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Can Ovaries Start Working Again After Menopause

Is Having A Hard Time Concentrating And Being Forgetful A Normal Part Of Menopause

Making Sex Comfortable Again After Menopause: Laser Treatment for the Vagina

Unfortunately, concentration and minor memory problems can be a normal part of menopause. Though this doesnt happen to everyone, it can happen. Doctors arent sure why this happens. If youre having memory problems during menopause, call your healthcare provider. There are several activities that have been shown to stimulate the brain and help rejuvenate your memory. These activities can include:

  • Doing crossword puzzles and other mentally stimulating activities like reading and doing math problems.
  • Cutting back on passive activities like watching TV.
  • Getting plenty of exercise.

Keep in mind that depression and anxiety can also impact your memory. These conditions can be linked to menopause.

Can I Still Get Pregnant After Being Diagnosed With Premature Menopause Early Menopause Or Primary/premature Ovarian Insufficiency

Unless the ovaries have been surgically removed, it can be difficult to diagnose a woman younger than age 45 with menopause as opposed to primary ovarian insufficiency . Women with POI can have intermittent ovulation, which may or may not be accompanied by a menstrual bleed. Other women may be able to get pregnant through in vitro fertilization with egg donation. It is important to work with a fertility specialist to explore options.

Options available to you will vary depending on whether you have interest in having children in the future. In some cases, fertility may be restored and pregnancy could be possible. Assisted reproductive technology , including in vitro fertilization might be considered.

If you do not want to get pregnant while on hormone-replacement therapy, your doctor will talk to you about contraceptive options.

Talk to your healthcare provider about possible causes of premature or early menopause and your questions regarding fertility.

Removal Of The Cervix

If you have;cancer of the cervix,;ovarian cancer or womb cancer,;you may be advised to have your cervix removed to stop the cancer spreading.

Even if you do not have cancer, removing the cervix takes away any risk of developing cervical cancer in the future.

Many women are concerned that removing the cervix will lead to a loss in sexual function, but there’s no evidence to support this.

Some women are reluctant to have their cervix removed because they want to retain as much of their reproductive system as possible.

If you feel this way, ask your surgeon whether there are any;risks associated with keeping your cervix.

If you have your cervix removed, you’ll no longer need to have cervical screening tests.

If you do not have your cervix removed, you’ll need to continue having regular cervical screening.

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When Is Goserelin Prescribed

Goserelin is used to treat some people with;primary breast cancer. It may also be used to treat people with;secondary breast cancer.

Itll only be given if you are premenopausal and your breast cancer is ER+.

Goserelin may be given on its own or is often combined with another hormone therapy such as tamoxifen or drugs known as aromatase inhibitors . Research has suggested this may reduce the risk of the breast cancer coming back for some premenopausal women who have had chemotherapy.

There may be a small extra benefit of having an aromatase inhibitor over tamoxifen but there might be different side effects to consider that can affect your quality of life. Your specialist will help you discuss the possible benefits and side effects.

Aromatase inhibitors are not used on their own as hormone therapy in premenopausal women because theyre not an effective treatment while the ovaries are still making oestrogen, but they can be given alongside goserelin. Your treatment team will discuss with you what they recommend and why.

Diagnosis Of Premature Or Early Menopause

What You Need to Know About Your Hormones After Menopause

Premature and early menopause is diagnosed using a number of tests including:

  • medical history, family history and medical examination
  • investigations to rule out other causes of amenorrhoea , such as pregnancy, extreme weight loss, other hormone disturbances and some diseases of the reproductive system
  • investigations into other conditions associated with premature or early menopause, such as autoimmune diseases
  • genetic tests to check for the presence of genetic conditions associated with premature or early menopause
  • blood tests to check hormone levels.

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What Does Early Menopause Feel Like

Early menopause may trigger sudden menopause symptoms such as:

These symptoms may feel severe for some women because your hormone loss is instant, not gradual as in natural menopause. It can feel like a drastic change.

Health risks. Early menopause can increase your risk of long-term health problems like cardiovascular disease , osteoporosis, depression or anxiety, and cognitive dysfunction or memory loss.

Your doctor may give you a DEXA scan to check your bone density. They can prescribe medication to help protect your bone strength.

Treatment For Early Or Premature Menopause

There is no treatment available to make the ovaries start working again.

Rarely, the ovaries may spontaneously start working again, for reasons unknown. According to some studies, about one in 10 women who are diagnosed with premature ovarian insufficiency get pregnant, for reasons that are not yet clear.

Women with early menopause have a long period of postmenopausal life, which means they are at increased risk of health problems such as early onset of osteoporosis and heart disease. For this reason, it is recommended that they take some form of hormone therapy until they reach the typical age of menopause . This may be the combined oestrogen and progestogen oral contraceptive pill, or menopausal hormone therapy .

Either option treats menopausal symptoms and reduces the risk of early onset of osteoporosis and heart disease.

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How Likely Is It That The Symptoms Indicate Cancer

Ovarian cancer is relatively rare, representing an estimated 1.2% of all newly diagnosed cancer cases in 2020 in the United States. It is responsible for 2.3% of all cancer-related deaths in the country.

Overall, the symptoms associated with ovarian cancer are much more likely to be caused by other, far less severe conditions.

However, anyone who experiences unusual or persistent symptoms should seek medical advice.

Bleeding After Menopause: Get It Checked Out

What Happens to Our Bodies During and After Menopause? What Can we Do About it?

Bleeding after menopause can be disconcerting, but the good news is, more than 90% of the time its not caused by a serious condition, according to a study in JAMA Internal Medicine.;That said, the study also reinforces the idea that postmenopausal bleeding should always be checked out by your doctor to rule out endometrial cancer, a cancer of the uterine lining, says Dr. Ross Berkowitz, William H. Baker Professor of Gynecology at Harvard Medical School. This is because the study also found more than 90% of women who did have endometrial cancer had experienced postmenopausal bleeding. And screening all women who experience bleeding after menopause for endometrial cancer could potentially find as many as 90% of these cancers, which are highly curable if found early.

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Research Suggests That Pregnancy Is Possible After You Start Perimenopause

Getting pregnant during perimenopause can be challenging, but not impossible. A procedure like ovarian rejuvenation may help trigger your ovaries to begin releasing eggs again.

During ovulation, mature follicles in your ovaries burst and release an egg or eggs. Once perimenopause has begun, ovulation becomes less consistent and you dont release a viable egg every month. The important thing is that your ovaries still hold viable eggs.

The ovarian rejuvenation procedure may help restore or rebalance the reproductive hormones responsible for maturing and bursting follicles. This will allow you to become pregnant naturally or allow doctors to retrieve an egg for in vitro fertilization .

In the only peer-reviewed study conducted so far, researchers found that all four participants produced an egg capable of being extracted for fertilization.

Can Menopause Be Reversed

The short answer is no, but researchers are working on it.

One avenue of study is treatment using a womans own platelet-rich plasma . PRP contains growth factors, hormones, and cytokines.

Early efforts to restore activity in the ovaries of perimenopausal women indicate that ovarian activity restoration is possible, but only temporarily. Research is still in the early stages. Clinical trials are underway.

In a small study of postmenopausal women, 11 of 27 who were treated with PRP regained a menstrual cycle within three months. Researchers were able to retrieve mature eggs from two women. IVF was successful in one woman.

Much additional research on larger groups of women is needed.

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Can A 52 Year Old Woman Get Pregnant

Women do not remain fertile until menopause. The average age for menopause is 51, but most women become unable to have a successful pregnancy sometime in their mid-40s. These percentages are true for natural conception as well as conception using fertility treatment, including in vitro fertilization .

Can Menopause Affect My Sex Life

Cyst During Menopause 46 Symptoms Age

After menopause, your body has less estrogen. This major change in your hormonal balance can affect your sex life. Many menopausal women may notice that theyre not as easily aroused as before. Sometimes, women also may be less sensitive to touch and other physical contact than before menopause.

These feelings, coupled with the other emotional changes you may be experiencing, can all lead to a decreased interest in sex. Keep in mind that your body is going through a lot of change during menopause. Some of the other factors that can play a role in a decreased sex drive can include:

  • Having bladder control problems.
  • Having trouble sleeping through the night.
  • Experiencing stress, anxiety or depression.
  • Coping with other medical conditions and medications.

All of these factors can disrupt your life and even cause tension in your relationship. In addition to these changes, the lower levels of estrogen in your body can actually cause a decrease in the blood supply to the vagina. This can cause dryness. When you dont have the right amount of lubrication in the vagina, it can be thin, pale and dry. This can lead to painful intercourse.

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How Long Will I Be Given Goserelin For

If you have primary breast cancer, goserelin is usually given for up to five years or sometimes longer.

If you have secondary breast cancer, you will be given goserelin for as long as it keeps the cancer under control.

If youre having goserelin to try to preserve fertility, an injection of goserelin is usually given before chemotherapy starts, then every four weeks during chemotherapy, and a last dose after the final chemotherapy treatment.

What Is Primary Ovarian Insufficiency

Primary ovarian insufficiency , also known as premature ovarian failure, happens when a woman’s ovaries stop working normally before she is 40.

Many women naturally experience reduced fertility when they are about 40 years old. They may start getting irregular menstrual periods as they transition to menopause. For women with POI, irregular periods and reduced fertility start before the age of 40. Sometimes it can start as early as the teenage years.

POI is different from premature menopause. With premature menopause, your periods stop before age 40. You can no longer get pregnant. The cause can be natural or it can be a disease, surgery, chemotherapy, or radiation. With POI, some women still have occasional periods. They may even get pregnant. In most cases of POI, the cause is unknown.

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What Causes Primary Ovarian Insufficiency

In about 90% of cases, the exact cause of POI is unknown.

Research shows that POI is related to problems with the follicles. Follicles are small sacs in your ovaries. Your eggs grow and mature inside them. One type of follicle problem is that you run out of working follicles earlier than normal. Another is that the follicles are not working properly. In most cases, the cause of the follicle problem is unknown. But sometimes the cause may be

How Your Doctor Will Investigate Postmenopausal Bleeding

How to lose weight after menopause

If you do experience unusual or postmenopausal bleeding, make an appointment with your doctor to have the problem investigated, says Dr. Berkowitz. Your doctor will likely recommend an ultrasound, a biopsy, or both. Ultrasound can measure the thickness of the lining inside the uterus. In some women with endometrial cancer, this lining becomes thicker than usual, which alerts doctors to the possibility that it is cancerous. Not all thickened linings mean cancer, though. The ultrasound should be followed by a biopsy, even if the ultrasound doesnt show any thickening of the uterine lining, says Dr. Berkowitz. A biopsy can often be done as an in-office procedure, in which the doctor uses a thin tube with a collection device on the end to gather some uterine cells. The sample is then examined under a microscope to check for cancer or precancerous changes.

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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.

These Therapies May Tackle More Than Just Fertility

Clinical trials have found a nightly dose of melatonin may reduce feelings of depression and improve overall mood for women in menopause. This treatment may be suited for someone looking to minimize menopause symptoms rather than restore fertility.

Melatonin may also have protective effects for older women against some cancers including breast cancer and certain metabolic disorders. Its also been shown to improve the immune system.

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Fertility Scientists Find Way Of ‘restarting’ Ovaries

Women who go through early menopause and are unable to have children have been given fresh hope after scientists found a way of “restarting” ovaries.

The study could pave the way for women to one day conceive even though they have gone through the menopause at an early age.

Premature ovarian failure affects 1% of women under 40, and one in 1,000 under 30. The normal age for menopause is debatable but experts consider early menopause as before 45.

Possible reasons include chromosome abnormalities, such as Down’s syndrome; enzyme deficiencies, which can damage eggs and prevent the production of the hormone oestrogen; and autoimmune diseases, where the body effectively turns on itself.

Scientists at the World Congress of Fertility and Sterility in Munich said the latest work on rats could offer hope for the future.

A team from Cairo University used stem cells to restore ovarian function in a group of 60 female rats. The rats were divided into four groups, with the first not given any treatment and acting as a control.

Rats in all the other groups were treated with a chemical to stop their ovaries working, with those in the second group then given injections containing stem cells.

Group three was injected with a saline solution to act as a control, and the group four rats had ovarian failure but received no treatment, also enabling them to act as a control.

The Cairo team tested the hormone levels of all the rats to see if they returned to normal following treatment.

Diagnosis Of Early Menopause

My Menopause Centre
  • At present, there is no specific predictor of early menopause although several biochemical markers, such as anti-Mullerian hormone, are under investigation.
  • The diagnosis of early menopause may take several months to confirm and can be stressful. Diagnostic criteria1 for POI includes > 4 months of amenorrhoea with a follicle stimulating hormone level in the menopausal range on two occasions at least 4-6 weeks apart.

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How Is Premature Ovarian Insufficiency Diagnosed

The most common way of diagnosing this condition is by a blood test measuring the level of a hormone called follicle-stimulating hormone . This level is usually very high as your body produces high levels to try to stimulate your ovaries to produce FSH. You will usually have two of these blood tests several weeks apart.

Other blood tests – for example, other hormone tests and genetic tests – may also be undertaken.

You may have a DXA bone scan. DXA stands for dual-energy X-ray absorptiometry. It is a scan that uses special X-ray machines to check your bone density. A DXA scan can confirm ‘thinning’ of the bones .

Premature Ovarian Failure In 38 Year Old

    Question:

    Dear Dr. Ramirez, I am a 38 year old from Birmingham, UK. After experiencing irregular periods and sometimes having 3 to 4 month absences, my hormone levels were tested and showed my level as 20. I was told that either I was experiencing premature ovarian failure or an early menopause. The course of action I was given at that time to determine which I had was to take a months supply of hormone replacement therapy. Obviously the bleed at the end would not have accounted for anything but the idea was to see if my periods came back after that. My gyno told me was that sometimes the ovaries can shut down for whatever reason and because of this the pituitary gland is desperately sending out more and more fsh to try and spur the ovaries into action and they are not responding hence the high FSH.

    I was told that by taking a month of HRT it will switch off the pituitary gland and give the ovaries a rest from this constant hammering and that sometimes after this rest the ovaries start working again on their own. They did come back for about 3 months and a day 21 progesterone test showed my level as 20 suggesting some kind of ovarian activity.

    Does this make any more sense to you at all? I have now been advised to stay off HRT for 2 months and then just go and get my hormone levels tested again and if my levels show menopausal then go on hrt permanently. I sort of feel as though I was given false hope. Can I still get pregnant?

    Answer:

    Hello,

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