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Can You Get Pregnant While Your Going Through Menopause

How Do Chemotherapy Radiation And Surgery Lead To Infertility And Premature Ovarian Failure

I Had a Baby at 47 After Going Through the Menopause | This Morning

Cancer treatments like chemotherapy are designed to kill rapidly dividing cells throughout the body while leaving other cells intact. Cancer cells divide rapidly, but so do the cells surrounding the maturing eggs in women. Thus, infertility is a potential side effect of chemotherapy treatment because damage to the ovaries can occur. Individual factors like patient age, drug type, drug combinations and total drug dose affect the chance of becoming permanently infertile. Generally, younger women have a better chance of regaining fertility.

Radiation therapy also kills rapidly dividing cells, but only in or around its target area. If the radiation field includes the brain, it may affect fertility by damaging areas that control hormone production. Radiation therapy aimed close to, or at the pelvic areas of the body can also cause infertility by directly damaging the ovaries. In some cases, a shield can be used to protect the reproductive system, or the ovaries may be moved out of the way in a minor surgery. The location of the radiation field and the total dose will affect each individual somewhat differently.

Surgery to remove part or all of the reproductive system can cause infertility. It is important to understand which organs will be impacted or removed and the subsequent effect on fertility. It may be helpful to ask your treatment team to show you diagrams of your operation and ask them to explain what to expect in terms of future fertility.

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Sanja, who lives in Adelaide, only discovered it because she had been undertaking regular cancer screening from the age of 30 due to family history.

A thorough blood test revealed that her anti-mullerian hormone count, which is considered a good indicator of ovarian reserve, had “plummeted” since the start of the pandemic and 2020.

Ivf And Early Menopause Mixed Hormonal Effects

Dr Vincent says there will likely bemixed hormonal effects for Sanja, because if the IVF resulted in pregnancy then the menopausal symptoms will stop.

“Treatments used as part of IVF may cause issues in themselves, which are separate to menopausal symptoms, although both may be associated with mood changes,” she says.

“EM and being infertile is associated with psychological distress, including depression and anxiety.”

Sanja describes the world she is entering is like “running through a minefield with a blindfold on”.

But she has found some kindred spirits at forums, such as the Women’s Health Week menopause event held in Adelaide in early September.

“Hearing others talk about their symptoms, I’m sitting there going, ‘Oh my gosh, is that what that was?'” Sanja says.

“I can actually make a link now and say ‘this is highly likely the reason I’m experiencing these symptoms’.

“I’m just coming into this blind, to be honest, and learning as I go.”

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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.

How To Protect Against Unplanned Pregnancy

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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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How Do You Know You’re In Postmenopause

Your healthcare provider will be able to tell you if you’re in postmenopause based on your symptoms and how long it’s been since your last menstrual period. In some cases, your healthcare provider will take a blood sample and check your hormone levels to confirm you’ve gone through menopause. Remember, you’re not considered to be through menopause until it’s been over one year since youve had a period.

Treatments And Getting Help

The good news is that there are a number of options and treatment plans to help with conception for women in perimenopause. Common options for treatment include medications, surgery, and IVF, but other lifestyle factors such as activity level and diet can also be reviewed to increase your chances of success.

Act quickly and speak to your OB/GYN to discuss the options available to you. Every woman is different and your healthcare practitioner can help you determine the best course of action.

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What Are The Risks Of Getting Pregnant When Youre Older

The medical term for women who get pregnant after age 35 is advanced maternal age , and it comes with additional risks for you and your baby. If youre thinking about getting pregnant after 35, consider talking to your doctor about the additional risks, including:

Most pregnant women over the age of 35 will have a healthy pregnancy and baby. However, you may need specialized care, such as:

  • Counseling before you get pregnant to discuss risks
  • Earlier and more frequent prenatal visits
  • Birth defect screening, testing, and counseling
  • Meeting with a specialist to discuss age-related risks to you and your baby
  • Management of your existing health problems in coordination with your other healthcare providers
  • Close monitoring of your babys growth and development
  • Early screening for and treatment of gestational diabetes and hypertension
  • Planned delivery to avoid the need for C-section, if possible

To decrease your chances of complications:

  • Dont smoke.

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Changes You May Notice

What to Expect During Perimenopause

Your periods become irregular.

This is the classic sign that you are on your way to menopause. Your periods may come more often or less often, be heavier or lighter, or last longer or shorter than before.

When you’re in perimenopause, it can be hard to predict when, or if, your next period may come. It’s also harder to gauge how long your period will last or if your flow will be heavy or light. It’s harder to get pregnant during this phase, but it’s still possible as long as you have periods.

Some chemotherapy drugs used to treat cancer can also make your periods irregular. Any bleeding, even just spotting, after menopause isn’t normal. You need to talk to your doctor.

You have hot flashes and night sweats.

Hot flashes can make you feel warm or hot suddenly for no apparent reason. Your skin may flush red and your heart may beat faster. Then you may feel suddenly cold.

Night sweats are hot flashes that happen during sleep. They can be so intense they wake you up.

Like so many symptoms of menopause, hot flashes and night sweats can vary a lot from woman to woman. They can last 1 minute or 5 minutes. They can be mild or severe. You can have several an hour, one a week, or never have them.

For some women, these symptoms go on for years or decades after they’ve stopped their periods — into the time called postmenopause.

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Are There Any Risks With Taking Birth Control Pills During Menopause Or Perimenopause

Hormonal contraceptives can sometimes mask symptoms of perimenopause. This can make it difficult to know when youve reached perimenopause. And even after menopause, some women can continue to cycle if they stay on hormonal contraceptives.

As women enter their late 40s, I often suggest they stop taking the pill. This is because hormonal contraceptives can increase the risk of blood clotsespecially as you age. I suggest patients try hormone therapy instead. The lower dose of estrogen decreases risks, but still provides similar benefits as the pill.

How Long Does The Transition To Menopause Last

Perimenopause, the transition to menopause, can last between two and eight years before your periods stop permanently. For most women, this transition to menopause lasts about four years. You will know you have reached menopause only after it has been a full year since your last period. This means you have not had any bleeding, including spotting, for 12 months in a row.

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What Other Life Changes Affect Menopause

Menopause can be a rough time. In addition to the symptoms that may be tough to deal with, a lot of stressful life changes can happen around the same time as perimenopause and menopause.

Some changes you may go through during this time in your life include:

  • anxiety about illness, aging, and death

  • anxiety about the future, getting older, and losing independence

  • anxiety about being disabled

  • changes in family, social, and personal relationships

  • changes in identity or body image

  • children leaving home

  • getting divorced or losing a partner

  • having a partner become ill or disabled

  • more responsibility for grandchildren

Do People In Postmenopause Lose Interest In Sex

Why nipples go dark during prengnacy: we have all the answers.

No, not all people lose interest in sex after menopause. Vaginal dryness and discomfort during sex can make sex less pleasurable. Using a vaginal lubricant can help with dryness. Some people are less interested in sex because of other symptoms like depression or feeling tired. If your feelings about sex have changed, ask your healthcare provider for help.

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A Father Inquires For His Perimenopausal Wife

A hopeful and eager father waddles through the message board of the Momtastic Baby and Bump site, asking ladies out there if they had successfully conceived during perimenopause because he and his wife were getting worried about her perimenopause symptoms. Thankfully, a woman around the age of 42 came to save the day .

Nottrustyyet decisively laid down how she was definitely perimenopausal when she got pregnant. She then recounted her story of how at 42, her periods changed: they got shorter, and she had recurring night sweats. It took her and her husband a year and a half to finally conceive their perimenopausal baby! But it was a success and a surely relieving answer for want2BaDaddy!

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When Can I Stop Using Birth Control

Youve been good about family planning, Youve had the children you want, when you want. Youve always used birth control, but when can you stop? For most women, it is when they enter menopause, but some birth control methods can make it difficult to tell when you are menopausal. OBGYN Dr. Kirtly Parker Jones explores the different types of birth control and the steps women can begin to take to get off birth control when theyre ready.

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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.

What Are The Pregnancy Risks During Perimenopause

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The possible hazards are many for both mother and baby. Miscarriage increases among older mothers because of lower-quality eggs, variable hormones, and uterine changes. Poor egg quality also ups the chances for birth defects such as Down syndrome, which is caused by an error in cell division which produces an extra chromosome.

Other risks to the baby include premature birth , which is linked to a host of complications ranging from cerebral palsy to learning and developmental disabilities.

The rigors of pregnancy are also harder on older mothers, who suffer more than their younger counterparts from complications such as high blood pressure, strokes, seizures, gestational diabetes, and heart problems.

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What Can I Do To Prevent Osteoporosis

Osteoporosis isnt entirely preventable, but you can take steps to strengthen your bones. Eating foods high in calcium like cheese, yogurt, spinach or fortified cereals can help boost calcium intake. Adding a calcium supplement can also help. Some people also need a vitamin D supplement because it helps their body absorb calcium.

Stopping Contraception After The Menopause

When you stop using contraception depends on a few factors:

  • Whether youre over 50
  • Whether your periods have stopped
  • Whether or not youre using hormonal contraception

Generally, if youre over 50 youll need to keep using contraception for a year after your last period. If youre under 50 youll need to use it for two years after your last period.

For women using hormonal contraception, the guidance will be different. This is because hormonal contraception can cause withdrawal bleeds, as well as irregular or missed periods. All of these things can make it hard to work out whether youre still ovulating and still able to get pregnant.

If youre using any kind of hormonal contraception and you start having menopausal symptoms, the best thing to do is talk to your GP. Or you could book an appointment with one of doctors, using VideoGP, to talk to them about the menopause.

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Woman From The Netherlands Just Turned 39

A 39 year old woman from the Netherlands had not had a period for four years, but her desire and resolve to get pregnant was stronger than her doubts. She had been showing signs of menopause at the time, but still went all the way to Greece to try a form of fertility treatment in December 2016. A month later, miraculously, she started having her period again.

After getting back to the Netherlands, she underwent an IVF treatment just months after her treatment in Greece. Her IVF treatment did not use hormones instead, the doctors collected the egg that was released during ovulation and proceeded to fertilize it outside the body, the embryo being put back after. The woman did successfully get pregnant, but unfortunately she miscarried as well. Yet, her treatment results looked promising indeed.

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WHAT IF A WOMAN WANTS TO CONCEIVE DURING MENOPAUSE? As mentioned, the pregnancy could be complicated but if you want to conceive, you need to consult your doctor. Conceiving will be difficult as your body will be weaker and even your fertility will decline. They might recommend you certain treatments which may help you in getting pregnant. However, because your body would be weak and so would be your eggs, your child’s risk of certain diseases can increase. So, it is best that you weigh everything before you make a choice.

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How Do You Know If You Are Still Fertile

It is difficult to know about your fertility as the menstrual cycle turns irregular during perimenopause. You may or may not ovulate, and also the levels of estrogen, progesterone, and other hormones fluctuate while the egg quality could deteriorate. All these factors cause a decrease in fertility, but we cannot exactly predict the probability of natural conception.

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How Can You Tell If You Are Pregnant During Perimenopause

Pregnancy and menopause share some similar symptoms, from the classic missed period, to fatigue and night sweats. So how can you tell if you are pregnant during perimenopause, or if your symptoms are the result of further transitioning in the process?

Pregnancy symptoms may differ from one woman to the next, but there are some symptoms seen in both pregnancy and menopause, while others are unique to pregnancy. Pregnancy symptoms like sensitive or swollen breasts, nausea, constipation, and food sensitivity should be followed up by an at home pregnancy test, and a trip to the doctor if warranted. While anyone can experience these symptoms, they are more often associated with pregnancy and a test with your doctor can confirm this.

Symptoms unique to menopause include irregular ovulation, vaginal dryness, and loss of bone mass. Although many of these can only be investigated with the help of your doctor, its important to understand the difference in symptoms so you can figure out what you are experiencing.

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What Is Perimenopause Or The Transition To Menopause

Perimenopause , or the menopausal transition, is the time leading up to your last period. Perimenopause means around menopause.

Perimenopause is a long transition to menopause, or the time when your periods stop permanently and you can no longer get pregnant. As your body transitions to menopause, your hormone levels may change randomly, causing menopause symptoms unexpectedly. During this transition, your ovaries make different amounts of the hormones estrogen and progesterone than usual.

Irregular periods happen during this time because you may not ovulate every month. Your periods may be longer or shorter than usual. You might skip a few months or have unusually long or short menstrual cycles. Your period may be heavier or lighter than before. Many women also have hot flashes and other menopause symptoms during this transition.


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