When To See Your Doctor
If your cramps are severe, life-disrupting, or persistent, see your doctor. You should also make an appointment if:
- You just started getting cramps for the first time in your life, or theyve become more severe.
- Youre experiencing other symptoms, like heavy bleeding, weight loss, or dizziness.
During the exam, your doctor will ask about your medical history and symptoms. Your doctor will also check your reproductive organs. You may get imaging tests, such as an ultrasound or CT scan, to find out if a problem with your ovaries is causing your cramps.
How Do I Know If Changes In My Periods Are Normal Perimenopausal Symptoms Or Something To Be Concerned About
Irregular periods are common and normal during perimenopause . But other conditions can cause abnormalities in menstrual bleeding. If any of the following situations apply to you, see a doctor to rule out other causes.
- Your periods are changing to become very heavy, or accompanied by blood clots.
- Your periods last several days longer than usual.
- You spot or bleed after your period.
- You experience spotting after sex.
- Your periods occur closer together.
Potential causes of abnormal bleeding include hormonal imbalances, hormonal treatments, pregnancy, fibroids, blood-clotting problems or, rarely, cancer.
Can Menopause Be Treated
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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How Can You Alleviate Perimenopausal Symptoms
Some women deal with the symptoms of perimenopause, and some women seek treatment for specific health concerns. Women with heavy bleeding, periods that last longer than seven days, spotting between periods or cycles that are less than 21 days should contact a doctor.
Typically, perimenopause is a gradual transition, and no particular test indicates what is happening to the body. Hormone therapy, vaginal estrogen treatments and antidepressants can help treat perimenopausal symptoms.
Start by identifying what’s bothering you most and then working with your doctor to address it. There are steps you can take to feel better. Lifestyle changes that can make a big impact in easing perimenopausal symptoms and improving your overall health include:
Women Need Each Other
I took care of my health issues by decreasing stress levels, to address sleeping problems, to avoid panic attacks, to alleviate joint pain and constipation by starting to eat differently, doing regular meditation breathing exercises, yoga and tantra.
As a fully qualified tantra teacher but I made a mistake to withdraw from tantra work during my premenopausal transition. I did withdraw from my tantra practice for several years, I lived on my own and tried to make sense of life. It was as if I had to learn again what I like food wise and in interaction with others, especially my partner. I tried new methods, I had a different job, I left my partner and came back to him as I realised that he was not the problem but I had problems with myself. It was a lonely journey and with the knowledge I have now, I wish that women will share their stories and spend time together. We need each other. Together we are strong.
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Should I Freeze My Eggs
Aside from lifestyle interventions, its important to consider fertility preservation sooner rather than later if you think you may be deferred in being able to start a family, whether its through lack of a suitable partner or due to career progression. Sometimes the desire to have a child is aroused later on in women and sometimes it occurs because of a new relationship, but where possible, preservation via egg or embryo freezing up to the age of 40 is something that will give the best chance of success later on.
What has recently been hailed as a new menopause cure involves the surgical extraction of ovarian tissue, currently being done for women with severe conditions that would tip them into an early menopause, such as cancer.
The tissue is frozen and then re-implanted into the woman, allowing a woman the chance to have biological children later in life and avoid the debilitating symptoms of the menopause for what could be another decade or two. However, though healthy children have been born around the world this way, it isnt clear whether this is something that should become a fertility preserving measure in women who are not at risk of an early menopause.
The key is to consider your fertility from earlier in life and to discuss it with your doctor, to help you make the best decisions.
Calculating The Moment Of Ovulation
Traditional methods of menstrual cycle control are not always effective since ovulation may advance or postpone en each cycle. To calculate the date of ovulation it is necessary to take into account the length of each woman’s cycle, external variations, the number of ovulation per cycle, etc.
As we have already mentioned, ovulation occurs on day 14 of the cycle, considering the beginning of the cycle on the first day of menstruation. However, some women ovulate earlier or later. Therefore, we cannot talk about a general system of calculating a woman’s most fertile time.
Ovulation tests would be another method for calculating the date of ovulation. These tests are based on measuring levels of LH in the urine, a hormone that increases exponentially 24-36 hours before ovulation.
Keep in mind that for women who ovulate several times in a month, ovulation may temporarily coincide with menstruation and cause an alteration in the fertility calendar.
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What Triggers A Hot Flash
There are quite a few normal things in your daily life that could set off a hot flash. Some things to look out for include:
- Tight clothing.
- Stress and anxiety.
Heat, including hot weather, can also trigger a hot flash. Be careful when working out in hot weather this could cause a hot flash.
Chances Of Pregnancy During Perimenopause
The pregnancy rate for perimenopausal women is estimated to be 10-20 percent in women ages 40-44 and 12 percent in women ages 45-49. Unintentional pregnancy is rare in women over age 50, but you should still exercise caution. About 5 in 100 women having unprotected sexual intercourse at age 50 will become pregnant.
Fertility typically drops with age, especially after 35, but unless you are in full menopause, its reasonable to assume that you can still get pregnant. Birth rates for women ages 45 and above may be small, but national surveys still report that pregnancy is possible in midlife.;;
So, can you get pregnant during perimenopause? Absolutely, but there are factors to consider that will impact your chances of success. Even with the drop in estrogen, most women will continue to ovulate and menstruate during perimenopause, but periods may become irregular or less frequent.; Its possible to get pregnant as long as ovulation is still occurring, but the number and quality of eggs will continue to reduce over time.
Older women are also likely to have additional health factors that may interfere with conception such as high blood pressure, genetic predispositions or conditions of the cervix and ovaries. Regardless of age-related decline, your chances of pregnancy in perimenopause are greatly reduced, but not altogether impossible.;;;;;;;
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Reflection On The Menstruation / Ovulation Cycle
I was made to believe that menopause is a drama, something I have to survive with no idea how the outcome will be. I felt lost and rejected. What helped me to overcome this transition time was a dedicated reflection on my menstrual cycle. I had a need in me to be able to enjoy menopause fully, as something completely natural and something that allows me to move into a new phase.
The phase is described in Wild Power as a step into the unknown and to come out of it owning my inner wild power with awareness and being in the service of other women who go through the same process. During these last years of pre-menopause I often had questions about how could I be a happy and fulfilled woman in menopause. I moved into pre-menopause at the age of 48 and was in menopause at the age of 56. Only now, in post-menopause, I gained full awareness of the ovulation cycle as an awakening process on my journey as a woman.
Meditation, yoga and tantra are simple, clear and easy practices that assist people on their journey. Meditation was born from the need to have a shortcut on awareness about reproductive instinct. Yoga came about as a shortcut on our taking care instinct. Tantra came about as a shortcut on our default to have in- and out-groups. Surely the practice becomes a delight when these three techniques are practiced simultaneously.
Can Menopause Be Reversed
The short answer is no, but researchers are working on it.
One avenue of study is treatment using a womans own platelet-rich plasma . PRP contains growth factors, hormones, and cytokines.
Early efforts to restore activity in the ovaries of perimenopausal women indicate that ovarian activity restoration is possible, but only temporarily. Research is still in the early stages. Clinical trials are underway.
In a small study of postmenopausal women, 11 of 27 who were treated with PRP regained a menstrual cycle within three months. Researchers were able to retrieve mature eggs from two women. IVF was successful in one woman.
Much additional research on larger groups of women is needed.
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Real Experiences From Others
No Period and Get Pregnant
“I truly believe you can ovulate without having a period. I am 33 years old and did not have a period since I was 22. I also have a beautiful daughter. I had no issues becoming pregnant and experienced no pregnancy complications either. Can you ovulate without having a period? My answer is yes.”
Have Irregular Periods Now Pregnant
“Can you get pregnant when you have irregular periods? Yes, you can. The reason is that you do ovulate even when your periods are irregular. I had the same issue but I am now pregnant for the first time. I had my period from 2 months to 10 months apart, but I still managed to conceive. Even you can become pregnant with irregular periods if of course there are no other medical problems causing irregularity.”
Irregular Periods Along With PCOS
“I became pregnant when I did not have a period for almost a year. My periods are not regular and I also have PCOS. However, I am now making use of fertile aide for women because I am trying to conceive once again.”
Risks Increase For Pregnancies After Age 35
This natural decline of reproductive function and specific hormones can lead to some complications during pregnancy. For example, its more common for women over 35 to develop complications like gestational diabetes and high blood pressure during pregnancy.1 Babies born to older women a higher risk to have chromosome abnormalities , and low birth weight or even premature births.1 These complications may also lead to an increased risk for a C-section delivery.1 Many and most women, however, still have very healthy pregnancies well into their forties.
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What If Im In Perimenopause And Still Want To Have A Baby
The key here would be to act quickly and keep trying for a baby as often as possible. You should also consult your doctor for a check-up and more advice, especially after six months of trying unsuccessfully. Conceiving will definitely be more difficult because your body is weaker and your fertility will decline slowly as you age. However, all hope is not lost, as there are many techniques and treatments available in the market that aim to enhance fertility, especially in older women who are trying to conceive. These include hormone therapy, egg donations, assisted reproduction, and artificial insemination.
Do You Still Ovulate During Perimenopause
While the level of estrogen in your body may rise and fall unevenly during perimenopause, estrogen is gradually on the decline and with that comes a decline in ovulation. As changes happen to your menstrual cycle, you may begin having cycles where an egg isnt released or ovulation doesnt occur.
That doesnt mean that ovulation has stopped altogether.; Irregular periods may be the result of not ovulating every month, but your body is still able to ovulate, the schedule just might be more erratic.;
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What You Can Do
Consider keeping a journal to track your periods. Include information such as:
- when they start
- whether you have any in-between spotting
You can also log this information in an app, like Eve.
Worried about leaks and stains? Consider wearing panty liners. Disposable panty liners are available at most drugstores. They come in a variety of lengths and materials.
You can even buy reusable liners that are made of fabric and can be washed over and over again.
A skipped period can also cause the lining to build up, leading to heavy bleeding.
Bleeding is considered heavy if it:
- soaks through one tampon or pad an hour for several hours
- requires double protection such as a tampon and pad to control menstrual flow
- causes you to interrupt your sleep to change your pad or tampon
- lasts longer than 7 days
When bleeding is heavy, it may last longer, disrupting your everyday life. You may find it uncomfortable to exercise or carry on with your normal tasks.
Heavy bleeding can also cause fatigue and increase your risk for other health concerns, such as anemia.
How Does Menopause Affect My Bladder Control
Unfortunately, bladder control issues are common for women going through menopause. There are several reasons why this happens, including:
- Estrogen. This hormone plays several roles in your body. It not only controls your period and promotes changes in your body during pregnancy, estrogen also keeps the lining of your bladder and urethra healthy.
- Pelvic floor muscles. Supporting the organs in your pelvis your bladder and uterus are called the pelvic floor muscles. Throughout your life, these muscles can weaken. This can happen during pregnancy, childbirth and from weight gain. When the muscles weaken, you can experience urinary incontinence .
Specific bladder control problems that you might have can include:
- Stress incontinence .
- Urge incontinence .
- Painful urination .
- Nocturia .
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Health Risks For Pregnancies Later In Life
Health risks in pregnancy increase with age. After age 35, the risks of certain problems rise in comparison to younger women. These include:
- Multiple pregnancy, especially if you have IVF. Multiple pregnancies can result in early birth, low birth weight, and difficult delivery.
- Gestational diabetes, which can cause health problems for both mom and baby.
- High blood pressure, which requires careful monitoring and possibly medication to ward off complications.
How To Know If You Are Ovulating Or Not
Even when you are not using an ovulation prediction kit, you can still find out if you are ovulating. All you have to do is pay attention to your cervical mucus, which usually changes its consistency and texture at different points in your cycle. If you notice stretchy, egg white mucus, it usually means you are ovulating. Charting your body temperature with the help of a basal body thermometer is another way to tell when you are ovulating your temperature will go up by 1 degree at ovulation.
In addition, there are other signs of ovulation as well, like changes in cervical firmness and position with light spotting at ovulation. You may notice a dull ache on one side of your abdomen. There will be an increase in your sex drive and you will have a heightened sense of smell, vision, and taste. Abdominal bloating and breast tenderness are other common signs of ovulation.
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Should I Continue Using Birth Control During The Transition To Menopause
Yes. You can still get pregnant during perimenopause, the transition to menopause, even if you miss your period for a month or a few months. During perimenopause you may still ovulate, or release an egg, on some months.
But it is impossible to know for sure when you will ovulate. If you dont want to get pregnant, you should continue to use birth control until one full year after your last period. Talk to your doctor about your birth control needs. Learn more about different .;
You cant get pregnant after menopause, but anyone who has sex can get ;. If you are not in a monogamous relationship in which you and your partner have sex with each other and no one else, protect yourself by using a male condom or ;correctly every time you have vaginal, oral, or anal sex. After menopause you may be more likely to get an STI from sex without a condom. Vaginal dryness or irritation is more common after menopause and can cause small cuts or tears during sex, exposing you to STIs.
Do You Ovulate From One Ovary Every Month
No. The ovulation process occurs randomly in the ovaries. It does not follow a specific pattern.
There are many follicles in the ovary and only one of them will reach the final stage of maturation. This follicle is called the dominant follicle and it will generate some substances that block the development of the others. All this happens in the ovarian tissue, regardless of whether it is in the right or left ovary.
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