更年期 Menopause and Midlife Health

By the end of this module you can…

• Ask about hot flashes, sleep and mood, and about the private symptoms, gently.
• Explain hormone therapy plainly, and separate hormones from steroids.
• Teach bone health: calcium, exercise, falls and the bone density scan.
• Say which screenings are due by age, and prepare her for a mammogram.
• Make bleeding after menopause a sign she never ignores.

Key vocabulary

Sixteen words from this module. Tap the speaker to hear each one.

The change

• 潮热cháo rèHot flash
• 盗汗dào hànNight sweats
• 失眠shī miánInsomnia
• 心慌xīn huāngHeart racing
• 阴道干涩yīn dào gān sèVaginal dryness
• 漏尿lòu niàoLeaking urine
• 润滑剂rùn huá jìLubricant
• 激素jī sùHormones

Bones and screening

• 骨质疏松gǔ zhì shū sōngOsteoporosis
• 骨密度gǔ mì dùBone density
• 钙片gài piànCalcium tablets
• 维生素Dwéi shēng sù DVitamin D
• 骨折gǔ zhéFracture
• 乳房X光rǔ fáng X guāngMammogram
• 肠镜cháng jìngColonoscopy
• 体检tǐ jiǎnCheckup

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 最近有没有潮热、晚上出汗？Zuì jìn yǒu méi yǒu cháo rè, wǎn shang chū hàn?Hot flashes or night sweats lately?
2. 月经最后一次是什么时候？Yuè jīng zuì hòu yí cì shì shén me shí hou?When was your last period?
3. 有些问题比较私人。下面会不会干、同房的时候疼？Yǒu xiē wèn tí bǐ jiào sī rén. Xià mian huì bu huì gān, tóng fáng de shí hou téng?A private question: dryness or pain with sex?
4. 激素治疗是治潮热最有效的办法。Jī sù zhì liáo shì zhì cháo rè zuì yǒu xiào de bàn fǎ.Hormones work best for hot flashes.
5. 用不用、用多久，您跟医生一起决定。Yòng bu yòng, yòng duō jiǔ, nín gēn yī shēng yì qǐ jué dìng.You and the doctor decide together.
6. 六十五岁要查一次骨密度，有风险的话早一点。Liù shí wǔ suì yào chá yí cì gǔ mì dù, yǒu fēng xiǎn de huà zǎo yì diǎn.Bone scan at 65 (US), sooner with risks.
7. 走路、爬楼梯、太极拳，对骨头都好。Zǒu lù, pá lóu tī, tài jí quán, duì gǔ tou dōu hǎo.Walking, stairs, tai chi: good for bones.
8. 到了您这个年龄，建议做乳房X光。Dào le nín zhè ge nián líng, jiàn yì zuò rǔ fáng X guāng.At your age: a mammogram.
9. 绝经以后又有出血，一定要告诉医生。Jué jīng yǐ hòu yòu yǒu chū xuè, yí dìng yào gào su yī shēng.Bleeding after menopause: always tell us.
10. 是自然的，可是不用硬忍。Shì zì rán de, kě shì bú yòng yìng rěn.Natural, but no need to just bear it.

What’s in Module 11

1. Part 1 · Warm-UpWarm-Up: Midlife Patients
2. Part 2 · The Words for MidlifeReading the Pinyin · Saying 更年期 vs. Charting 围绝经期 · Vocabulary · Flash Cards · Screening by Age
3. Part 3 · Symptoms and ChoicesThe Visit Script · Asking About the Change · Key Patterns · Hot Flashes and Sleep · Hormone Therapy, Plainly · Dryness, Sex and Leaking
4. Part 4 · Bones and ScreeningStrong Bones · Mammograms and Colon Screening · Bleeding After Menopause
5. Part 5 · Concerns & MoodWhat Patients Say · Mood, Memory and Midlife · Putting It Together
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 11 Knowledge Check
8. Part 8 · Wrap-UpModule 11 Homework · Take-Home Phrase Sheet · Module 11 Wrap-Up · 下次见