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Can You Get Pregnant When Going Through Early Menopause

Treatment May Help Women In Early Menopause Remain Fertile

Can one get pregnant if experiencing menopause in early 30s? – Dr. Shailaja N

HealthDay Reporter

MONDAY, April 5, 2021 — An experimental treatment may restore fertility during early menopause, a small new study claims.

Typically, menopause ends a woman’s ability to get pregnant. But researchers report that administering platelet-rich plasma and hormones, called gonadotropins, might stimulate ovulation to make pregnancy possible.

“The most surprising finding in this work is awakening the sleeping beauty, restoration of ovulatory function after menopause,” said lead researcher Dr. Chao Chin Hsu, from the department of obstetrics and gynecology at National Taiwan University Hospital in Taipei.

As women enter menopause, their ovaries lose normal function and there are less than 1,000 retained immature ovarian follicles. These immature follicles are typically resistant to gonadotropin or other stimulants, he said.

More women are delaying pregnancy until it becomes problematic, and about 12% of women experience early menopause, when ovarian function ceases at or before age 45.

These women usually need donor eggs to have a chance of becoming pregnant, but techniques that stimulate ovarian function might make it possible for a woman to become pregnant without donor help.

The researchers think that these preliminary results may one day give hope to women in early menopause that they may get pregnant through in vitro fertilization using their own eggs.

The findings were published online recently in the journal Menopause.

More information

How Is Early Menopause Treated Or Managed

Early menopause generally doesnt require treatment. However, there are treatment options available to help manage the symptoms of menopause or conditions related to it. They can help you deal with changes in your body or lifestyle more easily.

Premature menopause, however, is often treated since it occurs at such an early age. This helps support your body with the hormones that would normally be made until you reach the age of natural menopause.

The most common treatment includes hormone replacement therapy . Systemic hormone therapy can prevent many common menopausal symptoms. Or you may take vaginal hormone products, usually in low doses, to help with vaginal symptoms.

HRT does have risks though. It can increase your chances of heart disease, stroke, or breast cancer.

Talk to your doctor about the risks and benefits to your individual care before starting HRT. Lower doses of hormones may decrease your risk.

You Can Still Get Pregnant In Perimenopausei Did

    My husband, Aaron, and I had been trying for baby number two for over a year. After one intrauterine insemination , two unsuccessful rounds of IVF, countless hormones and endless stress and tears, we decided to defrost my frozen eggs. Six years prior, single after a series of bad breakups, I was certain I wanted to be a mom but uncertain Id find a partner. So I made an impulse purchase and signed up with a fertility clinic to freeze my eggs.

    Our son turned out to be fairly easy to conceive. At 37, after one miscarriage and five months of trying, I became pregnant. When we decided to have a second child when I was 39, I thought conceiving this time around would be just as certain. It wasnt.

    On Mothers Day, the day before my 40th birthday, we learned that our first round of IVF didnt work. My body and mind were exhausted. Balancing fertility drugs and treatments, caring for our toddler and recovering from three additional miscarriages in 10 months, I felt as though I were playing one of those carnival gamesI bopped one miscarriage over the head, only for another pregnancy loss or failed fertility treatment to pop up, leaving us no closer to a baby.

    How was this happening to me? There were six sets of twins and a set of natural triplets in my fertile Midwest Jewish family. The running joke was that my mom looked at my dad to become pregnant. My body is failing our family, I told Aaron. Women much older than me are popping out babies everyday.

    My FSH measured at 25.4.

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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.

    Are You Pregnant Or Perimenopausal

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    Doctors may perform blood tests to determine if a woman who has skipped one or more periods is either pregnant or approaching menopause. These tests measure the levels of certain hormones, some of which signal pregnancy and others that can provide clues about a;woman’s ovarian function or decline.

    FSH, or follicle-stimulating hormone, is produced in the brain and increases as the number of eggs produced by a woman’s ovaries decreases. A consistently elevated FSH level along with the ending of menstrual cycles for 12 months supports a diagnosis of menopause.

    That being said, FSH levels fluctuate during perimenopauseso it is difficult to interpret a single number. This is why an FSH blood or urine level cannot accurately diagnosis perimenopause or menopause. It is simply another piece of the pie. A women’s symptoms and menstrual history are also needed to put the whole picture together.

    Also Check: Menopause And Dizzy Spells

    How Menopause Affects Fertility

    If you’re like many women, you may assume that menopause is the end of fertility and that, without a period, you couldn’t possibly become pregnant. While both are mostly true, it’s important to know that the term menopause might be somewhat misleading.

    According to the North American Menopause Society , menopause is the point in time when a woman reaches 12 consecutive months without having a menstrual period. NAMS says phrases such as “in menopause” and “going through menopause” are actually misnomers, often used to describe the period leading up to menopause or the overall menopausal transition.

    Perimenopause can last as long as six or more years in some women. It begins with the onset of menstrual cycle changes and other menopause-related symptoms, usually in a woman’s mid-40s, and extends into menopause , which typically occurs about age 51.

    So, yes, while menopause does mark the permanent end to your fertility, until you’ve truly reached it, there’s still a chance you can conceive.

    Your Fertility During Perimenopause: Can You Get Pregnant?

    It’s also harder to get pregnant during the perimenopausal transition, explains Dr. Kagan. Women are born with 1 to 2 million eggs, and as menopause nears, only about 100 eggs remain. The declining number and quality of these eggs, as well as age-related uterine changes, contribute to reduced fertility, perhaps even before signs of perimenopause are noticeable.

    Understanding the Risks of an Unplanned Pregnancy in Perimenopause

    What To Expect When Youre Expecting Perimenopause

    There are commercials about it, ads in magazines about it, even skits on Saturday Night Live about it. We hear about menopause more often than wed like, especially if were fast approaching it. But what we dont often learn about is perimenopause, the period preceding menopause that lasts four years, on average.

    Dr. Catherine Sundsmo, a family medicine doctor with Sharp Rees-Stealy, recently took some time to explain perimenopause and all that comes with it. Here are her top five tips on what to expect when youre expecting perimenopause:

  • Expect to wait a while. Natural menopause is defined as the permanent cessation of menstrual periods, determined after a woman has experienced 12 months of no menstrual periods. The average age of menopause is 51. Once menopause is complete, a woman can no longer get pregnant. Perimenopause, now commonly known as menopausal transition, occurs during the approximately four years preceding menopause.
  • Expect that you might need a little help. Perimenopause and menopause are a normal part of a womans life and do not need to be treated medically. However, if symptoms are bothersome to you and disrupting your life, there are several treatments available. Some include anti-depressants, supplements, hormonal medications such as low-dose birth control or low-dose hormone therapy, and natural remedies such as black cohosh and soy.
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    The Risk Of Pregnancy

    The decline of hormones means increasingly irregular ovulation so it is difficult for a woman to know how long she continues to be fertile. Many forget when their last period occurred six months ago? Perhaps eight?; Although it is tempting to consider yourself no longer fertile during the peri-menopause, remember that it is usually after 12 months without a period that women are considered to be infertile.

    No matter how irregular your periods;may have become, this does not entirely rule out your chances of conceiving it is possible to have a natural conception until the mid-fifties. This may be both positive and negative.

    If you do not want to run the risk of becoming pregnant while going through the peri-menopause, it is recommended that you continue using contraception for two years after your last period.

    Generally speaking, however, it is harder for older women to conceive and the risks associated with pregnancy in older women are higher. This is because a woman is born with all the eggs she will ever have. As these eggs age, they become more likely to have chromosomal abnormalities.

    In addition, an older womans body is not as adaptable to pregnancy as a younger womans, and factors such as high blood pressure all contribute their own risks to the pregnancy.

    How Can I Prime Myself For Pregnancy

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    Priming yourself is vital and the rules of The Conception Plan are just as applicable here as they are to a younger woman.

    They include eating good, clean nutritious and organic food where possible, that has not been affected by chemicals or pesticides and is predominantly plant based.

    Exercise is vital for improving blood flow to the main reproductive organs as well as keeping your body weight in the normal range and reducing the chance of miscarriage.

    Minimising toxic exposure by cutting out smoking and alcohol is important for you and the baby, as well as making a decision to use products whose composition is predominantly natural, so as to reduce the risk of disrupting any hormone signalling in the body.

    Sleep is important for improving immunity and getting rid of excess hormones, whereas regular sex throughout your cycle can help improve the quality of sperm as well as the internal womb conditions for the baby. Stress management is often underestimated but is important when it comes to keeping the sex hormones in balance, along with many other possible influences we dont fully understand yet.

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    When To See A Gp

    Itâs worth talking to a GP if you have menopausal symptoms that are troubling you or if youâre experiencing symptoms of the menopause before 45 years of age.

    They can usually confirm whether youâre menopausal based on your symptoms, but a blood test to measure your hormone levels may be carried out if youâre under 45.

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    Menopause Vs Pregnancy Symptoms

    There are many symptoms that may accompany pregnancy and menopause. Symptoms in one pregnancy may differ from another pregnancy, even in the same woman. Likewise, menopause symptoms differ from person to person, and they also can change over time. The following are some general symptoms that you may have in perimenopause and pregnancy.

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    How Is Premature Menopause Early Menopause And Primary Ovarian Insufficiency Diagnosed

    If you begin to have symptoms of menopause before the age of 40, your healthcare provider will do several tests and ask questions to help diagnose premature or early menopause. These tests can include:

    • Asking about the regularity of your menstrual periods.
    • Discussing your family history of menopause at an early age.
    • Testing your hormone levels .
    • Looking for other medical conditions that may be contributing to your symptoms.

    Women who have not had a menstrual period for 12 straight months, and are not on any medication that could stop menstruation, may have gone through menopause.

    How To Protect Against Unplanned Pregnancy

    Hormone Replacement Therapy

    To prevent a baby bump on your road to menopause, use an effective, safe and appropriate method of birth control until your menopause is confirmed.;

    Natural family planning is not recommended for perimenopausal women because irregular periods make predicting ovulation difficult.

    Many contraception options exist. Dr. Bembry says vasectomy is the most effective form of birth control, as long as post-procedure care is followed, but admits a lot of men just dont go there.

    When considering birth control options, talk to your physician. She can discuss risks, effectiveness rates, perimenopausal symptom relief and even which methods can protect against certain cancers.

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    When To Stop Your Birth Control

    In most cases, you should stop the combined pill when youâre 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 itâs safe for you to use it if youâre 50 or older.

    If you donât 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 youâre over the age of 55, you can probably stop hormonal methods since your chances of pregnancy are very low. But to be safe, donât stop any type of birth control until you havenât had a period for a full year.

    Can A Woman Get Pregnant After Menopause

    admin Fertility, Menopause, Perimenopause, Pregnancy, Women’s Health

    Night sweats, hot flashes, mood, skin and body changes, spotting, irregular menstrual periods or no menstrual periodsis it menopause or perimenopause,;pregnancy, or something else? When our bodies are showing signs of change or were having abnormal symptoms of things we cant fully explain, we start making guesses as to what may be happening.;

    Perimenopausal changes can start in your late 30s and 40s, so if youre starting to experience changes in your body, it could mean your body is preparing for menopause. But if youre nearing or in your 40s and wondering if you can still get pregnant, the simple answer is yes, but the chances are slim.;

    If youve already hit menopause and are wondering if you can still get pregnant, the simple answer is that its highly unlikely, but not impossible. All of these answers relate to fertility in women, which is very different from fertility in men. Although men can produce viable sperm into their 60s, women typically dont have successful pregnancies past their mid-40s.;

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    Getting Pregnant During Menopause

    As women age, their hormone levels fall and menopause begins, ultimately resulting in their ovaries no longer producing eggs. However, while many women believe that menopause happens overnight, the process;can actually take years to complete, and until then, a woman can still get pregnant!

    Management & Treatment Of Premature & Early Menopausal Symptoms

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    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.

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    Symptoms Of Premature And Early Menopause

    The symptoms of early menopause are the same as for menopause at the typical age and can include:

    • menstrual cycle changes, including changes to the usual bleeding pattern, particularly irregular bleeding
    • hot flushes
  • viral infections the evidence is inconclusive, but it is thought that a viral infection, such as mumps or cytomegalovirus, could trigger premature menopause in some women.
  • When Should I Start Talking To My Health Care Provider About All Of This

    Some women choose not to see their provider when they begin experiencing symptoms. Instead, these women wait until their annual physical exam and address it then.

    If you experience symptoms that are concerning, like heavy, irregular periods, make sure to consult your primary care provider. Same thing goes if you feel the symptoms are affecting your quality of life. Menopause is a common, and important, phase of life. And your health care provider can help determine what the best options are for you.

    For more information or to schedule an appointment today:

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    Heart & Cardiovascular Health

    Women experiencing a premature or early menopause may have an increased risk of heart disease, compared to women who reach menopause at the expected age, although this remains controversial.

    A recent study suggested women with premature or early menopause may also be at greater risk of stroke. This might be because of the loss of the beneficial effects of oestrogen on the blood vessels and the lipid profile of younger women. Further understanding in this area is still needed.

    There are also other cardiovascular disease risk factors, such as family history, high blood pressure and high cholesterol levels.

    A healthy lifestyle can help reduce the risk of cardiovascular and heart problems. Stopping smoking, eating a healthy, balanced diet with plenty of fruit and vegetables, maintaining a healthy body weight and doing regular physical activity reduces the risk of heart disease in women of all ages.

    There is some evidence that suggests menopausal hormone therapy, or MHT use in women with premature or early menopause reduces the risk of cardiovascular disease.

    It is recommended that you have annual monitoring of blood pressure, weight, smoking status and cholesterol and sugar levels, as well as a discussion with your doctor, to help keep a check on your risks of cardiovascular disease.


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