Management & Treatment Of Premature & Early Menopausal Symptoms
Seeking treatment and advice is recommended to reduce your risk of earlier onset of cardiovascular disease and osteoporosis, as well as to treat your symptoms.
Treatment with menopause hormonal therapy or the pill is recommended to reduce severe symptoms and to reduce the long-term health risks associated with early menopause, such as osteoporosis. However, other therapies may be recommended for moderate to severe symptoms, or if there are reasons, such as breast cancer, for not being able to take MHT or the pill.
Discuss these issues with your doctor so you can make the right decision for you.
It may be possible to reduce some symptoms of menopause with the following options:
- healthy diet and eating
- cognitive behavioural therapy or hypnotherapy for hot flushes.
Can You Get Pregnant During Menopause With No Period
During the transition phase, menstruation is unstable and chaotic in nature, so, it is difficult to keep track of the period of ovulation, which is needed to get pregnant. Due to cyclical changes, it is possible to be in menopause and pregnant.
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Chances Of Getting Pregnant During Perimenopause And Postmenopause
If you hope to become pregnant during perimenopause, and you have not conceived even after six months of trying, you should consult a doctor. The below measures can increase your chances of getting pregnant:
- Intercourse during ovulation: Observe the signs of ovulation such as breast tenderness, abdominal bloating, increased sex drive, slight cramping, and white discharge. Ovulation time is the most fertile time in the menstrual cycle.
- Diet and exercise: Have a balanced diet and exercise to stay fit and healthy. These will improve the chances of conception.
With lifestyle changes and medical help, you might get pregnant during the perimenopausal stage. But is it safe for you and the baby?
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Health Risks For Pregnancies Later In Life
Health risks in pregnancy increase with age. After age 35, the risks of certain problems rise in comparison to younger women. These include:
- Multiple pregnancy, especially if you have IVF. Multiple pregnancies can result in early birth, low birth weight, and difficult delivery.
- Gestational diabetes, which can cause health problems for both mom and baby.
- High blood pressure, which requires careful monitoring and possibly medication to ward off complications.
What Is Premature & Early Menopause
‘Premature menopause’ is when the final menstrual period occurs before a woman is 40. ‘Early menopause’ is when the final menstrual period occurs between 40 and 45 years. Up to 8% of women have had their final period by the time they are 45. The number of women reaching menopause by this time may be increased in relation to treatment after cancer, or removal of the ovaries.
This may happen because:
- periods stop spontaneously due to primary ovarian insufficiency this affects up to 1% of women
- menopause is induced by a secondary cause such as:
- surgery when ovaries are removed surgically
- chemotherapy or radiotherapy treatment for cancer.
This video explains the causes of and treatments for premature and early menopause.
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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:
- Genetic disorders such as Fragile X syndrome and Turner syndrome
- A low number of follicles
- Autoimmune diseases, including thyroiditis and Addison disease
- Chemotherapy or radiation therapy
- Toxins, such as cigarette smoke, chemicals, and pesticides
You Can Still Get Pregnant During Perimenopause
Perimenopause is defined as the years leading up to menopause, which formally occurs one full year after your last period. During this time, women may experience all the trademark symptoms usually associated with menopause like night sweats, hot flashes, and mood swings. These symptoms make it seem like you cant get pregnant anymore, but thats not entirely true. As long as you still have your periodno matter how irregularyou can still get pregnant.
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When To Stop Your Birth Control
In most cases, you should stop the combined pill when youÃ¢re at the age of 50. Women in this age group may have other health issues that could make it dangerous to use. Talk to your doctor to see if itÃ¢s safe for you to use it if youÃ¢re 50 or older.
If you donÃ¢t want to be on the combined pill anymore but still want protection against pregnancy, you can use a progestogen-only pill or other forms of birth control, like condoms. If youÃ¢re over the age of 55, you can probably stop hormonal methods since your chances of pregnancy are very low. But to be safe, donÃ¢t stop any type of birth control until you havenÃ¢t had a period for a full year.
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The Connection Of Hormones With Climacteric Changes: Getting Pregnant
In our body, some reactions depend on others, it can be said that the endocrine system controls all other processes, including conception. Under the influence of estrogen and progesterone, the eggs mature, the uterus prepares to attach the fetal egg, and the mammary glands undergo changes to successfully feed the baby. Gradually, the ovaries begin to respond to the action of hormones worse, which does not allow the eggs to mature fully and regularly. For a woman, the first manifestation of menopause is the absence or irregular menstruation. But, being in menopause and pregnant naturally is possible.
In addition, estrogens are a kind of protection of blood vessels against atherosclerosis, which means that menopause affects the general well-being of a woman because the nutrition of all organs and tissues depends on arteries and veins, their poor state in itself reduces the likelihood of a favorable pregnancy outcome. So, can you get pregnant after menopause yes, but the likelihood is low.
Menopause in women is a physiological process in the body associated with the onset of a period of extinction of sexual function caused by age-related changes. The age of menopause, the nature, and symptoms of its course are individual for each woman, usually, these indicators are due to genetic heredity.
Are There Treatments That Can Ease The Symptoms Of Perimenopause
Many women get relief from hot flashes after taking low-dose birth control pills for a short time. Other options that may control hot flashes include the birth control skin patch, vaginal ring, and progesterone injections. Certain women should not use birth control hormones, so talk to your doctor to see if they are right for you.
You may also feel better if you do things that enhance your general well-being, such as:
- Stop smoking.
- Get more sleep and try going to sleep and waking up at the same time each day.
- Drink less alcohol.
- Get to a healthy weight and stay there.
- Get enough calcium in your diet.
- Ask your doctor if you should take a multivitamin.
Talk to your doctor if you are having problems with your sex drive. They may be able to recommend a counselor or therapist to help you and your partner work through this problem. Vaginal lubricants may also be recommended, if vaginal dryness is a problem.
Talk to your doctor about your specific symptoms and goals of treatment. This will help them make a plan that is right for you.
Do People With Turner Syndrome Have Developmental Delays
People with Turner syndrome typically have normal intelligence. But they may have problems with visual motor and visual spatial skills. They can have difficulty seeing how objects relate to each other in space. For example, driving may be difficult.
People with Turner syndrome may also have trouble with:
- Executive functions, including problems with managing and planning, memory, attention, and cognitive flexibility or changing the way they think about something.
- Nonverbal problem solving, like math.
- Understanding social cues, like facial expressions.
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Who Can Still Get Pregnant
The bottom line is if you havent reached menopause defined as 12 straight months without a period you can still get pregnant. Dr. Bembry acknowledges that some women develop a false sense of security when they go off birth control and go for years without becoming pregnant.
Similarly, women with a history of infertility might assume they cant get pregnant in their 40s. The same goes for women with premature ovarian failure. While these patients may look like theyre menopausal, they can still ovulate and become pregnant.
With The Advent Of Assisted Reproductive Techniques It Is Now Physiologically Possible For Post
By Dr Vaishali Chaudhary
We often read about celebrity mothers like Naomi Campbell, who became a mother at the age of 50 years or a 74-year-old, Erramatti Mangayamma from Andhra Pradesh, who holds the record for being the oldest woman to give birth by IVF.
Is it possible for a mother to become pregnant after menopause? Pregnancy happens as a result of the fertilisation of the egg by the sperm. So to achieve a pregnancy, the availability of the egg and the sperm is the most basic requirement. Menopause, which means stopping periods, is preceded by the depletion of the eggs. Hence, natural pregnancy is not possible after menopause.
Pregnancy can be possible after menopause if:
i) A woman opts to freeze her eggs while she was younger and utilise them for pregnancy in her later years
ii) If she uses donor eggs
iii) A recently devised procedure of Ovarian Rejuvenation, which is still under experimentation.
IVF with donor eggs is a very successful procedure for those women who have not been able to freeze their eggs earlier while they were young or women who have planned their pregnancy after menopause or in women who unfortunately suffer from premature ovarian failure, where the ovaries stop producing eggs at an early age.
Risks of a pregnancy in a menopausal woman
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Should I Freeze My Eggs
Aside from lifestyle interventions, its important to consider fertility preservation sooner rather than later if you think you may be deferred in being able to start a family, whether its through lack of a suitable partner or due to career progression. Sometimes the desire to have a child is aroused later on in women and sometimes it occurs because of a new relationship, but where possible, preservation via egg or embryo freezing up to the age of 40 is something that will give the best chance of success later on.
What has recently been hailed as a new menopause cure involves the surgical extraction of ovarian tissue, currently being done for women with severe conditions that would tip them into an early menopause, such as cancer.
The tissue is frozen and then re-implanted into the woman, allowing a woman the chance to have biological children later in life and avoid the debilitating symptoms of the menopause for what could be another decade or two. However, though healthy children have been born around the world this way, it isnt clear whether this is something that should become a fertility preserving measure in women who are not at risk of an early menopause.
The key is to consider your fertility from earlier in life and to discuss it with your doctor, to help you make the best decisions.
Fertility In The Aging Male
Unlike the early fertility decline seen in women, a mans decrease in sperm characteristics occurs much later. Sperm quality deteriorates somewhat as men get older, but it generally does not become a problem before a man is in his 60s. Though not as abrupt or noticeable as the changes in women, changes in fertility and sexual functioning do occur in men as they grow older. Despite these changes, there is no maximum age at which a man cannot father a child, as evidenced by men in their 60s and 70s conceiving with younger partners. As men age, their testes tend to get smaller and softer, and sperm morphology and motility tend to decline. In addition, there is a slightly higher risk of gene defects in their sperm. Aging men may develop medical illnesses that adversely affect their sexual and reproductive function. Not all men experience significant changes in reproductive or sexual functioning as they age, especially men who maintain good health over the years. If a man does have problems with libido or erections, he should seek treatment through his primary care provider and/or urologist. Decreased libido may be related to low levels of testosterone.
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When Is The Point You Should Contact Your Doctor
If youre experiencing pain and cramping to the point where you have to take painkillers, then definitely go and see your doctor. If its debilitating or affecting your daily regime in any way, please go and see a doctor.
And, if the bloating youre getting is constant , then please go and just get these checked out by your doctor as well.
I hope you found this one interesting, and I will look forward to next week for another edition of A.Vogel Talks Menopause.
The Ovaries Stop Working
Early menopause can happen naturally if a woman’s ovaries stop making normal levels of certain hormones, particularly the hormone oestrogen.
This is sometimes called premature ovarian failure, or primary ovarian insufficiency.
The cause of premature ovarian failure is often unknown, but in some women it may be caused by:
- chromosome abnormalities such as in women with Turner syndrome
- an autoimmune disease where the immune system starts attacking body tissues
- certain infections, such as tuberculosis, malaria and mumps but this is very rare
Premature ovarian failure can sometimes run in families. This might be the case if any of your relatives went through the menopause at a very young age .
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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.
Early Menopause And Fertility
Going through an early menopause can be tough enough. But losing your fertility before youre ready can be devastating.
Early menopause doesnt necessarily mean the end of the road for having children though. Here Ill go through all the key things you need to know about early menopause and fertility.
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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.
Early Menopause Can Occur Spontaneously
Early menopause affects 12 per cent of women under the age of 45, and just 4 per cent of those below 40, which can include premature menopause or premature ovarian insufficiency, says Amanda Vincent, clinical associate professor at Monash University and former president of the Australasian Menopause Society .
She admits that most readily available information is focused on older women but AMS has partnered with university researchers, medial societies and women’s health organisations to produce freely available online resources for women with EM.
Dr Vincent adds that science does not yet understand all the mechanisms that cause EM.
The process cannot be slowed down or stopped.
“It can occur spontaneously or as a result of medical treatments, especially cancer chemotherapy or surgical removal of both ovaries,” she says.
A key sign for EM is menstrual periods stopping for longer than four months, with women sometimes experiencing typical menopausal symptoms such as hot flushes.
“The problem is the diagnosis is often delayed as women may not seek medical advice when their periods stop and/or doctors and women may think they are ‘too young for menopause’,” Dr Vincent says.
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