Hi mam I am 47 years old and my pre menopause syndrome is killing me.More than physical discomfort I have problems like extreme mood swings, bouts of rage, feeling disoriented etc.My periods have become little irregular sometimes happening after a gap of one and half to two months. I have read that hormone replacement therapy is a good option to treat these symptoms I need your kind advice.

Ans: PCOS is a condition of the ovary that one is born with. You can optimize the hormonal imbalances in PCO, but the condition never factually reverses because it is a type of theory. So, lifestyle modifications and medication are sometimes necessary to ensure that regular ovulation happens with PCO. Lifestyle modification in terms of diet control, exercise, medication like metformin, MYO inositol. In exceptional cases, cyclical contraceptive pills, etc., may be needed to regulate cycles and ensure hormonal imbalances in PCO, PCOS with androgen excess, men need medication like spironolactone and aldactone to optimize their hormonal imbalances. Weight loss often helps to optimize the condition and resume ovulation in cases of PCOS. Since you weigh 64 kilos, it might be a good idea to lose around 7 to 8 kgs of weight, which will help further improve the cycles.

Ans: Dear Pramod,
Why do you think you have to handle your wife?
Shouldn't you in fact, be together with your wife in the marriage? And the same goes for her as well.
If there are challenges in having free flow of communication between the two of you; the only way to enable this is to actually talk about it.
If you feel that it maybe perimenopausal, there is need for more understanding of what she might be going through. Also, it might be wise to physically rule out any vitamin deficiencies and check other health parameters that change after the age of 40 for a woman.
Be patient; she is the person you chose to marry...a phase of life never means the end of the world...it only means a slight change in the way you look at things to do better.

All the best!

Ans: Balanced nutrition, avoid high glycemic index food,early dinner by 6 pm, good physical work out, and Avoid sugar totalky

Ans: At age of 43, there is a hormonal imbalance which can result in weight gain, scanty menses, hair fall, discharge from nipple.
It can be due to stress, diet changes or lifestyle changes
Watery discharge from nipple can be due to impaired, raised prolactin level which can and treated with medicine under supervision of your doctor
To check for hormones
TSH, prolactin, LH, FSH, estradiol level, and correct accordingly
Weight gain can be taken care by correcting hormonal imbalance, dietary changes (including proteins less carbs, less oily and fatty food), exercises (Zumba, cardio, daily walks)
Hair fall can be taken care of by improving nutrition, including vitamin A, C, D, iron, biotin, zinc, protein, essential fatty acids and taking supplements under doctor supervision