Core Viewpoint - There are approximately 210 million perimenopausal women in China, with 80% experiencing significant menopausal symptoms, yet very few actively seek medical help. Misconceptions such as "just wait it out" or "no need to fuss after menopause" are causing women to miss critical health management opportunities [2] Group 1: Understanding Menopause - Menopause is not exclusively for women over 45; it can occur as early as 30 due to ovarian function decline, which is not strictly age-related [2][3] - The primary signal of ovarian function decline is changes in menstrual cycles, such as a shortening of the cycle from about 28 days to 23-25 days for over six months, indicating a decrease in ovarian reserve [3] Group 2: Health Risks Associated with Menopause - The risk of osteoporosis increases significantly post-menopause, with a yearly bone mass loss rate of 3%-5%, leading to higher chances of fractures [5] - Cardiovascular risks also rise due to estrogen deficiency, which can lead to hypertension, hyperlipidemia, and increased probabilities of serious events like coronary heart disease and stroke [5] Group 3: Management Strategies - Regular health check-ups are essential for women over 40, including monitoring blood pressure, blood sugar, blood lipids, and bone density [8] - Dietary adjustments should focus on whole grains, vegetables, and fruits, with specific limits on sugar, oil, and salt intake [8][9] - Engaging in regular moderate-intensity aerobic exercise for at least 150 minutes weekly, combined with resistance training, is recommended to enhance bone and muscle strength [9] Group 4: Hormone Therapy Misconceptions - There are common misconceptions about hormone therapy, such as equating it with corticosteroids, which is incorrect as menopause hormone therapy uses natural estrogen and progesterone [10] - The treatment dosage is significantly lower than normal ovarian secretion levels, making it safe with low adverse reaction rates when monitored properly [10] - Timing is crucial for starting hormone therapy; it is most effective when initiated within 10 years of menopause or before age 60 [11]