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Can You Have A Period In Menopause

Are There Any Risks Related To Hormone Therapy

Can Periods Restart After Menopause?

Like most prescribed medications, there are risks for hormone therapy. Some known health risks include:

  • Endometrial cancer .
  • Gallstones and gallbladder issues.

Going on hormone therapy is an individualized decision. Discuss all past medical conditions and your family history with your healthcare provider to understand the risks versus benefits of hormone therapy for you.

Menopause Symptoms At Age 45

Around the age of 45 many women enter pre-menopause and start to notice the first signs that menopause is coming. For some women, the symptoms are mild and short-lasting. For others, menopause symptoms can be disruptive and long-lasting.

Some of the earliest signs of menopause may include:

Changes to your period

Period changes are usually the first signs of menopause. For example, your period may start to happen every six to eight weeks. Or you may miss a couple months before it comes back again. You may also have a heavier flow or a lighter flow from time to time.

That said, its important to know you can still get pregnant during perimenopause. So, continue to use birth control in the lead up to menopause as you normally would. Also, if youve missed your period and youre not sure whether perimenopause has started, consider taking a pregnancy test as a first step.

Mood changes

As your hormone levels change, you may find yourself more irritable, anxious, sad or forgetful than usual. Your sex drive can also decrease or increase.

These changes are very typical as your body approaches menopause. So, be kind to yourself, practice self-care and ask for help if youre having trouble.

Sleeping problems

You may find it difficult to get to sleep, or you may wake up in the middle of the night. Sleep trouble can contribute to a constant feeling of tiredness, which can make you moodier.

Is Having A Hard Time Concentrating And Being Forgetful A Normal Part Of Menopause

Unfortunately, concentration and minor memory problems can be a normal part of menopause. Though this doesnt happen to everyone, it can happen. Doctors arent sure why this happens. If youre having memory problems during menopause, call your healthcare provider. There are several activities that have been shown to stimulate the brain and help rejuvenate your memory. These activities can include:

  • Doing crossword puzzles and other mentally stimulating activities like reading and doing math problems.
  • Cutting back on passive activities like watching TV.
  • Getting plenty of exercise.

Keep in mind that depression and anxiety can also impact your memory. These conditions can be linked to menopause.

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How Will I Know If I Am Starting The Transition To Menopause

Sometimes it can be hard for you and your doctor to tell whether you are in perimenopause, the transition to menopause:

  • Symptoms: Tell your doctor or nurse about any menopause symptoms, such as hot flashes or trouble sleeping.
  • Irregular periods: Track your periods. Irregular periods may be your first sign of menopause.
  • Hormone levels: Your doctor may test the amount of hormones in your blood if your periods stopped at an early age . Doctors dont usually recommend this test unless there is a medical reason to do so. This is because, for most women, hormone levels go up and down in an unpredictable way during the transition to menopause. So it is difficult to tell for sure whether you have gone through menopause or are getting close to it based on this blood test.

Menopause Can Have Mental And Emotional Effects Too

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Most people dont like their period, but when it goes away you feel your age, Dr. Rowen tells SELF. For some people, the idea of losing their period can be psychologically distressing.And as we mentioned, your hormones, specifically estrogen and progesterone, change during menopause. And this change may cause feelings of anxiety and depression. Lower estrogen can also trigger hot flashes that make it difficult to sleep, leading to mood swings and anxiety. Coupled with any emotional distress from losing your period, and you understandably may not be in the mood to have sex. If you feel down for more than two weeks, you may be depressed and want to speak with a therapist, the Cleveland Clinic recommends. However, finding a therapist can be a long, and often stressful, process. . Generally, you will want to start by asking your insurance company for a list of providers. If you dont have insurance, websites like Open Path include therapists who offer reduced-fee sessions.

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Menopause Symptoms Can Feel Like Pms

Some women develop symptoms of Premenstrual Syndrome for the first time or have more acute levels of their normal PMS. These symptoms can be physical, psychological, or emotional. Most of us will have had some level of PMS during the second half of the monthly cycle over the years. Symptoms may have been getting stronger during your 30s and 40s, approaching menopause. Most common symptoms are irritability, aggression, tearfulness, mood swings, breast pain and fluid retention.

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Its Best Not To Ignore Any Changes That Cause You Distress

You may cringe at the thought of talking to your gynecologist about sex. But rest assured, there is no reason to feel awkward. If you’re dealing with these changes and are very much unhappy with them, talk to your doctor. Right now, this may be a conversation that needs to take place via telehealth due to the pandemic. If you feel dismissed, then Dr. Rowen encourages you to consider switching to another provider if at all possible. Go find someone who will listen to you and take your problems seriously, Dr. Rowen says. Together, you can come up with a treatment plan that may help you have a more fulfilling sex life, even after menopause.

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What Are The Long

There are several conditions that you could be at a higher risk of after menopause. Your risk for any condition depends on many things like your family history, your health before menopause and lifestyle factors . Two conditions that affect your health after menopause are osteoporosis and coronary artery disease.

Osteoporosis

Osteoporosis, a “brittle-bone” disease, occurs when the inside of bones become less dense, making them more fragile and likely to fracture. Estrogen plays an important role in preserving bone mass. Estrogen signals cells in the bones to stop breaking down.

Women lose an average of 25% of their bone mass from the time of menopause to age 60. This is largely because of the loss of estrogen. Over time, this loss of bone can lead to bone fractures. Your healthcare provider may want to test the strength of your bones over time. Bone mineral density testing, also called bone densitometry, is a quick way to see how much calcium you have in certain parts of your bones. The test is used to detectosteoporosis and osteopenia. Osteopenia is a disease where bone density is decreased and this can be a precursor to later osteoporosis.

If you have osteoporosis or osteopenia, your treatment options could include estrogen therapy.

Coronary artery disease

  • The loss of estrogen .
  • Increased blood pressure.
  • A decrease in physical activity.
  • Bad habits from your past catching up with you .

Can Menopause Be Treated

Periods During Perimenopause | What’s Happening to Me?

Menopause is a natural process that your body goes through. In some cases, you may not need any treatment for menopause. When treatment for menopause is discussed, its about treating the symptoms of menopause that disrupt your life. There are many different types of treatments for the symptoms of menopause. The main types of treatment for menopause are:

It is important to talk to your healthcare provider while you are going through menopause to craft a treatment plan that works for you. Every person is different and has unique needs.

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What If You Want To Get Pregnant After You’ve Hit Menopause

Okay, so let’s say you’ve already hit menopausemeaning you haven’t had a period in 12 months or morebut you would still like to get pregnant. Luckily, if that’s your choice, science is on your side through a process called in vitro fertilization .

According to the US National Library of Medicine , IVF is essentially the joining of a woman’s egg with a man’s sperm, outside of the woman’s body . In women who are of childbearing age, there are five steps to IVF: stimulation, egg retrieval, insemination and fertilization, embryo culture, and embryo transfer. However, because women who have already gone through menopause are not producing eggs, they do not need to go through the first two steps, and will instead have to use eggs from a donor.

From there, it’s like any other IVF pregnancy: Once a fertilized egg divides and become an embryo outside of the body, per the NLM, it’s placed inside the woman’s womb, where she can carry the embryo, then fetus, to term.

The bottom line: If you havent yet reached menopause but are perimenopausal, you can definitely still get pregnant. But if youve already hit menopause when you decide you want to consider motherhood, its not necessarily too late” for that, either.

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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.

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What Can I Do About Hot Flashes

Hot flashes occur from a decrease in estrogen levels. In response to this, your glands release higher amounts of other hormones that affect the brain’s thermostat, causing your body temperature to fluctuate. Hormone therapy has been shown to relieve some of the discomfort of hot flashes for many women. However, the decision to start using these hormones should be made only after you and your healthcare provider have evaluated your risk versus benefit ratio.

To learn more about women’s health, and specifically hormone therapy, the National Heart, Lung, and Blood Institute of the National Institutes of Health launched the Women’s Health Initiative in 1991. The hormone trial had 2 studies: the estrogen-plus-progestin study of women with a uterus and the estrogen-alone study of women without a uterus. Both studies ended early when the research showed that hormone therapy did not help prevent heart disease and it increased risk for some medical problems. Follow-up studies found an increased risk of heart disease in women who took estrogen-plus-progestin therapy, especially those who started hormone therapy more than 10 years after menopause.

The WHI recommends that women follow the FDA advice on hormone therapy. It states that hormone therapy should not be taken to prevent heart disease.

Practical suggestions for coping with hot flashes include:

When Can You Expect Perimenopause

15 symptoms that telling when menopause will start

Chances are, if youre between the ages of 45-50, your irregular periods are a sign of perimenopause. The average age a woman starts the menopausal transition is 47.

While we cannot predict when this will occur for you, the age your mother began to experience symptoms may be a good indicator. Smokers tend to reach menopause earlier than non smokers as well.

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Are You Headed Toward Early Menopause

There are many negative health consequences linked to early menopause, including a higher risk of osteoporosis and fracture, heart disease, cognitive impairment and dementia, and early death, says Dr. Faubion.

If you have questions about when youll experience menopause and if you can do anything to change it, keep reading for answers.

The Diagnostic Process May Involve Multiple Steps

Even though postmenopausal bleeding can have a number of different causes, your doctors first objective is to rule out potential cancers.

Well usually do a physical exam to look for blood or masses, such as fibroids, followed by an ultrasound to see how thick a patients uterine lining is, Mantia-Smaldone explained. A postmenopausal womans uterine lining should be quite thin, since she isnt menstruating.

Endometrial cancer can cause the lining of the uterus to thicken. If your uterine lining appears thicker than normal, your doctor will recommend a biopsy, in which a sample of your uterine lining is removed and examined under a microscope.

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Hot Flashes During Perimenopause

Most women don’t expect to have hot flashes until , so it can be a big surprise when they show up earlier, during perimenopause. Hot flashes sometimes called hot flushes and given the scientific name of vasomotor symptoms are the most commonly reported symptom of perimenopause. They’re also a regular feature of sudden menopause due to surgery or treatment with certain medications, such as chemotherapy drugs.

Hot flashes tend to come on rapidly and can last from one to five minutes. They range in severity from a fleeting sense of warmth to a feeling of being consumed by fire “from the inside out.” A major hot flash can induce facial and upper-body flushing, sweating, chills, and sometimes confusion. Having one of these at an inconvenient time can be quite disconcerting. Hot flash frequency varies widely. Some women have a few over the course of a week others may experience 10 or more in the daytime, plus some at night.

Most American women have hot flashes around the time of menopause, but studies of other cultures suggest this experience is not universal. Far fewer Japanese, Korean, and Southeast Asian women report having hot flashes. In Mexico’s Yucatan peninsula, women appear not to have any at all. These differences may reflect cultural variations in perceptions, semantics, and lifestyle factors, such as diet.

What Are The Stages Leading Up To Menopause

Mood Changes During Menopause – What Can You Do?

After puberty, there are three other phases of female fertility:

  • Pre-menopause: Women have full ovarian function, regularly produce estrogen and ovulate.
  • Perimenopause: The ovaries begin to fluctuate in their ovulation and production of estrogen, which can result in unpredictable menstrual cycles and symptoms.
  • Menopause: When the ovaries have shut down. Someone would be in menopause after 12 months without menses.

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How Do I Know If I Am In Menopause

Menopause is defined as 12 consecutive months without having a menstrual cycle. If you are currently not having periods, but it has not yet been 12 full months, you might be in menopause, but you cannot be sure until you have gone a full year without having a period.

Some cancer treatments like chemotherapy and radiation can also lead to medical menopause, which can be temporary or permanent.

Possible Causes Of Periods After Menopause

Menopause is the final stage of a woman’s reproductive life cycle. Though it marks the end of menstruation, some women may experience postmenopausal bleeding or a period after menopause. Given below is some information on the causes of postmenopausal bleeding.

Some

Menopause is the final stage of a womans reproductive life cycle. Though it marks the end of menstruation, some women may experience postmenopausal bleeding or a period after menopause. Given below is some information on some of the causes of postmenopausal bleeding.

  • Since menopause marks the end of menstruation, having a period after menopause can cause stress. There are underlying causes of postmenopausal bleeding. Lets first look the reproductive life cycle of women. After the onset of puberty, women undergo a series of physiological changes throughout their reproductive years. The duration of the menstrual cycle ranges from 28 to 35 days. These changes are brought about by changes in the levels of hormones called estrogen and progesterone. The beginning of the menstrual cycle begins the rupture of uterine lining or the endometrium. The menstrual bleeding cycle lasts for a period of 3 to 5 days.

What Causes Postmenopausal Bleeding?

Women are said to be in menopause, if they have not gotten a single period for a year.

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Changes To Your Periods

The first sign of the menopause is usually a change in the normal pattern of your periods.

You may start having either unusually light or heavy periods.

The frequency of your periods may also be affected. You may have them every 2 or 3 weeks, or you may not have them for months at a time.

Eventually, you’ll stop having periods altogether.

What Are The Stages

Can You Get Pregnant After Menopause?

The process happens slowly over three stages:

Perimenopause. Your cycles will become irregular, but they havenât stopped. Most women hit this stage around age 47. Even though you might notice symptoms like hot flashes, you can still get pregnant.

Menopause. This is when youâll have your final menstrual period. You wonât know for sure itâs happened until youâve gone a year without one. Hot flashes, vaginal dryness, sleep problems, and other symptoms are common in this stage.

Postmenopause. This begins when you hit the year mark from your final period. Once that happens, youâll be referred to as postmenopausal for the rest of your life. Keep in mind that after more than 1 year of no menstrual periods due to menopause, vaginal bleeding isn’t normal, so tell your doctor if you have any ASAP.

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