Is It Possible To Conceive After Menopause
During menopause, complex changes begin to occur in the womans body, the main effect of which is aimed at the gradual cessation of the reproductive activity of the female body. You need to consider the changes in more detail in order to decide for yourself whether to use contraception or not.
Changes begin with a decrease in the production of the female sex hormone progesterone by the ovaries, which ceases to compensate for the production of another sex hormone estradiol.
In parallel, the pituitary gland tries to make up for the lack of progesterone and stimulates the ovaries by releasing luteotropic hormone into the blood.
A woman experiences hormonal swings. They are expressed by the troubles in the various organs and systems.
Meanwhile, the process of menopause does not stand still.
With a decrease in hormone production, the number of follicles in the ovarian cavity is gradually reduced, therefore, the regular ovulation process is disturbed, and a woman experiences interruptions in her menstrual cycle.
Gradually, menstruation disappears completely. Menopause is confirmed after 1 year of no periods.
Given the changes in the womans body, we can assume that pregnancy cannot be detected during menopause. While the body is in the process of egg maturation , it is somewhat premature to talk about the impossibility of conception.
Once you get medical confirmation that conception and childbearing are no longer possible, you can completely abandon the use of contraceptives.
Other Suggested Benefits Of Oral Contraceptives
The use of oral contraceptives also provides protection against benign breast disease, ectopic pregnancy, salpingitis, dysmenorrhea and iron deficiency anemia.11 Growing evidence suggests that oral contraceptive use may protect against other conditions, including colorectal cancer, uterine fibroid tumors, toxic shock syndrome, Alzheimer’s disease and rheumatoid arthritis. However, these particular findings remain unproved.11
Getting Your Period Again Once Off The Pill
Every woman going off the Pill should consider her cycle when she makes decisions about other birth control methods. Importantly, the bleeding pattern you had while on the Pill does not predict what will occur when you go off.
If you stop taking birth control hormones and do not get a period, dont just assume youve entered menopause or that youre pregnant ! As I mentioned above, a woman can sometimes take several months to settle back into her natural hormonal rhythm.
If six months to a year goes by without a period, talk to your doctor about menopause and ask for an FSH test. If 18 months go by without a period and your blood test indicates menopause, it is safe to assume that you will not get pregnant. Until then, again, if you do not want to become pregnant, you should practice some form of birth control or abstinence.
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Perimenopause And Menopausewhats The Difference
Perimenopause is menopauses opening act. Its the time leading up to menopause when a womans hormones begin to change. A women is still having periods during this time, but they become more irregular.
Menopause is the final period a women has. Its the curtain closing, so to speak. This is known when a woman goes 12 months without a period. Everything after that is post-menopause.
The Choice To Use Birth Control Is Yours
We want our readers to have the best, most up-to-date information so they can make decisions that work well for them.
Whether you choose to stay on the Pill or to come off it, supporting your body through optimal nutrition and lifestyle should be high on your list. The better you treat yourself while on the Pill, the easier your transition will be when you do inevitably come off it. Plus, you will already have the positive health measures in place to help you overcome hormonal imbalance symptoms in perimenopause and beyond.
Cibula, D., et al. 2010. Hormonal contraception and risk of cancer. Hum. Reprod. Update, 16 , 631650. URL : http://www.ncbi.nlm.nih.gov/pubmed/20543200 .
Figueiredo, J., et al. 2010. Oral contraceptives and postmenopausal hormones and risk of contralateral breast cancer among BRCA1 and BRCA2 mutation carriers and noncarriers: The WECARE Study. Breast Cancer Res. Treat., 120 , 175183. URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2835545/?tool=pubmed .
Rosenberg, L., et al. 2009. A case-control study of oral contraceptive use and incident breast cancer. Am. J. Epidemiol., 169 , 473479. URL: http://aje.oxfordjournals.org/content/169/4/473.long .
Lee, E., et al. 2007. Effect of reproductive factors and oral contraceptives on breast cancer risk in BRCA1/2 mutation carriers and noncarriers: Results from a population-based study. Cancer Epidemiol. Biomarkers Prev., 17 , 31703178. URL: http://cebp.aacrjournals.org/content/17/11/3170.long .
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Can You Go Through Menopause While On Birth Control Pills
The progestogen-only pill may cause irregular bleeding or even stop altogether if you continue taking it as long as you have it. In addition to masking or controlling menopausal symptoms, such as hot flashes and night sweats, the combined pill may also be used to treat depression.
How Birth Control Pills Work
Developed as a daily contraceptive, birth control pills work by changing the hormone levels within the body in order to prevent the process of ovulation. Many of the bodys functions are controlled by hormones, which are essentially chemical signals, and ovulation is the function in which the ovaries release an egg to be fertilized by a sperm potentially. Birth control pills contain estrogen and progesterone and these are the female sex hormones that regulate ovulation as well as other reproductive processes.
As mentioned, the pills work to prevent the release of an egg, but they can also help in two other ways as well. The first way is that the hormones solidify the mucus that surrounds the cervix, which makes it a challenge for sperm to enter the uterus where an egg may have been released to . The other way that birth control pills prevent pregnancy is by changing the lining of the uterus, which makes it more difficult for an egg to attach . These three preventative measures work in conjunction to make birth control pills nearly 100 percent effective at preventing unwanted pregnancy .
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Q: How Is Menopause Diagnosed
A: The only real recommended way to diagnose that you are through menopause is to not have a period for 12 months.
The problem with testing hormone levels is that they dont tell you enough of what is going on because they can change. If you dont have a period for six months and you get hormone levels that suggest that that you are in menopause, you could still go on to have a period the next month because of the way that hormones work in the body. Unfortunately, there are no blood tests that tells us exactly when you will go through or when you have gone through menopause.
When To Stop Contraception
Contraception should be continued for at least one year after your last menstrual period if this was after the age of 50, and for two years if your periods stop before the age of 50. This is because sometimes periods may restart even after several months with no bleeding. Otherwise contraception can be stopped at the age of 55, even if you are still having occasional periods, as the risk of pregnancy at this age is extremely low.
However, if you are using progestogen-only hormonal contraception you may well have only occasional periods or no periods at all, thus making it difficult to tell if you are menopausal. With the exception of the injection, progestogen-only methods can be safely used until the age of 55 years. Your healthcare provider may recommend a blood test which would give some guidance as to how much longer you need to continue the method.
If using combined hormonal contraception you will experience regular periods or withdrawal bleeds which mask one of the signs of the menopause. Blood tests are not reliable and not recommended if you are using combined hormonal methods, which should be stopped at the age of 50, switching to an alternative non-hormonal or progestogen-only method.
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When Does Menopause Start
If youre in your 20s its unlikely that you are in menopause even if you havent had a period in 12 months .
But if youre in your mid-40s or older and havent had a period in 12 months, you are quite likely in menopause.
Although fertility starts declining around the age of 40, a woman can get pregnant at any time up until menopause.
What Are Some Of The Benefits Of Taking Low
In addition to preventing pregnancy, the pills can often regulate heavy or irregular menstrual periods and may provide protection from ovarian and uterine cancer. The pills may also prevent bone loss, which can lead to osteoporosis. However, women with a history of breast cancer, blood clots, or heart disease, or women who smoke, should not take these pills.
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Now That I’ve Begun Menopause Should I Be Concerned About Birth Control
You will know for sure that you have experienced menopause when you have not had your period for an entire year. Until you have gone one year without a period, you should still use birth control if you do not want to become pregnant. After menopause, you should continue to practice safe sex techniques by using latex condoms to reduce the risk of sexually transmitted infections.
What Does Perimenopause Mean
When your periods stop completely, it’s called menopause. Perimenopause means around the time of menopause. The peri-menopausal years are the few years before your periods stop. The timing of menopause is different for each woman. Although some women stop having periods in their 30s, the average age is the early 50s. So, peri-menopausal women are usually in their 40s or early 50s.
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Ok Fourth Question: If Weve Been Taking Oral Contraceptives For 20+ Years How Will We Know If Perimenopause Has Started
The best way to know if you are in menopause while taking the birth control pill is to check your hormonal levels at the end of the pill-free week. Some women may even notice hot flashes during the pill-free/placebo week since they are not taking estrogen thats normally in the active pills. Your doctor can conduct a simple blood menopause test that determines if your follicle-stimulating hormone level has reached menopausal levels.
If you need a trusted opinion, determine if medication is right for you, and possible prescription support. Book an appointment with one our Gennev menopause-certified gynecologist doctors here.
Oral Contraceptives And Lipids
Low-dose oral contraceptives probably do not adversely affect lipid levels in most women. In one study,16 oral contraceptive use in perimenopausal women consisted of 20 g of ethinyl estradiol and 150 g of desogestrel. In this study, total serum cholesterol levels decreased, and high-density lipoprotein cholesterol levels increased. Triglyceride levels, which often increase as a result of the estrogen component of oral contraceptives, were not affected in this study.
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First Are Birth Control Pills Really Safe
Women have become much savvier about artificial hormones since the Womens Health Initiative shed light on the risks of synthetic hormone replacement therapy . What many women dont realize is that the Pill has higher amounts of synthetic hormones than HRT up to twice as much, depending on the brand.
On balance, the Pill has a better safety record than many prescription drugs. But there are inherent risks with all drugs. While there is little data showing a connection between birth control pills and breast cancer risk, some women metabolize hormones differently. Risk of long-term use of birth control pills is unclear for these women. There may also be an increased risk of cervical and liver cancer. For some women over 35, the Pill may increase risk factors for blood clotting, cardiovascular disease, and liver, kidney or adrenal disease. It can also cause or worsen symptoms of hormonal imbalance: fluid retention, headaches, loss of sexual desire, breast tenderness, PMS, irregular bleeding, depression, and hair loss.
Many of the risks associated with the Pill have been linked to smoking, and other pre-existing conditions. It is important to always discuss the pros and cons of any prescription drug you are considering or taking with your healthcare practitioner, so you fully understand all the benefits and risks.
Birth Control And Menopause
Birth control during menopause is something you should make sure you have sorted as it is, of course, a myth that you cant get pregnant during this time.
Actually, scratch that. Since menopause is defined as the time following the absence of menstruation for 12 months if you are over 50 when your periods stop, you are highly unlikely to get pregnant then. The condition we are talking about is perimenopause.
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Contraception For The Older Woman
Many women are aware that their fertility declines from their mid 30s and think they can stop using contraception once they are in their 40s. They wrongly assume because their fertility is lower, they have less sex and their periods may have become irregular that contraception can be abandoned. However, women do still get pregnant in their late 40s and even into their 50s , so contraception should continue to be used every time they have sex if pregnancy is to be avoided. Contraception should be continued until menopause, which is defined as two years after the last natural menstrual period in women under age 50 and until one year after the last natural menstrual period in women over age 50. If menopause cannot be confirmed, contraception should be continued until age 55.
An unplanned pregnancy at any age can pose problems, but particularly so for a woman in her 40s who may be beginning to enjoy more freedom as children grow up. Furthermore, a pregnancy in older women is often associated with an increased number of complications such as miscarriage, high blood pressure, diabetes and chromosomal problems with the baby, and consequently will need more careful monitoring.
In recent years there have been many advances in contraception, and new methods may have additional health benefits as well as providing excellent contraception. Womens needs change as they get older and a method that may not have been ideal when she was younger may become much more suitable.
Q: What Are The Early Signs And Symptoms Of The Menopausal Transition
A: Skipping periods is one of the first signs. Often during that time frame, women might develop hot flash symptoms. Hot flashes are a sensation of warmth that start around the neck and come up over the head and are sometimes associated with sweating. They usually last for a few minutes and then go away. Some people have them infrequently. Some people have them a lot. Some have them at night, others have them during the day.
There are other symptoms. Genitourinary Syndrome of Menopause, or GSM, involves vaginal dryness, pain with intercourse, typical signs of changes to the vagina and vulva for example, thinning of the vulvar skin. In perimenopause, mood changes are also sometimes present, but they usually resolve on their own after transitioning to postmenopause.
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Are There Any Risks Related To Hormone Therapy
Like most prescribed medications, there are risks for hormone therapy. Some known health risks include:
- Endometrial cancer .
- Gallstones and gallbladder issues.
Going on hormone therapy is an individualized decision. Discuss all past medical conditions and your family history with your healthcare provider to understand the risks versus benefits of hormone therapy for you.
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What Birth Control To Use During Menopause
When the first signs of menopause appear, a woman should seek the advice of a gynecologist. The specialist will give recommendations on how to better prevent pregnancy during menopause.
There are several methods of birth control that are recommended for women who have reached menopause:
- birth control pills
- intrauterine device
- surgical method.
Birth control pills significantly improve the well-being of a woman who experiences menopause, make it easier to endure the unpleasant symptoms of this period.
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Can Women Get Pregnant Even If Theyre Perimenopausal
Despite declines in fertility during perimenopause, it is still possible to become pregnant. Even when periods become less frequent, the body may be releasing more eggs. Furthermore, if a person with a uterus is currently taking birth control, they should continue to do so during perimenopause. If they are not on birth control, they should use an additional form of contraception for protection. It is also necessary to keep track of menstrual cycles in order to determine when it has been 12 months since the last cycle. Scheduling regular gynecological visits is a great way to help ensure that any rogue pregnancies will be detected early.
How Is Premature Menopause Treated
The symptoms and health risks of premature menopause, as well as the emotional issues that may result from it, can be managed with the methods similar to those used for natural menopause. Women dealing with infertility that is brought on by premature menopause may want to discuss their options with their doctor or with a reproductive specialist.
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