What Causes The Menopause
The menopause;is caused by a change in the balance of the body’s sex hormones, which occurs as you get older.
It happens when your ovaries stop producing as much of the hormone oestrogen and no longer release an egg each month.
Premature;or early menopause;can occur at any age, and in many cases there’s no clear cause.
Sometimes it’s caused by a treatment such as surgery to remove the ovaries , some;breast cancer treatments, chemotherapy;or radiotherapy, or it can be brought on by an underlying condition, such as Down’s syndrome;or;Addison’s disease.
Page last reviewed: 29 August 2018 Next review due: 29 August 2021
General Recommendations For Ht
Current guidelines support the use of HT for the treatment of severe hot flashes that do not respond to non-hormonal therapies. General recommendations include:
- HT may be started in women who have recently entered menopause.
- HT should not be used in women who have started menopause many years ago.
- Women should not take HT if they have risks for stroke, heart disease, blood clots, and breast cancer.
- Currently, there is no consensus on how long HT should be used or at what age it should be discontinued. Treatment should be individualized for a woman’s specific health profile.
- HT should be used only for menopause symptom management, not for chronic disease prevention.
Before starting HT, your doctor should give you a comprehensive physical exam and take your medical history to evaluate your risks for:
- Heart disease
- Breast cancer
While taking HT, you should have regular mammograms and pelvic exams and Pap smears. Current guidelines recommend that if HT is needed, it should be initiated around the time of menopause. Studies indicate that the risk of serious side effects is lower for women who use HT while in their 50s. Women who start HT past the age of 60 appear to have a higher risk for side effects such as heart attack, stroke, blood clots, or breast cancer. HT should be used with care in this age group.
Women who should not take hormone therapy include those with the following conditions:
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.
You May Like: Is Dizziness A Symptom Of Menopause
Chances Of Pregnancy During Perimenopause
The pregnancy rate for perimenopausal women is estimated to be 10-20 percent in women ages 40-44 and 12 percent in women ages 45-49. Unintentional pregnancy is rare in women over age 50, but you should still exercise caution. About 5 in 100 women having unprotected sexual intercourse at age 50 will become pregnant.
Fertility typically drops with age, especially after 35, but unless you are in full menopause, its reasonable to assume that you can still get pregnant. Birth rates for women ages 45 and above may be small, but national surveys still report that pregnancy is possible in midlife.;;
So, can you get pregnant during perimenopause? Absolutely, but there are factors to consider that will impact your chances of success. Even with the drop in estrogen, most women will continue to ovulate and menstruate during perimenopause, but periods may become irregular or less frequent.; Its possible to get pregnant as long as ovulation is still occurring, but the number and quality of eggs will continue to reduce over time.
Older women are also likely to have additional health factors that may interfere with conception such as high blood pressure, genetic predispositions or conditions of the cervix and ovaries. Regardless of age-related decline, your chances of pregnancy in perimenopause are greatly reduced, but not altogether impossible.;;;;;;;
How Can Perimenopausal Women Benefit From Low
Low-dose birth control can be implemented both to prevent pregnancy and alleviate symptoms of perimenopause. Although low dose birth control is typically not recommended for individuals under the age of 30 because it can decrease bone density, it may have the opposite effect for those going through perimenopause. This is especially important, as the risk of osteoporosis increases with age. Low dose birth control may also be implemented to help prevent ovarian and uterine cancers.
Also Check: Dr Yael Swica
Menopause And Birth Control: When Is It Time To Quit
Menopause can be a distressing, confusing time for many women. Its a natural part of life, but the timeline may vary between individuals with a uterus. You may have several questions about what this process entails, which is totally normal! The following article will provide some insight, particularly in terms of how to manage birth control use as you approach menopause.
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.
Also Check: Is There A Pill For Menopause
Do All Menopausal Women Experience A Decrease In Sexual Desire
Not all women experience a decreased sexual desire. In some cases, its just the opposite. This could be because theres no longer any fear of getting pregnant. For many women, this allows them to enjoy sex without worrying about family planning.
However, it is still important to use protection during sex if not in a monogamous relationship. Once your doctor makes the diagnosis of menopause, you can no longer become pregnant. However, when you are in the menopause transition , you can still become pregnant. You also need to protect yourself from sexually transmitted infections . You can get an STI at any time in your life.
Are My Perimenopausal Symptoms Normal Or Something To Be Concerned About
Irregular periods are common and normal during perimenopause. But other conditions can cause changes in menstrual bleeding. If any of the following situations apply to you, see a doctor to rule out other causes:
- Your periods are very heavy, or they have blood clots.
- Your periods last several days longer than usual.
- You spot between periods.
- You have spotting after sex.
- Your periods happen closer together.
Read Also: Is Dizziness A Symptom Of Menopause
What Is Premature Menopause
Menopause, when it occurs between the ages of 45 and 55, is considered “natural” and is a normal part of aging. But, some women can experience menopause early, either as a result of a surgical intervention or damage to the ovaries . Menopause that occurs before the age of 45, regardless of the cause, is called early menopause. Menopause that occurs at 40 or younger is considered premature menopause.
Exclusive: Menopausal Women Become Pregnant With Their Own Eggs
Two women thought to be infertile have become pregnant using a technique that seems to rejuvenate ovaries, New Scientist can reveal. It is the first time such a treatment has enabled menopausal women to get pregnant using their own eggs.
I had given up hope on trying to get pregnant, says one of the women, WS, who is now six months pregnant. To me, its a miracle.
The approach is based on the apparent healing properties of blood. Kostantinos Sfakianoudis and his colleagues at the Genesis Athens Clinic in Greece draw blood from their patients and spin it in a centrifuge to isolate platelet-rich plasma. This has a high concentration of the cell fragments usually involved in blood clotting, and is already used to speed the healing of sports injuries, although its effectiveness for this purpose is unclear.
The clinic is attempting to use this plasma to repair womens reproductive systems, injecting it directly into the ovaries and uterus. So far, the team has given this experimental treatment to more than 180 women, many of whom sought treatment because they have a disorder that damages the lining of the uterus.
But the team has also used the treatment in an effort to rejuvenate the organs of 27 menopausal and peri-menopausal women, between the ages of 34 and 51.
Also Check: Light Headedness And Menopause
Can Menopause Affect Sleep
Some women may experience trouble sleeping through the night and insomnia during menopause. Insomnia is an inability to fall asleep or stay asleep at night. This can be a normal side effect of menopause itself, or it could be due to another symptom of menopause. Hot flashes are a common culprit of sleepless nights during menopause.
If hot flashes keep you awake at night, try:
- Staying cool at night by wearing loose clothing.
- Keeping your bedroom well-ventilated.
Avoiding certain foods and behaviors that trigger your hot flashes. If spicy food typically sets off a hot flash, avoid eating anything spicy before bed.
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.
Read Also: Is Dizziness A Symptom Of Menopause
Can You Get Pregnant During Menopause
Puberty, menstruation, pregnancy, perimenopause and menopause. These are the various stages in a womans biological cycle. One leads to the other, while pregnancy can happen at any time during a womans years of fertility.
The chances of getting pregnant come down as the woman crosses 35 years. By her 40s, the perimenopause is likely to begin and is followed by menopause, which is usually the end of the reproductive phase.
But could you get pregnant during the perimenopausal or menopausal stage? In this MomJunction post, we tell you about menopause, the possibility of getting pregnant during this phase, and the risks involved.
Risks Of Being Pregnant During Pre
Medical risks during pregnancy get higher during pregnancy. For instance, pregnant women over the age of 35 years of age are more susceptible to gestational diabetes as compared to younger women. Besides, there are also higher chances of developing conditions like placental issues and high blood pressure. Moreover, the uterus might also not function as effectively as a younger woman during the time of delivery. A woman over the age of 40 years is more likely to deliver through a caesarian section.
Adding further, there is also higher risk of having an ectopic pregnancy a complication wherein the embryo implants outside the uterus. Though miscarriages can occur at any age, the chances are higher if you are over 40 years of age, as much as 33%. However, if you have crossed 45 ad planning to get pregnant, the chances are only 50% that your pregnancy will reach the delivery stage.
Recommended Reading: Dizziness During Menopause
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.
How Can Pandia Health Help
Pandia Health makes accessing birth control easier than ever! for our FREE delivery service to get your prescription sent right to your mailbox. You can also schedule an online consultation with one of our expert doctors if you live in AZ, CA, CO, FL, GA, IL, MI, NV, TX, TN, PA, WA, or WY.
With Pandia Health, you can #SkipTheTrip to the pharmacy and feel confident that you will never run out of birth control on our watch.;
Read Also: Is Dizziness A Symptom Of Menopause
Women Can Get Pregnant After Menopause
This is really a very good question that Can a woman get pregnant after menopause? If the answer is No then why cant she get pregnant? And its Yes then How can it be possible? Lets have a look to know about both Yes and No.
What is menopause?
Menopause is the stage in which a woman stops to gets her periods. The menopause is classified into two distinct stages, one is perimenopause and other is post-menopause.
Perimenopause is the time before the menopause in which women starts to feel the changes in her body. A woman has irregular periods or less bleeding during perimenopause. The ovaries may release the eggs in some months. These symptoms mean that soon she is going to enter the stage of post menopause.
Postmenopause is marked to that period in which woman is free from her menstrual cycle. She has not had the periods for 12 months.
Menopause and pregnancy
As we all know that when a lady gets her periods she also fertile the eggs which are responsible for the pregnancy when get connected with the mens sperm. But if she is not getting her periods then how can she produce eggs in the womb.
Pregnancy in perimenopause
Pregnancy in post menopause
Potential Risks Of Pregnancy During Perimenopause
While there are always some risks involved in pregnancy, the risks are much higher during perimenopause. There is potential for a variety of complications and women who are pregnant during perimenopause are considered to be high-risk and should be monitored more closely by medical professionals.;
Its important to know that women over the age of 40 have about a 50% chance of miscarriage. If you are a woman in your perimenopausal years and you are contemplating pregnancy, its highly recommended that you talk with your doctor to make sure you are well informed and medically cleared of any preexisting conditions that could complicate pregnancy even more.;
Health risks during pregnancy that increase after the age of 35 can include:
- Premature or low birth weight
Read Also: Is Dizziness A Symptom Of Menopause
Women After 50 Can Have Safe Pregnancy
But They Have More C-sections, Diabetes, High Blood Pressure
Nov. 12, 2002 — As the years pass and technology improves, the barrier to pregnancy gets pushed farther and farther back. It used to be thought that women shouldn’t get pregnant over the age of 40. Today, 50-something women and their doctors wonder if it is safe to push that barrier even farther.
“There is no medical reason” not to, said Richard J. Paulson, MD, in a news conference today. Chief of the division of reproductive endocrinology and fertility at the University of Southern California Keck School of Medicine, he is also the lead investigator on a study that appears in the Nov. 13 issue of The Journal of the American Medical Association.
The study of women aged 50 to 63, all of whom were postmenopausal, revealed an increased number of complications, but nothing that cannot be handled by close monitoring and quality healthcare.
After menopause, a woman no longer produces eggs and thus cannot become pregnant naturally. But although eggs succumb to this biological clock, pregnancy is still possible using a donor egg. Therefore, all of the women in the study had an egg from a younger woman implanted into her uterus.
“There are really two biological clocks: One for the ovary, which seems to run out, and one for the rest of the reproductive system, which seems to go on,” said Paulson. All that’s needed is a little priming with the hormones estrogen and progesterone, followed by a donated, fertilized egg.
Give Yourself A Break
Introduce self-care into your daily life, even if its only for a few moments each day or scattered throughout your day as small breaks. Dr. DePree recommends trying new things. If youve always wanted to journal, do yoga, or start meditatingnows the time. And stay connected with others through phone calls and letters. Human connection can bolster our wellbeing in ways we dont even realizeespecially if were self-isolating alone.;
The benefits of self-care are multi-layered. While they can help us feel better when everything around us seems chaotic and uncertain allowing us an outlet to express emotion or find solace stress management can also help to reduce physical inflammation. Its a win-win for the body and mind.;;
If all of this feels overwhelming, know that you are not alone and that you can take control of your health and wellness with the proper care and lifestyle adjustments. Introduce small, doable changes each day, and stick to them. Hold yourself accountable, but be self-compassionate and patient with yourself as you adopt any new lifestyle changes.;
Also Check: What Causes Weight Gain In Menopause
Don’t Miss: How Long Does A Woman Go Through Menopause