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Outside of the end of the rules, the hormonal deficiencies have non negligible consequences. And the women know it well! Skin, hairs, the breasts. are the object of transformations that some advice will allow you to tame better. For in to know more, we interrogated the Dr Philippe Beaulieu, dermatologist. Inescapable biologic event, the menopause concerns in France more of 10 millions of women of which 5 millions of more than 65 years. Marked by the stop of the rules, it upsets the psychic and physiological balance. And these interior chaos sometimes see outside themselves. The impact of the hormonesThe menopause translates the process of ageing of the ovaries that occurs at the woman around 50 years. Thus, it marks a transition between one period of hormonal activity and a definitive stop of this one. With time, the ovaries stop functioning progressively and to produce the estrogen and the progesterone, these sexual hormones that govern the menstrual cycle. A hormonal deficiency institutes itself then and drag the apparition many unrests. Except the signs interns annonciateurs of the menopause as the puffs of heat, the insomnia, the hold of weight, the vaginal drought and the urinary incontinence, of other demonstrations translates a hormonal unbalance. Indeed, the estrogens don't maintain the springiness of skin and the androgens more (masculine sexual hormones also secreted by the feminine body) meet in relative excess, sometimes dragging a loss of hair, an accentuated pilosity as well as the apparition of impurities to the surface of skin. An aesthetic distress" For a woman, the menopause often comes with a discount in question and dune loss of confidence in itself, that reverberates on its quality of life. This change of the bodily diagram seems lived then like a loss of femininity", explain Philippe Beaulieu, dermatologist to Pontoise and vice-president of the Dermatology Society French. The demonstrations of the menopause vary from a woman to the other and are expressed to the level of the intensity variously so much that of the length. But facing the deficiency in hormones, the organism must manage to best this shortage. And the adaptation is not easy for some cloths, named "cloths-targets" that depend directly on the ovarian secretions. Among these sensitive zones: - The breasts: The small greasy heaps separated by fibrous bays come to live in the quasi-totality of the breast. Paradoxically, the subcutaneous greasy cloth cuts down and the skin of the breasts thinned. This evolution accentuates the wrinkles and the settling;
- Skin: To the menopause, the cutaneous ageing becomes more pronounced and becomes again more visible. it results in a thinning of skin, a distension and a fragility at the origin of a digging by the wrinkles. The fibers of collagen and élastine are less numerous and less efficient. The dehydration is accentuated by a loss in acid hyaluronique and for some skins, the disappearance of the feminine hormones let the free field to the masculine hormones and to the acne. Among the most current unrests, one also notes the erythema vasomoteur (redness), the acne rosacea and the pigmentary tasks;
- Hair and hairs: The sensitivity tissulaire to the androgens sometimes entails a certain " virilisation" who is translated either by an acceleration of the loss of hair, a hypersécrétion of sébum to the root or even a beginning of baldness. Some women can also develop a pilosity " masculine" with shoots of thicker hairs notably to the chin and on the superior lip.
In the same way, the testosterone can sometimes entail also a hypertrophy of the larynx, reason of an increase of the gravity of voice. To palliate these unrestsIf the flight of the time is ineluctable, nothing acts as to undergo for as much the misdemeanors of the menopause. it exists today of the solutions. Baby's skin With regard to skin, the "b has, ba" remains the daily interview with the help of products of cosmetology adapted to every type of skin. For cleaning, it is counseled to use a tepid water assorted of a non fragrant soap or a cleaning lotion. To feed and to protect, numerous creams and milks exist of which the remained action while superficial. These products enriched in moisturizing and emollient agents permit to limit effects of the time nevertheless. But when the unrests become truly bothersome, is better to consult a dermatologist who will be able to answer the problem really, while possibly using more powerful substances. In case of acne rosacea, it can prescribe tétracyclines associated to a cream to basis of métronidazole. If it proves to be fruitless, he/it can also propose a treatment of bottom with the vascular laser. In case of acne persistent rosacée (acne post-menopause) or of pronounced facial pilosity, the physician can propose a hold of anti-androgens, during a certain time. To treat the deep wrinkles, the containing creams of the derivatives of vitamins TO and C are the more adapted. Often irritating and aggressive for the epidermis, they are not to apply that a twice per week. Other "more radical" solution: the injections. "I have numerous demands for injections, especially from 50 years, either of acid hyaluronique, either of toxin botulique. Other dermatologists also practice the laser "remodeling" said resurfacing" adds Philippe Beaulieu. To keep her hair and to avoid the ungainly hairs With regard to hair, different products permit to give back a little volume to the hairdressing. And if the capillary cures concentrated in calcium and in amino acids are sometimes a complement useful, it is not necessary to wait for some of the miracles! To slow down the fall of hair, the dermatologist will be able to have resort to cures of iron of one to two months. Finally, in case of alopecie seborrheique, a cure of anti-androgens or a local treatment of minoxidil can be transitorily efficient. In case of accentuated pilosity, the dermatologist is also capable to remedy there. " If the prescription of the THS is even controversial, it is yet proven that this type of treatment attenuates many typical unrests notably, the cutaneous drought and delay the shoot of the thick hairs. The dermatologist can prescribe one of the products that permits to slow down the shoot of hair and to space the sessions of depilation" explain Philippe Beaulieu. Otherwise, the good old methods to practice regularly remain always efficient: with cream and to wax, electric, to the laser and finally by lamp flash (light intense pulsée). Finally, know that all treatments and the care brought to skin and hair will know how to repair the past mistakes completely: excess of sun, tobacco addiction, food unbalance, stress. be your enemies since the youngest age! While adopting a better hygiene of life (physical activity, recuperator sleep, healthy food), you will succeed undoubtedly in limiting the effects of the time. 2009-03-30 
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