down your pace of life, keep an optimistic attitude and get rid of bad habits.

(2). Exercise properly.

(3). Balance your diet, ensuring a wide range of food which help meet the needs of the human body through various nutrients. Food consumption and physical activity should be balanced to maintain appropriate weight.

(4). Don't be shy of discussing issues with your family and friends. You should establish channels to clear your emotions. On the other hand, it is better to seek out a consultation and accept the suggestions of doctors, while using drugs responsibly to improve menopause symptoms if necessary.

3. How can menopausal women psychologically adjust during the outbreak?

Due to the decline of ovarian functions and neuroendocrine dysfunctions, menopausal women are prone to physical and psychological discomfort.

The epidemic may cause emotional fluctuations and aggravate discomfort, so self-psychological adjustment is particularly important.

(1). Self-identification: be calm and treat life and work in a stable and firm psychological state.

(2). Self-catharsis: a. talk to your family and friends to relieve your worries and stress; b. relax by listening to music and reading books; go out for walks after the epidemic passes; c. learn to control and regulate emotions.

(3). Pay attention to the adverse reactions of the body and check your body regularly, for early detection, diagnosis and treatment of any irregularities.

(4). Cultivate interests and hobbies and exercise properly to slow down the decline of the adaptability of the body after middle age.

When it is difficult to improve physical discomfort or bad mood through self-regulation, it is necessary to seek the help of professional doctors as soon as possible. During the epidemic, it is recommended you make an appointment in advance when seeking professional help.

4. How to deal with menstrual disorder of climacteric women during the epidemic period?

During the epidemic, there are changes in mood and lifestyle and there are also emergency events, which can cause abnormal hormone regulation, usually manifesting as menstrual disorders.

First, you need to determine if you are pregnant. Women of childbearing age who are sexually active, if menstrual delay occurs, should self-test with urine pregnancy test paper to rule out the possibility of pregnancy.

If there is a lot of bleeding, obvious abdominal pain and there is a significant difference from usual menstruation, you need to see your doctor soon. 

If there is not much bleeding -- and the menstrual cycle, menstrual flow and other changes are small -- you can first consult your obstetrician and gynecologist on the phone or online and schedule an appointment or delay your appointment as appropriate. 

5. How to deal with sudden vaginal bleeding in postmenopausal women during the epidemic?

Postmenopausal vaginal bleeding may be due to:

a. Atrophic vaginitis: Generally, it stops bleeding by itself and you do not need to see a doctor immediately.

b. Incidental ovulation.

c. Sex hormone therapy.

d. Malignant tumor of the reproductive tract: This is not a common cause of postmenopausal bleeding, but if there is repeated unexplained vaginal bleeding and fluid flows, you need to see a doctor soon.

6. How to cope with missed medication during hormone replacement therapy?

If you forget to take your medicine during the process of estrogen and progestin and compound short-acting oral contraceptive medicine, you should take the original dose as soon as possible within 12 hours and continue taking the medicine according to the original schedule. When taking the medicine, you do not need to take supplements and continue to take other medicines as normal during the day. If there is a small amount of vaginal bleeding after forgetting to take medicine, you do not need to stop taking medicine, but continue to take the medicine according to plan. If there is a large amount of bleeding, stop taking your medicine and start the next cycle five days after you ceased taking it.

During the process of taking short-acting oral contraceptives, those who forget to take the pills and have sex should use barrier contraceptive methods, such as condoms. To avoid bleeding during medication, you can set a mobile phone alarm to remind you to take the medication regularly.

7. During the epidemic, how to deal with the patients with gynecological endocrine diseases and when should the go to hospital?

For patients with long-term medication for gynecological endocrine therapy, the main purpose of follow-up visits to the hospital each year is to conduct a physical examination to find out whether there are new problems affecting medication, so as to formulate and adjust the next medication plan.

During the outbreak, if the patient's body has no adverse reaction, the current treatment program can be continued. The annual physical examination can be postponed appropriately, and the physical examination can be resumed in time after the epidemic.