Chye Clinic这是更年期吗？
月经通常最先改变，多数从四十多岁开始，而其他症状可能在停经之前好几年就出现。许多女性没有把它们联系起来，因为单看任何一项，都不会让人想到更年期。
- 潮热与夜间盗汗
- 睡不好，或凌晨3点醒来就睡不回去
- 以前没有的情绪低落、焦虑或烦躁
- 脑雾：想不起要说的字，说着说着就断了思路
- 关节酸痛
- 阴道干涩、性交疼痛，或比以前更频繁地想小便
- 月经变多、变少、间隔变短或变长
45岁以上、有这类症状，医生通常凭病史就能诊断。最后一次月经前的几年，荷尔蒙水平每天起伏，所以单次验血能说明的，往往不如您的症状多。
各种治疗，以及各自适合谁
哪一种适合，取决于您的症状、病史，以及您比较愿意用哪一种。多数女性都有选择。
- 荷尔蒙补充疗法（HRT）
- 雌激素，可用药片、贴片、凝胶或喷剂；仍有子宫的女性需同时使用黄体素。对潮热、夜间盗汗，以及被它们扰乱的情绪与睡眠，这是最有效的治疗。
- 阴道雌激素
- 低剂量的药膏、药片或药环，用于阴道干涩、性交疼痛与泌尿症状。进入血液的分量很少，所以多数女性都可以用，包括许多不能使用 HRT 的女性。
- 非荷尔蒙药物
- 适合不能或不想使用荷尔蒙的女性。部分抗忧郁药与加巴喷丁（gabapentin）可以减少潮热，但效果不如 HRT。
- 生活方式与谈话治疗
- 规律运动、减少酒精与咖啡因，以及认知行为治疗，对潮热、睡眠与情绪都有帮助。无论您选择其他哪一种治疗，都值得做。
日常有帮助的事
无论接受哪一种治疗，对许多女性来说，几项改变能让潮热与睡不安稳比较容易应付。
- 保持卧室凉爽，穿可以一层层脱下的衣服
- 留意酒精、咖啡因或辛辣食物会不会引发潮热，会的就减少
- 规律运动，对睡眠、情绪与骨骼强度都有帮助
- 吸烟与更频繁的潮热有关，这又多了一个戒烟的理由
HRT 的作用，以及它的风险
对多数60岁以下、或停经十年以内的女性，好处大于风险。这个权衡因人而异，医生会和您逐项讨论您自己的情况。
它的作用
- 减少潮热与夜间盗汗，通常在几个星期内见效
- 当潮热扰乱了睡眠、情绪与专注力时，帮助改善它们
- 预防更年期之后的骨质流失
- 缓解阴道干涩与性交疼痛
它的风险
- 复合型 HRT 会轻微提高乳癌风险，使用的年数越多，风险越高
- 口服药片会引起血栓。贴片与凝胶的这项风险较低
- 初期的副作用，例如乳房胀痛或点状出血，通常会自行消退
- 曾患乳癌、有血栓病史（使用药片时），或有原因不明的出血，都不适合使用
到诊时会做什么
您的病史
您的症状、月经情况，以及您自己与家人的乳癌、血栓、中风与心脏病病史。
血压与体重
开任何药之前都会先检查。只在验血有帮助时才验：45岁以下，或需要排除甲状腺问题，因为甲状腺问题的症状可能和更年期很像。
您的选择
HRT 与其他选择，以及每一种对您意味着什么。您可以回去考虑，之后再回来决定。
3个月复诊
看看治疗是否有效，并调整剂量或种类。之后每年复诊一次。
停经之后的出血
最后一次月经之后满一年或更久，任何出血都需要给医生看，即使量很少、只出现一次。多数时候原因并无大碍，例如阴道内膜变薄。但它仍是最需要排除的症状，因为它可能是子宫出问题的第一个迹象。
使用 HRT 的头几个月，有些不规则出血很常见。较后才开始的出血，或持续超过六个月的出血，应该检查。
常常一起检查的项目
为您看诊的是谁
- 您的医生
- 诊所每一位医生都在本网站列出姓名与资历，其中一位是名列国家专科医生名册的家庭医学专科医生。为您看诊的是医生，不是柜台。
- 您的病历
- 保存在诊所自己的加密系统里，不是放在抽屉里的纸本，所以为您看诊的医生能看到您完整的病史。
- 您的复诊
- 之后有问题或需要续药，直接用 WhatsApp 联系为您看诊的医生，不必经过前台。
- 您的时间
- 每天开到晚上8点，可不预约直接到诊。诊所自1981年起在甲洞峇鲁服务，这一页的大部分事情一次到诊就能完成。
直接来，或先问清楚
营业时间内（每日 上午9点至晚上8点）可不预约直接到诊，也可以先传讯息，把想问的都问清楚再来。
病人的话
甲洞与吉隆坡一带病人的评价
4.9来自 785 则 Google 评价
Fei Ru OohGoogle 在地向导 · a month agoI have been visiting this clinic since I was a kid, and now my children already reached adulthood! It has gone through 3 generations from Dr Chye to Dr Lee and now Dr Chan. A true family clinic, specialized in family health. Dr Chan carries the same trait of his predecessors, very caring, knowledgeable, patient and goes above and beyond to help his patients. He truly invests his time in knowing his patients' family, know every family members and remember everyone well. He spends extra hours even beyond the official working hours. Highly recommend this clinic, especially Dr Chan.来自 Google
Vidhya Naira month agoI recently had two cysts removed by Dr. Richard Ngu at Clinic Chye in Kepong. I had an excellent experience. Dr Richard was professional, skilled, and made me feel comfortable throughout the entire procedure. The surgery was smooth, and the results were clean and neat. Thank you, Dr. Richard Ngu, for your excellent care and dedication. I truly appreciate your professionalism and kindness. I highly recommend Dr. Richard Ngu to anyone looking for a trustworthy and excellent experienced doctor.来自 Google
ParrotGoogle 在地向导 · a month agoThank you Dr.Chan for your amazing care and support during a difficult time. Forever grateful for Dr.Chan for your dedication and expertise. Dr.Chan for your compassionate care made all the difference in my recovery. Thank you Dr.Chan for helping me stay strong and hopeful. Dr.Chan for your hard work and commitment truly saved lives.来自 Google
June Lee2 months agoI had a great experience at this clinic. The staff were friendly, professional, and welcoming. The doctor was patient, listened carefully to my concerns, and explained everything clearly. The clinic was clean, well-organized, and the waiting time was reasonable. I felt well cared for throughout my visit. I highly recommend this clinic to anyone looking for quality medical care.来自 Google
Lee JinHao4 months agoFirst and foremost, I would like to express my sincere gratitude to Dr. Chan, Dr. Hoo, and the nursing team. I am deeply impressed by their dedication and high sense of responsibility. They were incredibly patient and professional when explaining my medical condition, ensuring I fully understood every detail. Furthermore, they were proactive in providing an effective treatment plan that addressed my symptoms immediately. I truly appreciate their exceptional care.来自 Google
Maryam Aziz2 months agoI choose this clinic when i moved to Kepong because of the good reviews. And once i attend this clinic, i experienced it myself. The clinic is clean, the staff are professional and welcoming, incredibly efficient. The clinic interior design also calming and made my visits less anxious. The doctors here (Dr. Chan & Dr. Kon - sorry if misspelled) are very attentive, explain briefly to me what the do's and don'ts on after care treatments and for future preventions. I also just learned that this clinic is specialized in skin problems and i refer my dry and ictchy skin problems on my fingers. I've been put some plasters to hide the crack and dry skin for months. Thanks for the advise, now my skin is getting better. I will always come here for treatment and medical advises in future.来自 Google
Lye kok fai4 months agoSome clinics treat patients, but this clinic truly cares for people. Every visit here reminds me why trust matters so much in healthcare. Dr Chan is incredibly patient, detailed, and attentive, no matter how busy the clinic gets, he never makes you feel rushed. He listens, explains, and reassures, which makes a big difference when you’re not feeling your best. Carmen and the entire team deserve just as much recognition. From the moment you walk in, you’re welcomed with warmth and kindness. Even on the busiest days, the staff remain calm, friendly, and professional, something that is not easy to maintain. The clinic is always full, and honestly, that speaks for itself. It’s not just about treatment, it’s about the trust they’ve built with every patient who walks through their doors. For me, this is a place where I feel safe, heard, and genuinely cared for. At the same time, I hope the team, especially Dr Chan, will remember to take care of their own health too. Behind the dedication and long hours, I can see the tiredness , and it just shows how much effort is being put into caring for others. Thank you for your unwavering dedication, compassion, and excellent service. This is more than just a clinic , it’s a place people can rely on.来自 Google
joey liew7 months agoDoc tor here is professional with good attitude toward patients. Environment is new and clean. Suggest to put a little playground for kids in case of long waiting time.来自 Google
LeeminGoogle 在地向导 · 2 months agoDr Ivan is a very reliable and humble doctor. The atmosphere of the office is clean and quiet. The staffs are kind too. I highly recommend this clinic when you need to consult a doctor.👍👍来自 Google
yuen szhi7 months agoI am truly grateful to Dr Chan for his marvellous diagnosis and attentive care during the few difficult days when I was down with dengue. He was very thorough, patient, and reassuring, and his medical advice was clear and genuinely helpful throughout my recovery. He took the time to monitor my condition closely and explained everything in a way that gave me confidence and peace of mind. On top of that, the charges were very reasonable, which I deeply appreciate. Thank you Dr Chan for his dedication, professionalism, and kindness. I highly recommend him to anyone seeking a trustworthy and caring doctor.来自 Google
Kristina JGoogle 在地向导 · 2 years agoDr Chye and his fellow associates along with his admin staffs has always been helpful and knowledgeable. They always act with urgency and they consult in detail. You’ll always be satisfied. They always listen to your concerns and advise for each of your concerns. Good sets of meds. I’ve been coming here for more than 2 years plus and also my family members and we’re always delighted with the doctors treatments来自 Google
Michael CheongGoogle 在地向导 · 7 months agoEver since my bro told me about this place, this is my go to when I feel unwell or want medical advice. When im here I feel safe and the doctors here give very good consultations and treatments. The price is also affordable and they don't simply do things. Super reccomended 👍🏼👍🏼👍🏼👍🏼👍🏼来自 Google
Jessy Ooi9 months agoVery friendly and kindly responsible klinic dr. detial is much help me. Explain and teach you how to do thnext step. Help you balance life, take more vitamins ect...来自 Google
Yong Chuen Choi7 months agoHighly recommend for their outstanding service. The entire team was professional, welcoming, and incredibly efficient. The level of care provided was excellent, and the treatment received was highly effective. Healthcare environments can sometimes feel stressful, but this clinic has a wonderful, relaxing atmosphere. The interior design is tasteful and calming, using warm colors and great lighting that made my visit much less anxious. It felt more like a wellness center than a clinic. Wouldn't hesitate to return here for any future medical needs.来自 Google
Mohan Das2 years agoDr. chan is very friendly and knowledgeable. He gave proper advice and gave a lots of tips on how to overcome my dry cough. The clinic ambiance is so good and the nurses are so friendly. Since this is my panel clinic and nearby my house , I always prefer this clinic for my medication and for my family.来自 Google
Lee Daphane4 months agoVery happy with the service here. The doctors and nurses are friendly, kind, and patient. The place is clean, and the pricing is reasonable too. Highly recommended!👍🏻来自 Google
Zo EeGoogle 在地向导 · 2 years agoThe clinic admins were friendly and polite. The atmosphere of the clinic is clean and neat, I don't feel uncomfortable or sickly being here. Doctor is very good, he explained my medical situation and patiently explained what I needed to be precautions of. Highly recommend this clinic.来自 Google
Aqilah NizarGoogle 在地向导 · 2 months agoNice sraff, clean clinic and efficient live numbering waiting queing system. Dr Kon is really helpful. Explanations is detailed but easily understamdable. Recommended.来自 Google
Asmine Nga year agoOur family have been with Chye Clinic for many years. Dr Chan is a very caring doctor. Well explained things to us, he even answered our questions by whatsapp. Nurses are friendly & helpful. Clean and comfortable waiting area and toilets. The best clinic by far.来自 Google
murny razi7 months agoI had a very pleasant experience at this clinic. The staff were friendly. The doctor took time to listen, explained everything clearly, and made me feel comfortable and well taken care of. The clinic is clean and well-organized. Highly recommended to anyone looking for great service and genuine care. Thank you so much! Keep up the great work and excellent service! Worth every penny. Important is affordable price! ❤️❤️❤️❤️来自 Google
常见问题
- 一定要验血才能确定是更年期吗？
- 如果您已超过45岁、症状典型，通常不需要。最后一次月经前荷尔蒙水平每天都在变，单次验血可能误导。45岁以下，验血则是评估的一部分。
- HRT 安全吗？
- 对多数60岁以下、或停经十年以内的女性，好处大于风险。风险确实存在，但对多数人来说很小，而且取决于 HRT 的种类、使用方式与您的个人病史。医生会和您逐项讨论。
- HRT 可以用多久？
- 没有固定的期限。您每年和医生复诊一次，按当时的症状与风险，一起决定是否继续。
- 还会怀孕吗？
- 会。50岁以上需停经满12个月，50岁以下需停经满两年，之前都仍有可能怀孕。HRT 不是避孕药，在那之前仍需要避孕。
- 不能用荷尔蒙怎么办？
- 有一些非荷尔蒙药物可以减少潮热，而阴道雌激素也适合许多不能使用 HRT 的女性。运动与认知行为治疗同样有帮助。
和医生谈谈更年期，甲洞，每天开到晚上8点
48, Jalan Lang Kuning, 52100 Kepong Baru, Kuala Lumpur.