Should You Opt For Hormone Replacement Therapy
This is a personal decision you need to make. Hormone replacement therapy can greatly shorten the duration of symptoms like hot flashes which can last for years on their own. Symptoms can also be made so mild that they can be ignored. Ultimately, you need to speak with your doctor about hormone replacement therapy to see if its right for you. While it is generally safe to use short-term, your doctor will alert you to any health issues you may have that can make you a poor candidate for hormone replacement therapy.
How To Protect Against Unplanned Pregnancy
To prevent a baby bump on your road to menopause, use an effective, safe and appropriate method of birth control until your menopause is confirmed.
Natural family planning is not recommended for perimenopausal women because irregular periods make predicting ovulation difficult.
Many contraception options exist. Dr. Bembry says vasectomy is the most effective form of birth control, as long as post-procedure care is followed, but admits a lot of men just dont go there.
When considering birth control options, talk to your physician. She can discuss risks, effectiveness rates, perimenopausal symptom relief and even which methods can protect against certain cancers.
What Is Early Menopause
As you know, menopause is that period of a womans life when menstruation and menstrual cycles stop completely, and a woman is no longer able to get pregnant and carry children.
This usually happens between 45 and 55 years of age, sometimes a bit earlier, or sometimes a bit later. When menopause occurs before 45 years of age, it is called early menopause or premature menopause .
Early menopause should not be confused with primary ovarian insufficiency . POI occurs when the ovaries stop working properly before the age of 40. Still, with POI, a woman might experience irregular or occasional periods and cycles for years and can get pregnant. In early menopause, a woman stops having periods and can no longer get pregnant.
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When Should I Call My Doctor
If any of your postmenopause symptoms bother you or prevent you from living your daily life, contact your healthcare provider to discuss possible treatment. They can confirm you have completed menopause and are in postmenopause.
Some questions you might ask are:
- Are these symptoms normal for people in postmenopause?
- Is there treatment for my symptoms?
- Is hormone therapy still an option?
- What can I do to feel better?
If you experience any vaginal bleeding during postmenopause, contact your healthcare provider to rule out a serious medical condition.
What Happens During Menopause
Menopause drastically changes your body. When menopause occurs, you no longer get a monthly menstrual period. This is because the hormones that trigger ovulation and pregnancy are not as strong as they used to be. Estrogen and progesterone drop, and this causes the body to no longer have the ability to get pregnant. But since the process of menopause takes anywhere from five to ten years to complete, this is an awkward time in life, and you still have a chance of getting pregnant.
During menopause, the hormone levels drop, but there are times when they also spike during the course of the change. It is at this time that the ability to conceive may still be possible.
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Top Physical Activities To Stay Fit When You Are Pregnant While In Being In Menopause
Doing gentle aerobics and exercises are best for pregnant women, especially if you are experiencing menopause symptoms
Staying active during pregnancy is a good way to keep your body fit and prepare for an easier birth. Women who exercise regularly throughout their pregnancy may experience shorter labor and have less of a chance of receiving a c-section.
Doing gentle aerobics and exercises are best for pregnant women, especially if you are experiencing menopause symptoms or have reached the postmenopausal phase. Tai chi, yoga, taking walks, gentle stretching, light dance, and gentle belly dancing can improve joint and ligament health, increase blood flow to the uterus, and help you shake off any moodiness, anxiety or depression.
How Can We Prepare Ourselves For An Early Menopause
- 5 min read
The word menopause is scary for many women, who associate it with being old. The thought of not being able to have children is quite scary, and the terrible changes that supposedly come with it even more.
Because of this, early menopause sounds like a real nightmare. Well, menopause is not the monster everyone paints it to be. It is a process every woman goes through and there is life after it yes, even after early menopause.
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Contraception Still Matters During Perimenopause
Because you can still get pregnant during perimenopause, its important to continue using contraception if you dont want to get pregnant. There are hormone changes happening during perimenopause that can result in multiple eggs being released at the same time.1 This can not only make it more likely to get pregnant but to have twins as well! 1 Even if you have a tried and true contraceptive method, perimenopause is a good time to check-in with your doctor. Some contraceptive methods can exacerbate symptoms, while others may help alleviate them. Either way, its worth re-evaluating your options during this new stage of life.
In Vitro Fertilization After Menopause
IVF after menopause has been successfully demonstrated.
Postmenopausal eggs are no longer viable, but there are still two ways you can take advantage of IVF. You can use eggs you had frozen earlier in life, or you can use fresh or frozen donor eggs.
You will also need hormone therapy to prepare your body for implantation and to carry a baby to term.
When compared with premenopausal women, postmenopausal women are more likely to experience both minor and major complications of pregnancy after IVF.
Depending on your overall state of health, IVF after menopause may not be an option for you. Its worth consulting with a fertility expert who has worked with postmenopausal women.
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Myth: Your Chances Of Getting Pregnant During Perimenopause Are So Low That You Dont Need To Use Birth Control
Fact: Although pregnancy becomes less likely as you get older, an unplanned pregnancy is still possible until youve gone 12 months without a period . In addition, the North American Menopause Society doesnt recommend natural family planning for perimenopausal women because it can be difficult to predict when youre ovulating when your periods are irregular.6 Your ob-gyn can recommend the best contraceptive options for you during perimenopause.
Infertility Evaluation And Advanced Maternal Age
Infertility usually is diagnosed if a woman has not become pregnant after 1 year of unprotected intercourse . However, if she is 35 or older, the evaluation should begin after 6 months of trying unsuccessfully to conceive. If a couple has an obvious medical problem affecting their ability to conceive, such as absence of periods , sexual dysfunction, a history of pelvic disease, or prior surgery, they should begin the infertility evaluation immediately. Fertility tests may include ovulation detection and evaluation of the fallopian tubes, cervix, and uterus. The male partner will have a semen analysis. Most testing can be completed within 6 months, and appropriate treatment can be started immediately after the evaluation is completed.
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So Does That Means Menopause Is Reversal
The latest treatment proposed by Greek scientists suggests that women can stay fertile even after menopause and can conceive with or without monthly menstrual cycles. The investigators also suggests that their treatment would allow women to have a normal pregnancy with their own genetic material without having to go through any hormonal therapy or surgery.
Scientists from Greece developed a new treatment , which is believed to reverse early menopause and atrophic changes in the female reproductive system. According to latest estimates, early menopause affects about 1% of the women population. Some women may experience menopause in their late 30s or early 40s due to a medical or surgical condition .
A team of researchers under Konstantinos Sfakianoudi, a Greek gynecologist and head of Genesis Athens Fertility clinic identified that PRP treatment was able to rejuvenate female reproductive system in early menopausal women . PRP is derived by centrifuging persons own blood sample to obtain a rich concentrate of growth factors and valuable proteins. Once this concentrate is introduced in tissues, the growth factors aids in tissue regeneration. PRP therapies are fairly useful in degenerative bone and joint conditions.
Symptoms Associated With Menopause
Menopause brings a wide variety of symptoms with it. Thats because your hormones affect every aspect of your body. Every woman experiences menopause differently. Some have some mild changes that dont cause much of an issue in daily life. Other women suffer significant symptoms that can be quite disruptive.
Some of the most commonly experienced symptoms include hot flashes , night sweats, difficulty sleeping, mood swings, and frequent urination. These are just some of the changes you may begin to experience when perimenopause begins and you transition into menopause.
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Are Babies At Risk While Trying To Become Pregnant During Perimenopause
When women get older, there is an increased chance of chromosomal abnormalities in their aging eggs. In addition, babies conceived by older mothers are at greater risk of being born with Down syndrome. More specifically, the rate increases from about 1 in 1,200 at age 25, to 1 in 100 at age 40 and by 49, the risk drops to 1 in 10, according to the National Down Syndrome Society. Its recommended therefore that those planning a pregnancy after 40 undergo genetic tests beforehand.To avoid passing on chromosomal disorders to their baby, many women over 40 choose to become pregnant via egg donation.
Common Menopause And Pregnancy Symptoms
Changes in your menstrual cycles
Skipping a menstrual period is often the first telltale sign that a woman may be pregnant. Missing a period could also be a sign that a women has entered the menopause transition. If youve been having intercourse, you may be inclined to take a pregnancy test. If not, look for other hormone-related signs that confirm menopause, such as hot flashes and low libido
Surging and fluctuating hormones in pregnancy and menopause can both lead to mood swings and irritability. In pregnancy, mood changes may cause you to be unusually emotional and weepy. In perimenopause, irritability, anxiety and depression are more the norm for mood changes. Are you crying one minute and laughing the next? Its time to check in more with your body and whether your mood is related to perimenopause or pregnancy.
Fatigue and sleep changes
Hormonal changes in pregnancy and menopause can also result in fatigue and changes to sleep patterns, including insomnia. Whenever you notice changes in your sleep habits, its a good time to check in on the state of your hormones.
Many women say they first knew they were pregnant when their breasts suddenly became tender, sore and swollen. Women can also experience breast pain as part of a hormonal imbalance in menopause. Good breast self care is important. If you notice changes in your breasts, let your healthcare provider in on your symptoms.
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Risks Increase For Pregnancies After Age 35
This natural decline of reproductive function and specific hormones can lead to some complications during pregnancy. For example, its more common for women over 35 to develop complications like gestational diabetes and high blood pressure during pregnancy.1 Babies born to older women a higher risk to have chromosome abnormalities , and low birth weight or even premature births.1 These complications may also lead to an increased risk for a C-section delivery.1 Many and most women, however, still have very healthy pregnancies well into their forties.
What Are The Chances Of Getting Pregnant After Menopause
Menopause is reached when a womans menstrual cycles have stopped for 12 months. This milestone also represents the end of monthly ovulation and a womans ability to naturally become pregnant.
Can a woman still have a child once shes gone through menopause? Its possible. While ovulatory cycles cease once youre in menopause, theres still a chance for pregnancy via IVF and implantation of a fertilized donor egg.
In many ways, women have two biological clocks. One clock counts down your ability to ovulate and use your own eggs for pregnancy. This clock on natural fertility runs out in menopause. The other biological clock relates to your bodys ability to allow for successful implantation and gestation of a donor egg .
According to the American Society of Reproductive Medicine, any woman of any age can get pregnant with assisted reproductive technology provided that she has a normal uterus even if she no longer has ovaries or ovarian function.
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What Are The Risks
According to the CDC, the number of first-time births among women ages 40 to 44 more than doubled between 1990 and 2012, and is still rising. The vast majority of women in this age group go on to experience completely normal and healthy pregnancies and births. However, older moms-to-be are also at higher risk for certain complications in pregnancy. These include:
- high blood pressure and the related pregnancy complication preeclampsia
- gestational diabetes
- birth defects, such as Down syndrome
- low birth weight
If you do plan to get pregnant when you are in your 40s, its a good idea to have a fertility check up with your healthcare provider and start taking a prenatal multivitamin before trying to conceive.
What Causes Postmenopausal Bleeding
Vaginal bleeding during postmenopause isn’t a normal side effect of decreasing hormone levels. In some cases, the dryness in your vagina could cause some light bleeding or spotting after sex. In other cases, it could indicate a condition like endometrial hyperplasia or uterine fibroids, infections like endometritis, or cancer. Contact your healthcare provider if you experience any vaginal bleeding so you can be evaluated.
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Are There Any Concerns Associated With Getting Pregnant After Menopause
It is too early to say if this treatment would actually help women in getting pregnant or giving birth to healthy babies. However, a lot of healthcare professionals believes that pregnancy after menopause has its own risks for example:
- Risk of genetic mutation is higher with advanced maternal age.
- Risk of pregnancy related complications is also high in women who became pregnant at older age.
Scientists believes that with this latest treatment, many women will be able to resume their menstrual cycle. The research team is currently waiting for approval of this treatment method from the medical fraternity so that clinical trials can be carried out to assess the quality of results in a larger subset of population.
How Do I Stay Healthy After Menopause
It is important to maintain a healthy lifestyle, especially as you age and your risk for certain medical conditions increases. Some ways for people in postmenopause to stay healthy include:
- Exercising regularly. Walking, doing yoga or strength training can help lower your risk for many medical conditions.
- Weight-bearing exercises can strengthen your bones and muscles.
- Eating a healthy diet. Foods like fruits, vegetables, lean meats and whole grains should make up the bulk of your diet. Avoid lots of salt or sugar and limit your consumption of alcohol.
A note from Cleveland Clinic
Going through menopause can be uncomfortable and present new challenges and health concerns. Speak with your healthcare provider about any symptoms you feel or questions you have. They can help make sure you are supported through this time and get the care you need.
Last reviewed by a Cleveland Clinic medical professional on 10/05/2021.
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Can You Conceive During Pre
Every woman is with limited egg count. With growing age, the egg reserve declines. While those remaining are aging, it increases the chances of chromosomal abnormalities. Therefore, as the fertility of a woman declines with age, so do the chances of getting pregnant go down. This is even more prominent in case of pre-menopause symptoms. As compared to a 30 year old woman, who has 20% chance of becoming pregnant, the odds of a woman who has reached her 40s has a baby plummet rapidly due to reduction in the quantity of her eggs.
During pre-menopause, skipped periods or hot flashes can last for a few months and disappear, as the cycle gets back to normal. Thus, a woman in her pre-menopause phase has the chances of getting pregnant until the ovulation comes to an end. However, factors like hormonal fluctuations lead to irregular periods that make it difficult to conceive.
Can Menopause Occur Before 40
Premature menopause is when periods cease before the age of 40. In many cases no cause is found for menopause to be early.
Sometimes there may be a history of early menopause in the family. Certain infections and immune and chromosome disorders can also cause it to happen early. You should discuss with your doctor whether you need to have any investigations.
Smoking has been linked to premature menopause.
Premature menopause may also happen as the consequence of surgical removal of both ovaries. It can also be as a result of some cancer treatments where the ovaries are affected. This causes a sudden drop in hormone levels and menopausal symptoms can often be more severe than with the other types of menopause.
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