When Does Perimenopause Start
The average age of menopause is 51, and perimenopause symptoms typically begin about four years before your final period. Most women start to notice perimenopause symptoms in their 40s. But perimenopause can happen a little earlier or later, too. The best predictor of when your final period will be is the age at which your mother entered menopause .
I Got My First Period Early Does That Mean Ill Go Through Menopause Early
I have many patients tell me, I know Im going to go through menopause earlier because I started my period really early, says Streicher. The reason women think that is because they think menopause occurs when you run out of eggs. This isnt going to happen were born with millions of eggs and many of those are never used. When you go through menopause is really about the aging of eggs and what causes them to age more quickly, she says.
The average age of menarche in the United States has gotten younger for a variety of reasons, but that hasnt made women go through menopause earlier, she points out.
Treatments For Menopausal Symptoms
Your GP can offer treatments and suggest lifestyle changes if you have severe menopausal symptoms that interfere with your day-to-day life.
- hormone replacement therapy tablets, skin patches, gels and implants that relieve menopausal symptoms by replacing oestrogen
- vaginal oestrogen creams, lubricants or moisturisers for vaginal dryness
- cognitive behavioural therapy a type of talking therapy that can help with low mood and anxiety
- eating a healthy, balanced diet and exercising regularly maintaining a healthy weight and staying fit and strong can improve some menopausal symptoms
Your GP may refer you to a menopause specialist if your symptoms do not improve after trying treatment or if you’re unable to take HRT.
Read Also: Sweet Potato Menopause
How Long Is Too Long For A Period During Perimenopause
The road to menopause comes with many changes. Night sweats, hormonal imbalances, and vaginal dryness are a few of the well-known symptoms of perimenopause. Heavy, painful periods are also a symptom thats quite common roughly 25 percent of women report experiencing them. Read on to learn the basics of perimenopause bleeding and how to manage extended perimenopause periods.
Read Also: Menopause And Dizzy Spells
Q: How Long Will I Get Hot Flashes
A: On average, you may be looking at 10-15 years of living with hot flashes. Though they are sporadic, their unpredictability is very frustrating. Lets look at what you can expect:
- 40s: This is when most women start perimenopause. Some hot flashes and night sweats begin.
- 46-53: In the U.S., this is the average age for menopause, which is defined as 12 straight months with no period. Hot flashes tend to be most frequent in the two years after menopause.
- Late 50s: Most women continue to have hot flashes anywhere from 4-10 years after menopause. But most of these will decrease in frequency and severity.
Recommended Reading: Early Menopause After Tubal Ligation
Develop Good Sleep Habits
Get more sleep and try to develop regular sleeping habits – keep mobile phones and TVs out of the bedroom and try to make your bedroom a sanctuary of calm with full blackout of light at night. If you have problems sleeping avoid caffeine after 12-noon substitute with chamomile tea, adopt a regular bedtime routine and gradual unwinding and relaxation. Choose something you like – a lavender bath, a romantic novel, listening to a guided meditation…
Menopause Symptoms At Age 40
For the vast majority of women, menopause symptoms dont start this early. If menopause happens before age 40, its called premature menopause. If it happens between age 40 and age 45, its known as early menopause. Fewer than 10 percent of women experience premature or early menopause.
But if youre in your early 40s and are regularly experiencing symptoms such as changes to your periods timing or flow, hot flashes, mood changes or sleep problems, dont ignore them. Talk with a womens health specialist.
A specialist like an OB-GYN or certified nurse-midwife can work with you to determine whether your symptoms are related to menopause, or another reason such as hormonal disorders or other health conditions.
Recommended Reading: Relactation After Menopause
What Are The Stages
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.
Early Menopause Tied To Heart Risk And Early Death
By Andrew M. Seaman, Reuters Health
4 Min Read
Women who enter menopause before age 45 are more likely to have cardiovascular problems and to die younger than women who enter menopause later in life, according to a new analysis.
The findings suggest that age at menopause may help predict womens risk for future health problems, said lead author Dr. Taulant Muka, of Erasmus University Medical Center in Rotterdam, The Netherlands.
Women with early onset of menopause may be a group to target for proactive cardiovascular prevention strategies, Muka told Reuters Health in an email.
One in 10 women enter so-called natural menopause by age 45, Muka and colleagues write in JAMA Cardiology. Natural menopause is when the ovaries spontaneously reduce or cease production of certain hormones, like estrogen. Menopause can also be brought on by surgery and other medical issues.
Mukas team looked at data on more than 310,000 women who had participated in a total of 33 studies published since the 1990s.
Comparing women who had their last period before age 45 to those who entered menopause at age 45 or older, the researchers found women with earlier menopause had a 50 percent higher risk of coronary heart disease, which can cause chest pain, heart attacks and strokes as plaque builds up on the walls of arteries.
Women who entered menopause before age 45 were also about 20 percent more likely than women with later menopause to die from cardiovascular disease .
Also Check: Is There A Pill For Menopause
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:
- premature death
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 Do I Know If I Am Going Through Early Or Premature Menopause
You know you have gone through menopause when you have not had your period for 12 months in a row. If you think you may be reaching menopause early, talk to your doctor or nurse.
- Your doctor or nurse will ask you about your symptoms, such as hot flashes, irregular periods, sleep problems, and vaginal dryness.
- Your doctor or nurse may give you a blood test to measure estrogen and related hormones, like . You may choose to get tested if you want to know whether you can still get pregnant. Your doctor or nurse will test your hormone levels in the first few days of your menstrual cycle .
You May Like: Is Lightheadedness A Symptom Of Menopause
Will Being Super Healthy Help Delay Menopause
Although maintaining good overall health is important for a variety of reasons, it wont necessarily translate to later menopause, says Streicher. I have women who tell me, I have a healthy diet, Im thin, I work out all the time, and I look young. Im sure Im not going to go through menopause early, and when I do, I wont have hot flashes and other symptoms. I wish I could say that was true, but its not, she says.
Body weight might matter, though. We do know that the extremes of weight, in someone who is very obese or someone with very low body weight, may impact the onset of menopause, but for the majority of women in the middle it doesnt seem to have a big impact, says Streicher.
Induced Menopause Following Cancer Therapy
Ovarian damage from cancer therapy depends on the age at treatment and on the type of treatment. Women younger than age 40 years and children are at lower risk for ovarian failure than older women however, exposure to higher doses of alkylating agents and higher doses of radiation to the ovary are more likely to induce ovarian failure . Based on the Childhood Cancer Survivor Study , a cohort study of survivors of childhood cancer treated at 25 cancer centers throughout North America between 1970 and 1986, approximately 6% of childhood cancer survivors experienced acute ovarian failure during cancer treatment or shortly after completing cancer treatment . Another 8% retained ovarian function during treatment but later developed premature menopause . This is believed to be an underestimate of the true population incidence of premature menopause because the median age attained in this group at the time of analysis was only 29 years .
Follow-up of childhood cancer survivors has identified an increase in miscarriages, an increase in small for gestational age offspring, and a reduction in live births . Longer term health outcomes, beyond cancer free survival, are not yet available however, these subjects are expected to be at increased risk for osteoporosis, cardiovascular disease, psychosexual dysfunction, and decreased quality of life .
How Is Early Menopause Diagnosed
The time leading into menopause is called perimenopause. During this time, you may have irregular periods and other symptoms that come and go.
Youre generally considered to be in menopause if you go 12 months without menstrual bleeding, and you dont have another medical condition to explain your symptoms.
Tests arent usually needed to diagnose menopause. Most women can self-diagnose menopause based on their symptoms. But if you think youre experiencing early menopause, you may want to see your doctor to be sure.
Your doctor can order hormone tests to help determine whether your symptoms are due to perimenopause or another condition. These are the most common hormones to check:
- Anti-Mullerian hormone . The
What Is The Common Age Of Perimenopause Symptoms
In the US, perimenopause often occurs in women aged between 45 to 55 years. Its also possible for the initial signs of perimenopause to appear at as low as 33 years.
Research shows that menopause in white women from developed countries generally begins during the early 50s while the perimenopause symptoms emerge at the age of 47 years.
Exactly when YOU will notice the menopausal changes in your body depends on many factors such as climate, surroundings, and diet.
Your smoking and drinking habits as well as your weight further impact the signs of perimenopause. Race and ethnicity also play a vital role.
Recommended Reading: Tubal Ligation And Early Menopause
What Affects The Age You Start Menopause
Certain factors may affect when you begin menopause. Your family history, medical conditions, and hormones all play a role in when menopause is likely to occur for you.
Smoking may influence the age of menopause onset. Studies have found that smoking during the reproductive years was significantly associated with earlier menopause.
Can I Get Pregnant If I Am Perimenopausal
Yes. Despite a decline in fertility during the perimenopause stage, you can still become pregnant. If you do not want to become pregnant, you should use some form of birth control until you reach menopause .
For some women, getting pregnant can be difficult once they are in their late 30s to early 40s due to a drop in fertility. If becoming pregnant is the goal, there are treatments that can help you get pregnant.
You May Like: How Long Between Periods During Menopause
How Is Premature Menopause Early Menopause And Primary Ovarian Insufficiency Diagnosed
If you begin to have symptoms of menopause before the age of 40, your healthcare provider will do several tests and ask questions to help diagnose premature or early menopause. These tests can include:
- Asking about the regularity of your menstrual periods.
- Discussing your family history of menopause at an early age.
- Testing your hormone levels .
- Looking for other medical conditions that may be contributing to your symptoms.
Women who have not had a menstrual period for 12 straight months, and are not on any medication that could stop menstruation, may have gone through menopause.
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.
Also Check: How Can A Man Survive Menopause
Take Regular Exercise That You Enjoy:
Take exercise at least 5 times a week to stay healthy mentally as well as physically. You should be aiming for 30 minutes every day. If you haven’t been exercising regularly start gently and build your stamina gradually. Include regular weight-bearing exercise in your routine. Brisk walking is great. Cycling and swimming are great for cardiovascular health but not as good for weight bearing. Dancing is good too if you like dancing.
Menopause May Speed Up Aging
25 July 2016
For women, menopause is a natural part of getting older, but it may also speed up the aging process, a new study finds.
Researchers analyzed information from more than 3,100 women who had gone through menopause. The women gave blood samples so that the researchers could determine each woman’s “biological age” that is, the age of their cells, rather than their chronological age. The researchers determined the cells’ biological age by looking at DNA methylation, which is a biomarker linked to aging.
The scientists found that among the women who were the same chronological age, those who went through menopause earlier in life were biologically older than those who went through menopause later in life.
On average, they found that menopause speeds up cellular aging by 6 percent, said study researcher Steve Horvath, a professor of human genetics and biostatistics at the University of California, Los Angeles’ David Geffen School of Medicine. This means that if two women are 50 years old but one woman went through menopause at age 42 and the other went through menopause at age 50, the woman who went through menopause at 42 would actually be a year older, biologically, than the other woman, Horvath said.
The women in the study who’d had surgery to remove their ovaries before age 50 were also biologically older than other women in the study, according to an analysis of their blood cells.
The second study is also published today, in the journal Biological Psychiatry.
You May Like: Can Getting Your Tubes Tied Cause Early Menopause
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.
Perimenopause: Rocky Road To Menopause
What are the signs of perimenopause? You’re in your 40s, you wake up in a sweat at night, and your periods are erratic and often accompanied by heavy bleeding: Chances are, you’re going through perimenopause. Many women experience an array of symptoms as their hormones shift during the months or years leading up to menopause that is, the natural end of menstruation. Menopause is a point in time, but perimenopause is an extended transitional state. It’s also sometimes referred to as the menopausal transition, although technically, the transition ends 12 months earlier than perimenopause .
Recommended Reading: Is Dizziness A Symptom Of Menopause