Factors Which Influence The Age Of Both Natural And Surgical Menopause
Great interest has been shown in the age of the menopause, the time at which the ovaries run out of egg cells and hormone production declines. A recently published UK based survey provides more information on factors which influence the age of both natural and surgical menopause.
Beginning in the mid-1960s, Pokoradi and colleagues recruited approximately 23,000 women through general practitioners practices. In the mid-1990s, women who were still participating were sent questionnaires asking about pregnancies, hormone use, surgery, menopausal status, cigarette smoking, alcohol use, weight, medical problems, physical activity, and date of their last period.
Data from 5113 eligible responses were analyzed. The average age at menopause was 47.2 years . Among those with early natural menopause, cigarette smoking was more common, but alcohol consumption, physical activity, and body mass index at age 30 years had no effect on age at menopause. Women with early natural menopause were more likely to have used contraceptive pill in the past and to have had sterilisation or symptoms associated with endometriosis. They were less likely to have used hormone replacement therapy.
Pokoradi AJ, Iversen L, Hannaford PC. Factors Associated With Age of Onset and Type of Menopause in a Cohort of UK Women. Am J Obstet Gynecol. 2011 205:34.e1-13
Tubal Ligation And Early Menopause: A Case
Georges Abi Tayeh,1,2
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1Department of Obstetrics and Gynecology, Hôtel-Dieu de France University Hospital, Lebanon2Faculty of Medicine, Saint Joseph University, Lebanon
Correspondence: Dr. Georges Abi Tayeh, Department of Obstetrics and Gynecology, Hôtel-Dieu de France University Hospital, Boulevard Alfred Naccache, Beirut, Lebanon, P.O. Box: 16-6926, Tel 961 1 427 400, Fax 961 1 426 400
Citation: Tayeh GA, Nabaa T, Habib O,et al. Tubal ligation and early menopause: a case-control study. Obstet Gynecol Int J. 2018 9:114-116. DOI: 10.15406/ogij.2018.09.00314
How Long Does It Take For Endometrial Ablation At Mayo Clinic
Depending on the type of balloon device, the procedure can take from two to 10 minutes. Microwave. A slender wand is inserted through the cervix. The wand emits microwaves, which heat the endometrial tissue. Treatment usually lasts three to five minutes. Radiofrequency. A special instrument unfurls a flexible ablation device inside the uterus.
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Studies/citations: Effects Of Female Castration
The sudden loss/stoppage of estrogen, hormones, and the resulting hormone shock can affect brain function. Confusion, rage, depression, and memory loss that can mimic an alzheimers type state can manifest. In addition to these symptoms, women who lose both ovaries also lose the protection these hormones provide against heart disease and osteoporosis many years earlier than if they had experience natural menopause.
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How Is Low Estrogen Treated
Women who have low levels of estrogen may benefit from hormonal treatment. Hormonal treatment is the standard for low estrogen. There are non-hormonal options to help relieve symptoms. Non-hormonal options are preferred for women at high risk for breast cancer, blood clots, stroke, or liver disease.
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What Happens After A Tubal Ligation
After your surgery, you will be taken to the recovery room to be watched while you recover from the anesthesia. Your IV will be removed once you can drink fluids. You will probably be able to go home in a few hours.
Here is what you can probably expect at home:
- You will be able to gradually resume your normal diet.
- Some discomfort is normal. Ask your surgeon what medicines to take for pain.
- You may have shoulder pain for a few days. This is from the gas that was pumped into your belly. Lying down for a while often relieves this pain.
- Keep your incision areas dry for a few days. Follow your surgeon’s instructions on bathing and dressing care. You may need to go back to have your stitches removed. Keep all your follow-up appointments.
- Gradually resume normal activities in a few days.
- Avoid heavy lifting for a few weeks. Ask your surgeon when you can return to specific activities.
- You may be able to return to sexual activity in about 1 week.
Tell your surgeon about any of the following:
- Increasing pain or pain that is not relieved by medicine
- Any drainage, bleeding, redness, or swelling
Before you agree to the test or the procedure make sure you know:
Menopause & Urinary Symptoms At A Glance:
- Changes in a womans urinary function often accompany menopause. A primary cause is urogenital atrophy, which is the deterioration of the urinary tract and vagina.
- These urinary changes occur for two reasons: Menopause reduces the amount of the female hormone estrogen, and a lack of estrogen reduces the urinary tracts ability to control urination. Advanced age, which usually coincides with menopause, also has various debilitating effects on the pelvic area organs and tissues.
- Symptoms include the need to urinate more frequently, the inability to control urination , dryness and itching in the vagina, and increased urinary tract infections.
- Treatments vary and include dietary changes, strengthening exercises, topical estrogen for the vagina, and surgery.
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Other Methods Of Birth Control
Up to 20% of women who have tubal ligation eventually wish they hadn’t, so itâs important to think about all the possibilities. Women younger than 30 are more likely to change their minds later.
If youâre not sure, you might think about these long-term options for birth control:
Vasectomy. If youâre in a committed relationship, your husband or partner might be willing to get this procedure that keeps sperm from getting into his semen. Itâs a safer procedure than a tubal ligation, and it can be done while he’s awake.
Implant. Your doctor puts a plastic rod about the size of a matchstick under the skin of your upper arm. It releases the hormone progestin and can stay in place for up to 3 years.
Is There A Test For Early Menopause
Low levels of estradiol, a form of estrogen, can indicate that your ovaries are starting to fail. When estradiol levels are below 30, it may signal that you are in menopause. However, the most important test used to diagnose premature menopause is a blood test that measures follicle stimulating hormone .
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When Do You Stop Your Period After Endometrial Ablation
Frequent urination. You may need to pass urine more often during the first 24 hours after endometrial ablation. It might take a few months to see the final results, but endometrial ablation usually reduces the amount of blood lost during menstruation. Most women will have lighter periods, and some will stop having periods entirely.
Can You Carry A Baby Full Term If Your Tubes Are Tied
If your fallopian tube has grown back together after tubal ligation, its possible you could have a full-term pregnancy. Some women also opt to have a tubal ligation reversal, where a doctor puts the fallopian tubes back together. This isnt always effective for women who want to get pregnant, but it can be.
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What Are The Next Steps
No matter the reason, frequent urination doesnt have to take over your life. Answers are only an appointment away.
Because once you know whats causing your frequent urination, youre that much closer to a peaceful nights sleep, uninterrupted jog around the lake or worry-free time doing whatever you like on your own terms.
Why Might I Need A Tubal Ligation
Choosing this form of birth control may be a good choice if:
- You are an adult woman
- You are in a stable relationship in which both partners have agreed to permanent birth control
- Pregnancy would be a health risk for you
- You or your partner has a genetic disorder that you don’t want to pass on to a child
This form of birth control may not be the best choice for you if you are unsure if you will want to become pregnant in the future. It also may not be a good choice if you may have other partners in the future. Having a new partner might make you reconsider getting pregnant.
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Does Your Stomach Swell After Tubal Ligation
You may have pain in your belly for a few days after surgery. If you had a laparoscopy, you may also have a swollen belly or a change in your bowels for a few days. After a laparoscopy, you may also have some shoulder or back pain. This pain is caused by the gas your doctor used to help see your organs better.
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Tying Your Tubes: The Rest Of The Story
The euphemistic term tying your tubes, actually means the tubes are surgically and permanently severed or scarred to prevent the passage of an egg. That is after all, the goal. Tubal ligation methods may differ in their effectiveness for preventing pregnancy and in the risk of damaging the blood supply to the ovaries. Many women dont understand that a tubal ligation may cause them to go through perimenopause prematurely. There are structures in the tubes, such as nerves and blood vessels feeding the ovaries, which can be damaged in the procedure. Damage to blood supply can affect the function of the ovaries. At the very least, after tubal ligation, some women begin having heavy bleeding with their periods and they may also develop symptoms akin to perimenopause. Rarely, tubal ligation can lead to premature menopause.
Should a young woman become perimenopausal or menopausal after a tubal ligation, it is easily treated, provided the condition is recognized. I have made this diagnosis in women in their thirties who had a tubal ligation months to years prior. They were suffering from a treatable condition but had previously been told, Dont be silly. Youre too young to be going through perimenopause. Overall, tubal ligations are a safe, effective method of sterilization, but its important to be aware of the risks and to consider the questions with your gynecologist when youre making your decision.
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Alternatives To Tubal Ligation
If you want to get tubal ligation but are worried about PTLS, talk to your doctor. They can explain some other long-lasting, reversible birth control options. An IUD , for example, is a tiny device that goes in your uterus. A birth control implant, about the size of a matchstick, goes into your arm. These methods can last for up to 10 years. They may prevent pregnancy up to 20 times better than birth control pills.
Hormones And Your Pelvic Floor
As you may already know, the pelvic floor is essentially an area of muscles that stretch over your pelvic bone. Its role is to support your uterus, ovaries, bowel, and the infamous bladder just to name a few. During the menstrual cycle, pregnancy, perimenopause, and menopause, our pelvic floor changes A LOT. And guess whos partially responsible? Our hormones! Specifically estrogen, progesterone, and testosterone.
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Who Should Get A Salpingectomy
About 13% of people with breasts can get breast cancer. However, people with BRCA gene mutations have a 45% to 72% risk of breast cancer. The risk of ovarian cancer is also higher. Generally, 1.2% of people with uteruses get ovarian cancer. But people with BRCA gene mutations have an 11% to 44% risk of ovarian cancer. Removing the fallopian tubes can reduce the risk of both these cancers.
Otherwise, people with the following conditions may need a salpingectomy:â
Menopause And Your Urinary Tract
It has been debated whether the changes in a womans urinary tract with age are due to menopause and the lack of estrogen, or instead related to the aging process alone. We do know, however, that the bladder is loaded with estrogen receptors, so the reduction of estrogen that happens in menopause probably doesnt help.
With age, the bladder begins to lose both its volume and its elasticity, and its normal to have to go to the bathroom more frequently. As the bacteria concentration in your genital region increases your urethra may thin, allowing bacteria easier access to your bladder. For these reasons, urinary tract infections are more common as women age. This risk begins to increase within four or five years of your final menstrual period.
The bladder also begins to thin, leaving women more susceptible to incontinence, particularly if certain chronic illnesses or recurrent urinary tract infections are also present.
The pelvic muscles weaken as you age. You may find that exercise, coughing, laughing, lifting heavy objects, or performing any other movement that puts pressure on the bladder can cause small amounts of urine to leak. Lack of regular physical exercise may also contribute to this condition.
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Does Tubal Ligation Affect Hormones
Tubal ligation does not affect hormonal changes during the early menopausal transition. BACKGROUND: To determine if women with a bilateral tubal ligation were more likely to experience hormonal changes indicative of the transition to menopause or an increase in menopausal symptoms compared to women without a BTL.
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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Will The Surgeon Tie My Fallopian Tubes In A Knot
Getting your tubes tied is a misnomer.
There is no procedure where the tubes are physically tied like you would a shoelace.
There are various ways a tubal sterilization can be performed. Historically, the procedure involved removing a portion of the fallopian tubes and ligating the ends to stop the passage of sperm.
More recently, providers are offering a procedure known as a bilateral salpingectomy, which is when both fallopian tubes are entirely removed. Some studies have shown that this procedure reduces a womans lifetime risk of developing ovarian cancer.
What Are Premature Menopause Early Menopause And Primary Ovarian Insufficiency
Premature menopause and early menopause are conditions where a woman goes through menopause at an earlier age than is typically expected. Both conditions can result in women being unable to become pregnant. If there is no obvious medical or surgical cause for the premature menopause, this is called primary ovarian insufficiency . Primary ovarian insufficiency is also referred to as premature ovarian insufficiency.
The name premature ovarian failure is no longer used because women who are told they have early menopause can have intermittent ovulation, menstrual bleeding or even pregnancy after being told they have ovarian failure.
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How Is Premature Menopause And Primary Ovarian Insufficiency Treated
Management of the condition can vary depending on why menopause started earlier than normal. Given the health risks associated with early menopause, hormone replacement therapy is routinely recommended to all women with premature menopause or primary ovarian insufficiency, unless there is a compelling reason it cant be used. There is a lot of confusion about the safety of hormone therapies. Many of the risks of hormone therapy used after natural menopause are not thought to apply to women who have premature menopause. It is important to discuss the pros and cons of hormone therapy with your doctor. Some healthcare providers have additional certification in the management of menopause, and these providers will be a valuable resource when receiving conflicting information about the safety of hormone therapy.
How Much Does A Tubal Reversal Cost
The average cost of a tubal ligation reversal in the United States is $8,685. However, depending on factors such as where you live and what tests you need beforehand, the costs range from $5,000 to $21,000. Insurance doesnt usually cover the cost of the surgery, but your doctors office may offer a payment plan.
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What Is Tubal Ligation
Tubal ligation is surgical procedure to prevent pregnancy. It has commonly been called “getting your tubes tied.” It is also called a female sterilization.
- Tubal refers to the fallopian tubes. Each month, an egg is released from an ovary and travels through the fallopian tube to the uterus.
- Ligation means to tie off. This prevents the egg and male sperm from connecting to prevent pregnancy.
During this surgery, both fallopian tubes are blocked or cut. It is usually done in the hospital or in an outpatient surgical clinic. In most cases, you will be able to go home on the day of surgery. You may have this surgery done under general anesthesia , or local or spinal anesthesia .
After the procedure, you will still have your periods and have sex normally. In fact, women may feel more at ease because they do not have to worry about unwanted pregnancy.
Tubal ligation is permanent birth control. Although it may be reversed by another operation, only about 50% to 80% of women are able to become pregnant after having their fallopian tubes reattached. This surgery doesnt prevent sexually transmitted disease. You will still need to practice safe sex.