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Can You Go Into Menopause At 25

How Is Early Menopause Is Diagnosed

Are you struggling with menopause symptoms? Learn why and how you can heal

No special tests are needed to determine the absence of menstrual periods, but sometimes women begin having symptoms of menopause and irregular periods. At that point, they may be tested to determine their ovarian function. For example, tests may be done to rule out pregnancy or other causes of missed menstruation, such as certain thyroid diseases. The level of follicle-stimulating hormone is often measured in the blood to determine whether a woman is nearing menopause and to ascertain the functional status of her ovaries. FSH stimulates the ovaries to produce estrogen, so levels of this hormone rise when estrogen levels drop. FSH levels that are higher than 40 mIU/ml are considered diagnostic of the menopause. Levels of ovarian hormones, such as estradiol, may be also measured, as low levels are suggestive of menopause.

When Does Menopause Occur

Although the average age of menopause is 51, menopause can actually happen any time from the 30s to the mid-50s or later. Women who smoke and are underweight tend to have an earlier menopause, while women who are overweight often have a later menopause. Generally, a woman tends to have menopause at about the same age as her mother did.

Menopause can also happen for reasons other than natural reasons. These include:

  • Premature menopause. Premature menopause may happen when there is ovarian failure before the age of 40. It may be associated with smoking, radiation exposure, chemotherapeutic drugs, or surgery that impairs the ovarian blood supply. Premature ovarian failure is also called primary ovarian insufficiency.

  • Surgical menopause. Surgical menopause may follow the removal of one or both ovaries, or radiation of the pelvis, including the ovaries, in premenopausal women. This results in an abrupt menopause. These women often have more severe menopausal symptoms than if they were to have menopause naturally.

Will My Hot Flashes Stop After Menopause

Some people still experience hot flashes after menopause. Postmenopausal hot flashes are caused by decreased estrogen levels. It is not uncommon to experience a random hot flash for years after menopause. If your hot flashes are bothersome or intensify, speak with your healthcare provider to rule out other causes.

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Trapped In A Never Ending Menopause: For Some Women The Misery Of ‘the Change’ Can Last For Two Decades

  • Penny Jaquet began the menopause at 42
  • Her hot flushes were preceded by terrifying panic attacks
  • She still suffers more than a decade later
  • Jackie Hogarty also went through the change at 42
  • She had mood swings and felt hot all the time
  • Lesley Tanner had symptoms for 13 years
  • Experts says more needs to be done to help women
  • Many will suffer in silence

18:03 EDT, 13 November 2013 | Updated:

Distress: Penny Jaquet has been battling symptoms for 18 years

When Penny Jaquet began the menopause at 42, her hot flushes were preceded by terrifying panic attacks. Several times a day, she would suddenly feel flustered and distressed as she struggled to catch her breath and her heart pounded.

For a few awful moments, shed lose track of where she was and what she was doing, before the flush kicked in, turning her scarlet and leaving her dripping with sweat.

The symptoms seemed to abate three years ago. But then, to her horror, they began again. Penny is 60, and an astonishing 18 years after her menopause started, she’s still suffering from hot flushes.

Once or twice a week, the jewellery designer from Cheltenham finds her entire body burning.

‘I can’t believe the hot flushes have come back,’ she says. ‘My menopause went on for 15 years and drove me to despair, which manifested itself in panic attacks. I’ve given up hoping it’ll ever end.’

Hot flushes are caused by hormonal changes that disturb the hypothalamus, a part of the brain known as the body’s thermostat.

Menopause With No Hormone Treatment

Can You Go Into Menopause At 47

    Has anyone gone through menopause 5 years ago or longer and done it completely without any hormonal help at all?

    I am in my second year of menopause after about five years of perimenopause. I have not used hormones of any kind and seem to have gotten through at least the physical effects without tearing my hair out.

    But I have noticed other changes — in my skin, my hair, and my libido — that bother me, and I know that our hormones affect all these things. I’m now wondering if my decision to go hormone-free was made in haste, and if I should reconsider.

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    What Are The Consequences Of Loss Of Ovarian Function

    • Infertility, which for many women is devastating.
    • Amenorrhoea/ oligo-menorrhoea may be the first indicator of POI.
    • Symptoms of oestrogen deficiency. These include hot flushes, mood changes, sleep disturbance, joint aches, dry vagina or poor lubrication during sexual arousal. These symptoms may occur even while the woman is still having menstrual periods. The onset of symptoms may occur gradually or suddenly.
    • Psychological distress with increased rates of anxiety and depression. Women often feel confused, sad, jealous of other womens pregnancies or old before their time. Psychological counselling can ease this distress. Support from the womans partner, family and friends is important.
    • Long-term consequences include osteoporosis and cardiovascular disease4.
    • Women must also cope with the diagnosis of cancer or severe medical illness which has necessitated the use of chemotherapy/ radiotherapy and the related long-term consequences.

    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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    What Causes The Menopause

    The menopause is caused by a change in the balance of the bodys 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 theres no clear cause.

    Sometimes its 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 Downs syndrome or Addisons disease.

    Page last reviewed: 29 August 2018 Next review due: 29 August 2021

    Management Of Poi/ Early Menopause

    Menopause Weight Gain: What Causes it & How to Prevent it

    Fertility issues:

    Hormone therapy

    Prevention of bone loss:

    • Osteoporosis/ bone loss due to oestrogen deficiency is common in women with POI. As well as the known osteoporosis risk factors , chemotherapy itself, high dose corticosteroids, aromatase inhibitors and GnRHa therapy also contribute to bone loss. Measurement of bone density is an important part of managing POI. It is important to check bone mineral density every one to two years, depending on baseline bone density, particularly if the woman is not taking HRT. Oestrogen therapy is effective at reducing bone loss in women with POI1,10 but ,may be less effective in the setting of women who have had bone marrow transplants11
    • A healthy lifestyle is important to maintain bone health. Women with early menopause should avoid smoking, engage in regular weight-bearing exercise, and ensure adequate dietary intake of calcium and vitamin D12.
    • Where a woman suffers a minimal trauma fracture, HRT is contraindicated or ongoing bone loss despite HRT, there are several proven therapies available to reduce her risk of fracture12. Specialist referral is recommended.

    Prevention of cardiovascular disease:

    Cognitive function:

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    I Want People To Know

    When I was about 45 I started to feel really stressed with work I felt quite anxious and overwhelmed by it, she said. I put it down to workplace stress. There were a lot of changes: I was working in a new team, then my manager went off sick and was replaced, then the replacement went off sick. They were stressed and I thought I was too.

    She was signed off for a couple of months, and returned on a reduced basis, working alongside the person who had been covering for her.

    I did not even have half of my old job to do but I still felt overwhelmed, she said. I had always been very good at organising things but I couldnt organise myself. My memory had gone and I felt confused.

    Worried she had dementia or Alzheimers disease, Williams saw several GPs. Antidepressants were recommended, but she did not feel depressed.

    Williams eventually realised what the issue was after finding a group of women sharing their symptoms online. She and her husband decided to pay for private doctor, who prescribed hormone replacement therapy. This solved some of the symptoms but has not helped with the feeling of being overwhelmed.

    Im the first in my workforce to say that Im off because of the menopause thats what it says on my sick note. As much as it was embarrassing, I want people to know what has happened.

    Diagnosis Of Premature Or Early Menopause

    Premature and early menopause is diagnosed using a number of tests including:

    • medical history, family history and medical examination
    • investigations to rule out other causes of amenorrhoea , such as pregnancy, extreme weight loss, other hormone disturbances and some diseases of the reproductive system
    • investigations into other conditions associated with premature or early menopause, such as autoimmune diseases
    • genetic tests to check for the presence of genetic conditions associated with premature or early menopause
    • blood tests to check hormone levels.

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    How Is Primary Ovarian Insufficiency Treated

    Currently, there is no proven treatment to restore normal function to a woman’s ovaries. But there are treatments for some of the symptoms of POI. There are also ways to lower your health risks and treat the conditions that POI can cause:

    • Hormone replacement therapy .HRT is the most common treatment. It gives your body the estrogen and other hormones that your ovaries are not making. HRT improves sexual health and decreases the risks for heart disease and osteoporosis. You usually take it until about age 50 that’s about the age when menopause usually begins.
    • Calcium and vitamin D supplements. Because women with POI are at higher risk for osteoporosis, you should take calcium and vitamin D every day.
    • In vitro fertilization . If you have POI and you wish to become pregnant, you may consider trying IVF.
    • Regular physical activity and a healthy body weight.Getting regular exercise and controlling your weight can lower your risk for osteoporosis and heart disease.
    • Treatments for associated conditions. If you have a condition that is related to POI, it is important to treat that as well. Treatments may involve medicines and hormones.

    NIH: National Institute of Child Health and Human Development

    Summary Of Underlying Physiology

    25 Signs You Might Be Going Into Menopause

    Menopause is defined as the cessation of menstruation which reflects cessation of ovulation owing to a loss of ovarian follicles, which in turn results in reduced ovarian production of estradiol, the most biologically active form of estrogen,, as well as increased circulating concentrations of follicle-stimulating hormone and decreased concentrations of inhibin, which inhibits the release of FSH. Age at menopause may be more sensitive to varying rates of atresia of ovarian follicles than to the absolute number of oocytes depleted, but menopause is reached when depletion of follicles reaches approximately 1000 ., The age at which sufficient depletion of follicles occurs is affected by the number of follicles achieving migration to the gonadal ridge during gestation, their mitotic abilities until mid-gestation, and the rate of follicular atresia.,

    The nature and timing of bleeding may vary both within and between women. What is known about the host, environmental, or lifestyle factors that may affect such variation is summarized herein. Although some factors have been identified that are associated with early age at natural menopause, the relation of many has not been examined, and most have not been examined in relation to duration of the perimenopause.

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    The Natural Approach To Balancing Your Hormones Begins With Phytotherapy

    The most effective relief for perimenopause and menopause symptoms is to ensure your body has the raw materials it needs to make, regulate and use all three hormones, not just estrogen, which has often been the focus of the conventional approach.

    Not only do we know that progesterone and testosterone also play critical roles in hormonal imbalance, but we also understand that balance is more than having enough of a certain hormone. True hormonal balance creates optimal levels of all sex hormones, with clear pathways for their use throughout the body, and the ability to manage hormone fluctuations to eliminate symptoms.

    Weve learned the use of phytotherapy for menopause or herbal solutions can resolve even severe symptoms for most women. Certain herbs known as phytocrines share important features with our own hormones which allow them to provide symptom relief, as well as to bolster your bodys own ability to make and use hormones:

    • Phytocrines can act like the bodys own hormones. By binding to our hormone receptors, they allow cells to get the information they need to function.
    • Phytocrines can imitate hormone functions. One example is the phytoestrogens found in red clover which closely resemble human estrogen and can help normalize estrogen activity in our bodies.
    • Phytocrines encourage hormone production. Plants can gently stimulate the bodys tissues to make more natural hormones.

    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

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    Can Cancer Symptoms Be Mistaken As Symptoms Of Menopause

    It is important to recognize that some of the symptoms of menopause can mimic the symptoms of gynecologic cancers, which are cancers that start in the female reproductive organs. The 3 most common gynecologic cancers are uterine cancer, ovarian cancer, and cervical cancer. Being aware of the similarities and differences in symptoms is critical so that concerning, or red flag, symptoms of a potential underlying cancer are not ignored or misidentified as symptoms of menopause.

    Uterine and ovarian cancers are more common in postmenopausal women. The most common symptom of uterine cancer is abnormal uterine bleeding, which occurs in 75% to 90% of people with this type of cancer. It can be hard to distinguish between abnormal bleeding and a regular menstrual period, especially during the menopausal transition. However, in people older than 45, some concerning clues will include bleeding between menstrual cycles, frequent bleeding, and heavy or prolonged bleeding. The average age at diagnosis of uterine cancer in the United States is 60, and it is uncommon in women younger than 45.

    Symptoms of ovarian cancer include abdominal swelling or bloating, nausea, difficulty eating or feeling full quickly, and shortness of breath. About half of people who are diagnosed with ovarian cancer in the United States are 63 or older. However, ovarian cancer may occur at a younger age in people with a hereditary ovarian cancer syndrome.

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    Your Doctor Can Diagnose Menopause Even If Youre Using Mirena

    3 Tips To Heal Menopause Brain Fog – And Why It’s So Common

    You usually dont need tests to diagnose menopause. When your period stops for a full 12 months, youre in it.

    But since the IUD stops your periods, you need a backup plan. Your doctor can do a blood test to check levels of follicle-stimulating hormone and estrogen. FSH helps regulate your menstrual cycle and egg production.

    During menopause, FSH levels rise while estrogen levels drop. A blood test can look for these level changes.

    Your FSH levels can rise and fall throughout your cycle, so your doctor might need to take a couple of blood tests over time. Theyll also look for symptoms like hot flashes to determine whether youre in menopause.

    Mirena can lighten your monthly bleeding, but it doesnt relieve other menopause symptoms. For that, you might turn to hormone replacement therapy .

    HRT pills, patches, and injections help with menopause symptoms like:

    HRT comes in two forms:

    • estrogen-only therapy for women whove had a hysterectomy
    • estrogen plus progesterone for women who have a uterus

    HRT isnt perfect. Its been linked to increased risk of stroke, blood clots, and breast cancer, and more. Thats why experts recommend taking the lowest effective dose for the shortest length of time needed to relieve your symptoms.

    Your doctor can help you decide whether HRT is the best option for you.

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    What Other Medications Treat Menopause Symptoms

    The classes of drugs known as selective serotonin reuptake inhibitors and selective norepinephrine reuptake inhibitors , typically used in the treatment of depression and anxiety, have been shown to be effective in reducing menopausal hot flashes. Paroxetine is an SSRI that has been approved for the treatment of moderate to severe hot flashes associated with menopause. Another SSRI that has been tested and shown to be effective is venlafaxine , although other SSRI drugs may be effective as well.

    Clonidine is a drug that decreases blood pressure. Clonidine can effectively relieve hot flashes in some women. Side effects include dry mouth, constipation, drowsiness, and difficulty sleeping.

    Gabapentin , a drug primarily used for the treatment of seizures, has also been used successfully to treat hot flashes.

    Progestin drugs have also been successfully used to treat hot flashes. Megestrol acetate is sometimes prescribed over the short term to help relieve hot flashes. Serious effects can occur if the medication is abruptly discontinued, and megestrol is not usually recommended as a first-line drug to treat hot flashes. An unpleasant side effect of Megestrol is that it may lead to weight gain.

    Several medications may be used for preventing and treating osteoporosis.

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