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Can You Go Through Menopause At 32

How Is Premature Menopause Diagnosed

I Got Premature Menopause at 32 | The Quint

To diagnose premature menopause, your doctor will most likely perform a physical exam and draw blood to rule out other conditions, such as pregnancy and thyroid disease. They may also order a test to measure your estradiol levels. Low levels of estradiol, a form of estrogen, can indicate that your ovaries are starting to fail. When estradiol levels are below 30, it may signal that you are in menopause.

However, the most important test used to diagnose premature menopause is a blood test that measures follicle stimulating hormone . FSH causes your ovaries to produce estrogen. When your ovaries slow down their production of estrogen, your levels of FSH increase. When your FSH levels rise above 40 mIU/mL, it usually indicates that you are in menopause.

Dealing With The Symptoms Of Menopause

You could argue that the physical and mental changes that occur during menopause aren’t really “symptoms.” The term is usually associated with a disease, which menopause is not. Also, it is often hard to say which changes are a direct result of a drop in hormone levels and which are natural consequences of aging. Some of the symptoms overlap or have a cascade effect. For example, vaginal dryness may contribute to a lower sex drive, and frequent nighttime hot flashes may be a factor in insomnia.

Hot flashes and vaginal dryness are the two symptoms most frequently linked with menopause. Other symptoms associated with menopause include sleep disturbances, urinary complaints, sexual dysfunction, mood changes, and quality of life. However, these symptoms don’t consistently correlate with the hormone changes seen with menopause transition.

Why Does Menopause Happen And What Are The Symptoms

Dr Shirin Lakhani, who trained as GP and now offers bio-identical hormone replacement therapy, an alternative to HRT, at her practice, says: ‘The menopause and peri-menopause are normal parts of the ageing process and brought about by natural hormone changes. This usually happens between the ages of 45 and 55, but can start earlier in some women.’

‘Symptoms can include hot flushes, night sweats, weight gain, loss of libido and vaginal dryness, as well as incontinence and uterine prolapse. There can be cognitive changes, such as memory loss, reduced concentration and mood changes.’

‘It can be an extremely unsettling and worrying time for women, but there are treatments available, which means its not necessary to suffer in silence.’

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What Can My Health Professional Do To Help With These Symptoms

HRT is very effective at reducing menopause symptoms so starting HRT is the first thing your medical professional will offer to do. Its not clear from research when is the best time to start HRT for women with induced menopause. There can be a concern about the hormones keeping some areas of endometriosis active so sometimes it is not started for 3 to 6 months after induced menopause. However, if started immediately it can prevent bone loss and reduce menopause symptoms. This will be discussed with you.

The best HRT for women under the age of natural menopause with endometriosis contains at least two hormones, estrogen and progesterone, and is given continuously with no breaks. This can be given as tablets, patches or gel and sometimes alongside a hormone containing coil depending on what you would like and your situation. This combined HRT should be given for at least the first few years after removal of the ovaries but may be changed to oestrogen-only HRT later as it may have a better safety profile for women over the age of natural menopause. Ideally HRT should be continued until at least the age of 51 for all women in induced menopause.

For women with vaginal symptoms, vaginal estrogen tablets or cream are very effective and are safe to use alone or in combination with standard HRT in women with endometriosis. If your health professional is struggling to manage your situation they can refer you to a menopause specialist in your area to help you.

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‘Your GP can help address menopausal symptoms and offer HRT. If you find this support unsatisfactory, there are many doctors like myself who can provide a tailor-made treatment programme to suit your specific needs,’ details Dr Lakhani.

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How Long Does Menopause Last

As we outlined above, the menopause itself is just a moment in time. But perimenopause and post-menopause symptoms can carry on for several years.

The perimenopause can last from 12 months to up to five years in most women. From this time, your ovaries release less estrogen than in previous years. Menopause symptoms may appear earlier than your mid 40s, especially if you have undergone chemotherapy or had a hysterectomy. The postmenopausal phase is where menopause symptoms slowly subside, although some women will experience symptoms into their 60s and even 70s.

READ MORE What is perimenopause?

Louise Had An Early Menopause At 31 Following Treatment For Ovarian Cysts She Realises She May

Ive always been more focussed on my Hodgkins actually so its probably only really since my friends have started having kids and things that Ive started thinking about it. In what way?It probably seems more relevant now. I mean before I was just glad and I mean my main thing is not to have had the Hodgkins back really. So thats the key. And if a side effect of that is to have premature menopause and then so be it. So I mean I havent dwelt too much on it because theres no point really.You mentioned earlier egg donation. Some of things youve talked about in the menopause support group. How do you feel about that?I feel really hopeful about that. Yeah. I mean I kind of knew there was probably some kind of IVF and the gynaecologist I saw when I was about 30 did say there were treatment programmes but having gone to the premature menopause group and talked to and the people there, the fact that I could get down on a list and be a good candidate for it and the fact that I still have periods and so things are kind of working, it does make me feel hopeful about that. And Ive also thought about adoption and fostering and other options like that so there are options.

Support networks

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Can Early Menopause Be Reversed

Early menopause cant usually be reversed, but treatment can help delay or reduce the symptoms of menopause.

Researchers are investigating new ways to help women who are in menopause to have children. In 2016, scientists in Greece announced a new treatment that enabled them to restore menstruation and retrieve eggs from a small group of women who were in perimenopause.

This treatment made headlines as a way to reverse menopause, but little is known about how well it works.

The scientists reported treating more than 30 women, ages 46 to 49, by injecting platelet-rich plasma into their ovaries. PRP is sometimes used to promote tissue healing, but the treatment hasnt been proven to be effective for any purpose.

The scientists claimed the treatment worked for two-thirds of the women treated. However, the research has been criticized for its small size and lack of control groups. Though the research might have potential for the future, its not a realistic treatment option right now.

Induced Premature Menopause Or Early Menopause

Speaking of Health – Episode 32: “Menopause”

Induced menopause may result from premenopausal bilateral oophorectomy or from cancer treatments including chemotherapy and radiation. Premature menopause from these causes has increased over time because of the improved success in the treatment of cancer in children, adolescents, and reproductive-age women. Similarly, the practice of prophylactic bilateral oophorectomy at the time of hysterectomy has increased over time . However, evidence for the long-term risks and adverse health outcomes following induced menopause is starting to accumulate.

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Can Early Menopause Contribute To Other Conditions

Infertility is often the most obvious concern when you start menopause 10 or more years early. Yet, there are other health concerns.

A steady stream of estrogen to your tissues has many uses. Estrogen increases good HDL cholesterol and decreases bad LDL cholesterol. It also relaxes blood vessels and prevents bones from thinning.

Losing estrogen earlier than normal can increase your risk of:

Discuss your concerns about these symptoms with your doctor. Because of these risks, women who enter menopause early are often prescribed hormone replacement therapy.

How You Go Through Menopause Affects Your Sleep

By Dr. Sharon Stills, NMD

We all know by now how important sleep is in our day-to-day lives. Its essential to staying mentally sharp and energetic during the day, and getting good, regular, restful sleep also reduces the risk of many serious health issues, from weight gain to diabetes. Sleep even slows biological aging!

But what may be a surprise is just how closely intertwined women’s sleep patterns are with their hormones one reason why sleep disturbances are so common during and after menopause.

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How Can I Treat The Symptoms

There are a bunch of ways.

Lifestyle changes. A healthy diet and regular exercise program will help manage your symptoms and boost your health. This is a great time to finally kick any old, unhealthy habits like smoking or drinking too much alcohol. To help with hot flashes, dress lightly and in layers. Avoid triggers like caffeine and spicy foods. And if you stay sexually active, that may help preserve your vaginal lining.

Prescription medication for hot flashes. If you still have your uterus, your doctor might prescribe treatment with estrogen and progesterone. This is called combination hormone therapy or hormone replacement therapy . It helps with hot flashes and night sweats, and it may help prevent osteoporosis. If you donât have a uterus, you might get estrogen alone.

Hormone therapy isnât for everyone. Donât take it if you’ve ever had breast cancer, uterine or “endometrial” cancer, blood clots, liver disease, or a stroke. Also don’t take it if you might be pregnant or you have undiagnosed vaginal bleeding.

If you can’t or don’t want to take hormones, other medications can ease symptoms. They include antidepressants, antiseizure drugs, or blood pressure medications to help with hot flashes and mood swings.

Prescription and OTC medication for vaginal dryness and sleep problems. You can try topical estrogen, lubricants, and non-estrogen prescriptions for dryness and painful sex. OTC or prescription sleep aids can help if you have trouble falling asleep.

Can I Still Get Pregnant After Being Diagnosed With Premature Menopause Early Menopause Or Primary/premature Ovarian Insufficiency

9 Life

Unless the ovaries have been surgically removed, it can be difficult to diagnose a woman younger than age 45 with menopause as opposed to primary ovarian insufficiency . Women with POI can have intermittent ovulation, which may or may not be accompanied by a menstrual bleed. Other women may be able to get pregnant through in vitro fertilization with egg donation. It is important to work with a fertility specialist to explore options.

Options available to you will vary depending on whether you have interest in having children in the future. In some cases, fertility may be restored and pregnancy could be possible. Assisted reproductive technology , including in vitro fertilization might be considered.

If you do not want to get pregnant while on hormone-replacement therapy, your doctor will talk to you about contraceptive options.

Talk to your healthcare provider about possible causes of premature or early menopause and your questions regarding fertility.

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What Are The Symptoms

  • Irregular periods
  • Hot flashes
  • A decrease in sexual drive
  • Irritability
  • Painful sex
  • Thinning and drying of the vagina

Some women may continue to have normal periods and show no symptoms. ;Diagnosis may only be discovered when the FSH levels are measured;and come back with elevated levels. Discuss any menstrual changes;or symptoms with your healthcare provider before coming to any conclusion;about POF.

Why Menopause Timing Matters

When we look at the things that are the greatest determinants for when someone is going to go through menopause, genetics seems to be the one of the most important things, according to Streicher. Theres a lot of truth in that you may follow what happened with your mother, if she went through menopause late, you may, too, she says.

Certain medical conditions, such as autoimmune problems, thyroid issues, and lupus, can make a woman go through menopause earlier, as well as smoking, adds Streicher.

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Variation In Hormone Concentration

In SWAN, morning fasting blood was drawn annually on days 27 of the menstrual cycle for regularly cycling women. For women that stopped menstruating or lacked a follicular phase sample, a fasting blood sample was drawn within 90days of the follow-up visit date. Each sample was assayed for the hormones dehydroepiandrosterone sulphate , sex-hormone binding globulin , follicle-stimulating hormone , testosterone , and estradiol , conducted at the RSP CLASS Laboratory at the University of Michigan. DHAS and T were measured with the automated CLASS laboratory modified ACS: 180-based chemiluminescent assay developed in the CLASS laboratory. SHBG and FSH were measured with a two-site chemiluminescent assay. E2 concentrations were measured using the estradiol-6 III immunoassay performed on the ADVIA Centaur instrument. Results are listed in the SWAN database under the variables DHAS, T, SHBG, FSH, and E2AVE, respectively.

Defining Menopause And The Menopausal Transition

Dr Nighat Arif talks about menopause and working with BAME women.

Menopause is a retrospective diagnosis usually made after a woman goes 12 consecutive months without a monthly period. The months or years leading up to that milestone is called;the menopause transition, or perimenopause, and symptoms can include;hot flashes,;mood changes, disruptions in sleep, and changes in the monthly cycle.

Researchers conducted their investigation within the ongoing;Nurses Health Study 2 cohort. At the start of the study, women provided their medical history and health-related behaviors, like smoking, physical activity, use of oral contraceptives, and menstrual and pregnancy status. Every two years for the duration of the study, participants updated health information, including any new health conditions or changes in health behaviors.

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Women were also asked to report pregnancies, pregnancies lasting longer than six months, and births. Investigators measured breastfeeding history by asking participants if they breastfed, for how long, as well as when they began to supplement or replace breastfeeding with formula or cow’s milk.

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Menopause Symptoms: Age 50

Most women will have their last period around the age of 50. Twelve months without a period later, menopause is reached and post-menopause begins.

As menopause gets closer, your estrogen and progesterone levels start to decline more rapidly. As a result, your symptoms will likely become more intense.

Your periods will probably become more irregular. You may experience greater mood swings. And you might experience an increase in insomnia. Plus, youll likely start experiencing new symptoms that are common right around or right after reaching menopause, including:

Hot flashes and chills

Hot flashes can happen during pre-menopause, but theyre most often reported right around menopause and in the first few years of post-menopause. These are sensations of heat that develop around your face, neck and chest, and may spread to other areas of your body. They usually last for just a few minutes.

Alongside the feeling of heat, your skin may redden, you may sweat, your heart rate might increase and your mood may change. Afterward, you may feel chills.

Doctors arent sure why hot flashes happen but there are ways to lessen their impact. Some tips include:

  • Try to stay in cooler environments
  • Dress lightly or wear layers you can remove
  • Manage stress

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So I left my time working in health thinking very highly of doctors, thinking they;all;viewed patients as humans and not as numbers. How naive I was.; When I initially went to my now-ex-GP with complaints that I was suffering from hot flushes and night sweats and that a friend had suggested I might be peri-menopausal, he laughed at me.; Not just a chuckle.; It was a sneering laugh as he informed me: Youre too young for;menopause.

I asked him to humour me and pleaded with him to send me for blood tests to check my hormone levels.; Shaking his head, he agreed. Several weeks later I went back for my results and, looking slightly embarrassed, all he said was: Turns out you were right youve gone through;menopause!; Just like that.

At that moment, time seemed to stop. My world definitely stopped.; I went into shock it was as if I was glued to my chair, unable to believe his words.; I kept thinking, no, no there must be a mistake maybe my results were mixed up with those of another patient? ;Through my tears I managed to blurt out:;But I want more children I only have one, are you telling me I cant have any more?

Once more he laughed and said: Oh, thats out of the question menopause means that youre done and dusted.; Im not sure if youre a betting kind of girl and you understand odds, but if you are your chances of falling pregnant are about one in a million.

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It Matters How Fast Menopause Happens

So what happens when the production of estrogen and progesterone dont so much taper off as crash like when you go through menopause surgically? As you might expect, it means a hard landing not only do women who have surgical menopause have less satisfying sleep quality, its also shorter in duration. In one study, women who underwent surgical menopause were more than twice as likely to have insomnia as women who went through natural menopause. Another study that used data from over 100,000 participants in the Nurses Health Studies noted that women undergoing surgical menopause are much more likely to develop obstructive sleep apnea.

In general, even if you dont go through menopause via surgery, having a more rapid transition with greater levels of symptoms like hot flashes and mood changes predicts more frequent sleep disturbances.

Its no accident that menopause, sleep deprivation, and depression go hand-in-hand or that all three are much more difficult for women who undergo surgical menopause. Whether the drop in hormones leads to sleep loss, which leads to mood swings, or the hormonal drop leads to mood swings and that, in turn, impacts sleep is an eternal question but nobody argues that theyre not intertwined. And it makes sense, doesnt it, given the intertwining of hormones and neurotransmitters that are involved in mood, hot flashes, and sleep.


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