Treatment of Climacteric Syndrome by Obstetrician-Gynecologist Irina Ivanovna Kulbach in Dnipro City

Patients present with complaints such as hot flashes, sleep disturbances, mood swings, and general fatigue, as well as concerns about possible complications during the climacteric period.

The physician conducts a thorough clinical assessment, analyzes the symptoms and medical history, and, if necessary, orders additional tests to rule out other causes.

The patient receives a clear and understandable action plan: what to do immediately, which examinations to undergo, and how to monitor changes in their condition over time.

The physician pays special attention to differential diagnosis, therapy adjustment, and dynamic observation, which helps effectively manage the patient's symptoms and condition.

When to See a Doctor

The climacteric period is often accompanied by various symptoms that can cause discomfort and affect quality of life. It is important to see an obstetrician-gynecologist in a timely manner to assess your condition and receive recommendations for further steps. You should make an appointment with an obstetrician-gynecologist if you notice the following during climacteric syndrome:

• Persistent or frequent hot flashes and sweating
• Sleep disturbances that prevent you from resting fully
• Mood swings and frequent irritability
• A feeling of dryness and discomfort in the vagina
• Fatigue and decreased work capacity
• Symptoms that recur or worsen over time
• Menstrual cycle irregularities or changes in discharge character
• Symptoms interfere with daily life and work
• No improvement from self-care measures to ease the condition
• Onset of anxiety or depressive states associated with menopause
• Symptoms appeared for the first time after stress or other life changes
• Need for adjustment or selection of treatment for accompanying issues

If you experience such signs, consulting a specialist will help identify the causes and develop a plan for further action. Even if symptoms seem minor, a professional approach from a doctor will ensure comfort and safety during this period.

Emergency Conditions or When to See a Doctor Immediately

• Sudden severe pain in the lower abdomen or pelvic area
• Sharp increase in bleeding or unusual blood-tinged discharge
• Altered consciousness, severe dizziness, or weakness
• Combination of severe shortness of breath with chest pain or pressure
• Rapidly worsening swelling of the face, hands, or feet

If you experience any of these symptoms, do not wait for a scheduled appointment and seek emergency medical care immediately. Our clinic offers a home visit service for prompt response.

Causes and Risk Factors of Climacteric Syndrome

Understanding the possible causes and risk factors helps to better navigate the condition and seek timely medical assistance. It is important to undergo a comprehensive examination to rule out other reversible causes and determine the most appropriate steps.

Main Causes / Mechanisms (Briefly)

• Natural decline in female sex hormone levels with age
• Changes in the hormonal system function related to the transitional period
• Dysregulation of temperature control and nervous system balance
• The impact of stress and lifestyle changes on the overall state of the body

Risk Factors

• Age after 45–50 years — the natural period for onset of changes
• Hereditary predisposition to early or severe climacteric syndrome
• Chronic diseases affecting hormonal balance and metabolism
• Frequent stressful situations and irregular sleep patterns
• Excess weight or rapid changes in body weight
• Smoking and alcohol abuse
• Lack of physical activity and poor nutrition
• Concurrent gynecological diseases

Reversible Causes That Should Be Excluded

• Side effects of certain medications affecting hormones
• Conditions related to thyroid gland problems
• Prolonged stress and psycho-emotional disorders

Climacteric syndrome requires a comprehensive medical evaluation to identify causes and select appropriate management.

Diagnosis

The diagnosis of climacteric syndrome aims to identify the causes of symptoms and develop a plan for further examination and treatment. The physician carefully evaluates the patient's complaints to exclude other possible conditions and determine the necessary next steps.

Diagnostic Approach

• Taking a detailed medical history, including description of complaints and lifestyle
• Physical examination to assess general condition and identify possible signs of other diseases
• Ordering basic laboratory tests to evaluate hormonal status and overall health
• Additional examinations as indicated (e.g., ultrasound studies)
• Analyzing results and discussing the further plan for examination and treatment
• Consulting specialized specialists if concomitant problems are identified as needed

Typical Indicated Tests

• Blood tests for sex hormone levels
• Ultrasound examination of the pelvic organs
• Thyroid function tests
• General blood and urine tests to assess health status
• Additional instrumental diagnostics if necessary

What to Bring to the Appointment

• Results of previous examinations and tests
• List of medications and dosages being taken
• Records of symptoms and their changes (symptom diary)
• Information about chronic diseases and previous surgeries

Diagnosing climacteric syndrome requires time and a comprehensive approach to develop an optimal plan for monitoring and supporting health.

Treatment

Treatment of climacteric syndrome aims to reduce the severity of symptoms and improve quality of life. The therapy plan is tailored individually, taking into account health characteristics and the severity of manifestations.

Therapy Goals

• Reduce unpleasant symptoms and discomfort
• Correct hormonal and other disorders as indicated
• Maintain overall well-being and quality of life
• Prevent possible complications related to menopause

Main Treatment Approaches

• May include medication therapy as indicated to stabilize hormonal balance
• Primary focus on non-pharmacological methods, such as lifestyle and nutrition recommendations
• Use of physiotherapy procedures and rehabilitation when appropriate
• Individual interventions in the area of aesthetic gynecology may be possible
• Therapy is always built considering concomitant diseases and individual body characteristics

What the Doctor Does

• Selects and adjusts therapy based on symptom dynamics
• Assesses the impact of comorbidities on the patient’s condition
• Monitors possible side effects of the prescribed treatment
• Explains criteria of effectiveness and options for adjusting the plan to the patient
• Involves other specialists if necessary for a comprehensive approach

What to Expect: Plan and Monitoring

• Therapy effectiveness is approximately assessed after a certain period
• Regular monitoring is conducted to adjust treatment as indicated
• If there is no improvement or side effects occur, the plan is revised
• Follow-up visits are important to monitor the condition and adapt treatment methods

To develop an individual plan, schedule a consultation with Dr. Irina Ivanovna Kulbach.

Prevention

Prevention is important in climacteric syndrome to reduce the risk of symptom worsening and to maintain health. The prevention plan is individually tailored, taking into account the characteristics of the body and its condition.

Key Primary Prevention Measures

• Maintaining a healthy lifestyle, including a balanced diet
• Quitting smoking and limiting alcohol consumption
• Controlling weight and maintaining physical activity
• Eliminating or reducing stress factors
• Managing chronic diseases according to your doctor's recommendations
• Following a proper sleep and rest regimen

Screening and Secondary Prevention / Regular Monitoring

• Regular monitoring of blood pressure and weight as indicated
• Discussing timely hormonal screening with your doctor
• Monitoring the condition of the pelvic organs and reproductive system as recommended
• Scheduled check-ups and tests according to an individual plan

Practical Tips

• Discuss the optimal level of physical activity for yourself with your doctor
• Monitor sleep quality and create comfortable conditions for rest
• Avoid sudden changes in body weight without consulting a specialist
• If you have concurrent diseases, regularly consult your doctor
• Pay attention to your emotional state and seek support when needed
• Maintain adequate hydration and follow a balanced diet without strict restrictions

Prevention in climacteric syndrome helps preserve health and improve well-being, so it is important to discuss it individually with your doctor.

Important to Know

Climacteric syndrome is a natural stage in a woman's life, but its manifestations can significantly affect well-being and quality of life. A proper treatment approach helps control symptoms and maintain health. It is important not only to alleviate unpleasant symptoms but also to understand the causes and factors that trigger them. Early consultation with a doctor facilitates the choice of an effective strategy and reduces the risk of complications. Ongoing monitoring allows timely adjustments to the treatment plan, taking into account changes and comorbid conditions.

• Identifying the cause and the influence of triggering factors is more important than merely reducing symptoms
• Early assessment of the condition helps select an appropriate plan and reduce the risk of progression
• Monitoring and regular doctor visits are necessary for controlling and adjusting therapy
• Factors such as stress, workload, sleep quality, and comorbidities affect the course of climacteric syndrome
• Self-medication can distort the symptom picture and delay accurate diagnosis
• The doctor manages the entire process of climacteric syndrome treatment for the convenience and safety of patients

Detailed information about climacteric syndrome and treatment options is available on our page with a comprehensive overview of the topic. Knowing the basics and seeking timely medical advice will help better understand your condition and find optimal ways of support.

Self-Care Before the Appointment: What You Can and Cannot Do

Before your appointment with Dr. Irina Ivanovna Kulbach, it is important to know which steps will help maintain your condition and avoid harm. If your condition worsens or alarming symptoms appear, be sure to seek urgent medical help.

What You Can Do Before the Appointment

• Write down when and how your symptoms started, and what worsens or relieves your condition
• Bring a list of all medications you are taking, including dosages if known
• Keep a symptom diary noting the time symptoms appear and any changes
• Ensure calmness and reduce physical exertion if possible
• Maintain a regular sleep schedule and try to rest more than usual
• Drink enough water to avoid dehydration
• Measure your blood pressure and pulse if you know how, and record the results
• Avoid stressful situations and try to reduce emotional tension
• Make sure you have access to necessary contacts for emergency communication

What You Should Not Do Before the Appointment

• Do not change or stop your regular medications without consulting a doctor
• Do not start multiple new medications or herbal remedies simultaneously
• Do not ignore worsening symptoms or the appearance of new symptoms
• Do not try to interpret test results or examinations by yourself
• Do not use methods or medications not approved by your doctor
• Do not delay seeing a specialist if symptoms worsen or alarming signs develop
• Do not self-treat in ways that might mask the true condition
• Do not increase physical activity if you feel weak or fatigued

If urgent symptoms occur, do not hesitate and immediately seek help from Dr. Irina Ivanovna Kulbach.

How I Can Help as a Doctor with Menopausal Syndrome

During a consultation for menopausal syndrome, I can assist you in the following ways: attentively listening to your complaints, understanding the specifics of your condition, and proposing a health support plan. Together, we will assess the current issues and develop a convenient, clear management strategy.

• Analyze symptoms and medical history to identify possible causes and key factors
• Evaluate the severity of your condition and potential health risks in your particular case
• Review current medications and tolerance, adjusting therapy if necessary
• Develop a plan for next steps: indicated examinations, treatment, and monitoring outcomes
• Consider comorbidities and concomitant medications for a comprehensive approach
• Provide lifestyle and regimen recommendations tailored to your individual characteristics
• Explain how to monitor the progression of your condition and when to schedule follow-up visits
• Conduct an initial evaluation to clarify possible causes and rule out other conditions
• Assess risk factors and assist in preventing complications and flare-ups

This comprehensive approach not only helps alleviate symptoms but also focuses on thoroughly improving your overall condition. The doctor manages the treatment and follow-up process, adapting the plan based on changes and new information to ensure your comfort and safety.

What Questions Can I Ask the Doctor About Menopausal Syndrome?

During a consultation regarding menopausal syndrome, you can discuss the following issues with Dr. Irina Ivanovna Kulbach: changes in your well-being, menstrual cycle irregularities, unpleasant symptoms, the impact of concurrent diseases, and questions about treatment adjustments.

If you experience sudden severe pain, a sharp increase in bleeding, or intense dizziness, seek urgent medical assistance and do not wait for a scheduled appointment.

• What is happening to me, and what could it be?
• Why are the symptoms appearing now?
• How can I tell that this is related to menopausal syndrome and not something else?
• What examinations are necessary in my case?
• Which tests and investigations are absolutely required?
• How should I properly prepare for examinations and the appointment?
• What treatment options are available, and how do they differ?
• Can this condition be completely cured, or is it lifelong?
• Why isn’t the prescribed treatment providing relief?
• Is it possible to manage without medication or surgery?
• How long does the treatment last, and how often should I come for follow-up?
• What signs indicate improvement or worsening?
• What should I do if my condition suddenly worsens or flares up?

During the consultation, the doctor will help clarify your symptoms and prescribe necessary tests based on your situation. It is important to remember that in the presence of urgent symptoms, timely contact with a specialist ensures safety and the possibility of effective care.

How the Consultation Proceeds

The consultation involves reviewing your complaints, assessing your condition, and developing a plan for further actions. The extent of examinations is determined individually, based on your symptoms and medical history. It is not always possible to establish a complete diagnosis in a single appointment, but the doctor will help clarify the main issues and what steps to take next.

1. Clarifying complaints and the purpose of the visit: finding out what concerns you, when it started, how it affects your life, and what your expectations are from the consultation.
2. Collecting medical history and assessing risk factors related to climacteric syndrome and overall health.
3. Analyzing previous treatments and examinations if any; it is recommended to bring results and a list of medications.
4. Conducting a physical examination and, if necessary, simple tests to identify key indicators of your body's condition.
5. Formulating preliminary conclusions: what may be causing the symptoms and what should be ruled out, without making a final diagnosis.
6. Prescribing further examinations if needed, which may include blood tests for hormones, pelvic ultrasound, and other studies according to indications.
7. Discussing treatment and support options, including lifestyle changes and medication if indicated.
8. Planning follow-up and subsequent visits: when to return for reassessment and under which signs to seek earlier consultation.

If this is your first visit, special attention is given to clarifying symptoms and identifying possible causes. If treatment has been ineffective, the consultation will help understand why and adjust the plan moving forward.

This approach helps make the consultation clear and comfortable, and the action plan tailored to your needs and health status.

Preparation for the Appointment

Preparing for an appointment with an obstetrician-gynecologist for climacteric syndrome will help make a quicker and more accurate diagnosis and facilitate an appropriate treatment plan. Follow this simple checklist to ensure you don’t forget anything.

• Bring a list of all current medications (names, dosages, how you take them)
• Bring discharge summaries, images, and test results — originals, copies, or photos
• Write down your main complaints: when symptoms start, what helps or worsens the condition
• If required, come fasting: do not eat or drink for 8–12 hours (unless otherwise instructed, confirm when making the appointment)
• Do not stop taking prescribed medications without consulting your doctor
• Avoid applying cosmetics, creams, or other products on the day of the appointment if indicated in the recommendations
• Bring a list of questions you want to discuss so you don’t forget anything
• If you have chronic illnesses, prepare relevant information for discussion
• Come alone and wear comfortable clothing suitable for the examination
• Check with the registrar for any additional preparation recommendations

If you have any questions about preparation, it’s best to clarify them when booking the appointment to ensure it goes as smoothly and comfortably as possible. Remember, do not change your treatment on your own without consulting a doctor.

About the Doctor

Irina Ivanovna Kulbach is a gynecologist-obstetrician of the highest category with over 40 years of experience. She regularly works with patients experiencing climacteric syndrome, particularly those with primary complaints, recurring symptoms, and challenges in selecting appropriate treatment.

The doctor’s focus is on differential diagnosis of causes and dynamic monitoring, which helps to promptly adjust therapy and maintain comfort. Patients receive a clear assessment of their condition and a straightforward plan of further actions tailored to their individual needs.

Why Patients Choose Dr. Irina Ivanovna Kulbach

Patients choose Irina Ivanovna for her systematic and thoughtful approach to managing climacteric syndrome, which takes into account not only symptoms but also comorbidities and medications. The doctor works with the results of previously conducted examinations, saving patients' time and minimizing unnecessary procedures. The treatment process uses a step-by-step method—from clarifying the causes to monitoring effectiveness and, if necessary, adjusting the plan. This approach helps build a clear and convenient path for the patient to improve their well-being.

• Clear treatment plan with defined stages: from current actions to follow-up monitoring and consultations
• Examinations are prescribed strictly based on indications—no unnecessary tests or procedures
• Consideration of comorbidities and medications to ensure safe treatment management
• Monitoring of condition dynamics and timely therapy adjustments if results are lacking
• Review of previously prescribed medications and assessment of tolerance to refine treatment plans
• Explanation of the plan and potential risks in simple terms without complicated jargon
• Focus on preventing exacerbations and improving patients’ quality of life
• Experience in managing complex and recurrent cases requiring additional attention

This comprehensive approach helps to fully consider each woman’s individual characteristics and make treatment as effective and convenient as possible. The doctor manages the process in close contact with the patient, ensuring transparency and trust.

Case Studies

Initial Presentation with Pronounced Symptoms

A middle-aged female patient presented with complaints of frequent hot flashes, sleep disturbances, and sudden mood swings. It was important to exclude other possible causes of these symptoms, including hormonal and systemic diseases. A thorough review of symptoms and medical history was conducted, and basic examinations were ordered as indicated. Over several weeks, a gradual alleviation of symptoms was observed, with improved sleep quality and overall well-being. The patient continues to be monitored to track progress and timely adjust treatment.

Treatment Adjustment Due to Lack of Effect

A middle-aged woman came after a course of therapy that did not bring noticeable improvement: menopausal syndrome symptoms persisted. It was necessary to assess tolerance to prescribed medications and other factors influencing the outcome. Previous prescriptions were reviewed, and management tactics were adjusted considering individual characteristics. After one month, a reduction in symptom intensity and improvement in emotional state were noted. Further dynamic monitoring and additional support are planned.

Chronic Course with Comorbidities

A patient with a long history of menopausal syndrome and concomitant arterial hypertension presented with worsening health. It was important to take existing chronic conditions into account and minimize possible drug interactions. A comprehensive assessment was performed, including a detailed review of all medications. Symptom relief was observed after adapting the management plan; the condition stabilized. Regular monitoring and preventive measures considering all factors were recommended.

Symptom Exacerbation and Prevention Plan

An elderly woman presented with suddenly intensified hot flashes and general weakness. It was necessary to rule out urgent conditions and determine the causes of deterioration. The condition was assessed, with additional examinations conducted as indicated. Symptoms partially decreased due to timely treatment adjustments and lifestyle recommendations. A plan for regular monitoring and prevention of possible future exacerbations was established.

Recurring Symptoms in Chronic Condition

A patient had been experiencing periodic worsening of menopausal syndrome symptoms over a long period. During the consultation, emphasis was placed on identifying triggers and aggravating factors. Management tactics were adjusted considering symptom dynamics and individual features. Over several weeks, a decrease in attack frequency and improvement in overall condition were noted. Collaborative efforts continue to control symptoms and maintain a stable state.

How long does a consultation last?

A consultation usually takes between 30 to 60 minutes; exact duration should be confirmed when scheduling.

How to prepare for the appointment?

It is recommended to write down your main complaints, prepare a list of questions, and bring results from previous examinations.

What should I bring to the appointment?

Bring your test results, scans, medical reports, and a list of all medications you are currently taking.

Do I need to come on an empty stomach or are there any restrictions?

Usually not, unless the doctor specifies otherwise when you make the appointment.

How many visits are usually required for treatment?

The number of visits depends on the individual case and the effectiveness of therapy; typically several visits are needed.

When can I expect the first results of the treatment?

The timeframe depends on the chosen therapy and your condition; this is usually discussed during the appointment.

What should I do if my condition worsens before the appointment?

If alarming symptoms appear, such as severe pain, bleeding, or weakness, seek immediate medical attention.

Can treatment be combined with medications I am already taking?

Discuss all your medications with your doctor and do not change your regimen without their approval.

Is it possible to get a consultation online?

Yes, online consultations are available by prior appointment.

Can I come with results of tests I have already done?

Yes, bring all available test results for a comprehensive evaluation.

Do I need to visit the doctor multiple times and how often?

Follow-up visits are scheduled individually depending on your condition’s progress and treatment adjustments.

Can I get a second opinion from the doctor?

Yes, the doctor is willing to discuss your situation and review the existing data again.

What should I do if symptoms return after improvement?

Inform your doctor so they can assess the causes and possibly adjust your treatment.

What examinations are usually necessary?

Examinations are prescribed individually as needed and may include blood tests and ultrasound.

Can an online consultation replace a face-to-face appointment?

An online consultation helps to get recommendations, but an in-person examination is required if necessary.

How can I tell if the treatment is working?

Effectiveness is assessed by symptom reduction and improved wellbeing; this is discussed with your doctor.

What should I do if the treatment has no effect?

Do not change the treatment on your own; consult your doctor for adjustment of the plan.