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В основе — понижение функций яичников и уменьшение выработки женских половых гормонов (эстрогена и прогестерона) [1](https://www.MedCentrServis.ru/disease/klimaks/). В силу таких изменений у женщины прекращаются менструации и утрачивается способность к зачатию [1](https://www.MedCentrServis.ru/disease/klimaks/). \n\n**Средний возраст наступления климакса** — 45–55 лет, но может быть раньше или позже [1](https://www.MedCentrServis.ru/disease/klimaks/)[4](https://voronezh.sovamed.ru/zabolevaniya/klimaks/). \n\n**Выделяют несколько этапов климакса** [1](https://www.MedCentrServis.ru/disease/klimaks/): \n* **Пременопауза** — начальный этап, возникает за несколько лет до последней менструации и ещё один год после неё [1](https://www.MedCentrServis.ru/disease/klimaks/). \n* **Менопауза** — полное прекращение менструаций спустя год после последней [1](https://www.MedCentrServis.ru/disease/klimaks/). \n* **Постменопауза** — завершающий этап, продолжается до конца жизни [1](https://www.MedCentrServis.ru/disease/klimaks/).\n\n\n\n## Причины\n**Основная причина** — естественное снижение функции яичников [1](https://www.MedCentrServis.ru/disease/klimaks/). С возрастом они начинают производить всё меньше эстрогенов и прогестерона [1](https://www.MedCentrServis.ru/disease/klimaks/). \n\n**На проявления климакса влияют и другие факторы**: \n* **Генетическая предрасположенность** — если у матери или близкой родственницы климакс наступил в определённом возрасте, велика вероятность, что и у женщины этот процесс начнётся примерно в то же время [4](https://voronezh.sovamed.ru/zabolevaniya/klimaks/). \n* **Хирургическое вмешательство** — удаление яичников или матки может привести к преждевременному наступлению климакса [4](https://voronezh.sovamed.ru/zabolevaniya/klimaks/). \n* **Химиотерапия или радиационное лечение** — некоторые виды лечения, особенно при раке, могут повлиять на яичники и ускорить наступление климакса, нарушая их способность вырабатывать гормоны [8](https://krasnodar.fomin-clinic.ru/zabolevaniya/klimaks/).\n\n## Симптомы\n**Некоторые симптомы климакса у женщин**: \n* **Физические**: приливы (внезапные ощущения жара, часто сопровождающиеся покраснением кожи и потоотделением), ночной пот, сухость влагалища [9](https://lactacyd.ru/blog/simptomy-klimaksa/). \n* **Психоэмоциональные**: перепады настроения, раздражительность, депрессия и тревожность, проблемы с памятью и концентрацией [9](https://lactacyd.ru/blog/simptomy-klimaksa/). \n* **Изменения в теле**: увеличение веса, потеря плотности костей, изменения кожи и волос [9](https://lactacyd.ru/blog/simptomy-klimaksa/).\n\n## Диагностика\n**При появлении симптомов климакса важно обратиться к гинекологу** [2](https://www.ckbran.ru/cure/gynecology/klimaks-u-zhenshchin-simptomy-i-lechenie). Врач может назначить: \n* **Лабораторные исследования** — тест на уровень эстрогена, фолликулостимулирующего гормона (ФСГ) [13](https://premium-clinic.ru/kak-diagnostirovat-nastuplenie-klimaksa/). \n* **Ультразвуковое исследование** — УЗИ органов малого таза для диагностики изменений в яичниках и матке, которые могут быть связаны с наступлением климакса [13](https://premium-clinic.ru/kak-diagnostirovat-nastuplenie-klimaksa/).\n\n## Лечение\n**Так как климакс — физиологическое состояние женского организма**, коррекции подлежит только климактерический синдром, приводящий к ухудшению самочувствия [3](https://alfazdrav.ru/zabolevania/ginekologiya/klimaks/). 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