What Is Premature Menopause
Menopause, when it occurs between the ages of 45 and 55, is considered “natural” and is a normal part of aging. But, some people can experience menopause early, either as a result of surgical intervention or damage to the ovaries . Menopause that occurs before the age of 45 is called early menopause. Menopause that occurs at 40 or younger is considered premature menopause. When there this no medical or surgical cause for premature menopause it’s called primary ovarian insufficiency.
Your Health Questions Answered
- Answered by: Dr Roger HendersonAnswered: 29/11/2021
If youre having difficulty becoming pregnant and you think you may be in the perimenopause, speak to your doctor. Theyll be able to discuss how to improve your chances of having a baby. If appropriate, they may be able to refer you to a specialist for consideration of fertility treatments like IVF.
If youre not eligible for fertility treatment through your healthcare system, you could consider treatment through a private clinic, but you would need to pay for this service.
What Can I Do To Prevent Osteoporosis
Osteoporosis isnt entirely preventable, but you can take steps to strengthen your bones. Eating foods high in calcium like cheese, yogurt, spinach or fortified cereals can help boost calcium intake. Adding a calcium supplement can also help. Some people also need a vitamin D supplement because it helps their body absorb calcium.
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Perimenopause And Your Fertility: The Facts
Then, there is the additional risk of being pregnant at an older age to take into account. Being older may mean that youve accrued medical conditions such as high blood pressure, diabetes, fibroids or cervical disease, that could render any pregnancy more complicated. Risks such as pre eclampsia, preterm labour, placental problems and growth restriction of the baby can all be more common.
However, looking after yourself and ensuring that your body is as capable as possible of supporting a healthy pregnancy, as well as producing the best possible quality of eggs, is really important, as both can improve the chance of conception, and lead to a healthier baby. There is no doubt that using donor eggs at this stage leads to the best chance of success of up to around 40%. However, for many women, this is not an easy decision and can be complicated if she already has biological children of her own.
At What Age Do Most Women Reach Menopause
The medical definition of menopause is no menstrual bleeding for a year, according to Lauren Streicher, MD, a clinical professor of obstetrics and gynecology and the medical director of the Northwestern Center for Menopause and the Northwestern Center for Sexual Medicine in Chicago.
Most women experience menopause between age 40 and 58, and the average age at menopause is 51, according to the North American Menopause Society.
Many women are surprised when they go through menopause in their forties because they think theyre too young, but its not unusual, says Dr. Streicher.
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What Are My Options For Becoming Pregnant After Early Menopause
If youve had an early menopause and still want to have children, there are several options that you may be able to try. Fertility treatment is only available on the NHS up to age 40, so its likely youll need to pay for it privately. You may want to book an appointment at a fertility clinic to talk through the possibilities. Youll be able to find an accredited clinic on the Human Fertilisation and Embryology Authority website.
Some of the options may include the following.
- In-vitro fertilisation , using stored or donor eggs, or donor embryos. In IVF, eggs and sperm are mixed in a laboratory, before any resulting embryos are transferred into your womb. You might have stored eggs in advance if your menopause is due to something like cancer treatment. Otherwise, youll need eggs or embryos from a donor. Clinics usually have a list of registered donors, or you may be able to find your own. Your doctor at the fertility clinic can talk you through how this works.
- Surrogacy. This is when another woman carries and gives birth to a baby for you. It may be that the surrogates own egg is fertilised with sperm from the father. Or it could be that either donor eggs and/or donor sperm are used. Fertility clinics in the UK arent allowed to offer services to find surrogates, but they can provide the necessary treatment involved.
You may also want to explore adoption as a potential option for having children.
Does The Age My Mother Reached Menopause Mean Anything
Most likely your moms age at menopause will provide a clue. When we look at the things that are the greatest determinants for when someone is going to go through menopause, genetics seems to be one of the most important things, says Streicher.
A womans race or ethnicity can influence when she goes through menopause, too, she says. Findings from the Study of Womens Health Across the Nation indicate that women of color tend to begin perimenopause and menopause at earlier ages than white women.
The question I always ask women when they ask when theyre going to go through menopause is, When did your mom go through menopause? because that is very often predictive, says Streicher.
Theres a lot of truth in that. You may follow what happened with your mother if she went through menopause early or late, you may, too, she says.
Certain medical conditions such as autoimmune problems, issues, and can make a woman go through menopause earlier, adds Streicher.
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Do Men Go Through Menopause
Andropause, or male menopause, is a term given to describe decreasing testosterone levels in men. Testosterone production in men declines much more gradually than estrogen production in women at about 1% per year. Healthcare providers often debate calling this slow decline in testosterone menopause since its not as drastic of a hormone shift and doesn’t carry the same intensity of side effects as menopause in women. Some men will not even notice the change because it happens over many years or decades. Other names for the male version of menopause are age-related low testosterone, male hypogonadism or androgen deficiency.
Ivf And Early Menopause Mixed Hormonal Effects
Dr Vincent says there will likely bemixed hormonal effects for Sanja, because if the IVF resulted in pregnancy then the menopausal symptoms will stop.
“Treatments used as part of IVF may cause issues in themselves, which are separate to menopausal symptoms, although both may be associated with mood changes,” she says.
“EM and being infertile is associated with psychological distress, including depression and anxiety.”
Sanja describes the world she is entering is like “running through a minefield with a blindfold on”.
But she has found some kindred spirits at forums, such as the Women’s Health Week menopause event held in Adelaide in early September.
“Hearing others talk about their symptoms, I’m sitting there going, ‘Oh my gosh, is that what that was?'” Sanja says.
“I can actually make a link now and say ‘this is highly likely the reason I’m experiencing these symptoms’.
“I’m just coming into this blind, to be honest, and learning as I go.”
Can You Get Pregnant After Menopause
After menopause, your body is no longer ovulating. This means that natural pregnancy is no longer a possibility. However, your body can still maintain a pregnancy using a donor egg or your own frozen eggs. If you want to go through IVF after menopause, youd also need to take hormone therapy to prepare your body for pregnancy.
How To Protect Against Unplanned Pregnancy
To prevent a baby bump on your road to menopause, use an effective, safe and appropriate method of birth control until your menopause is confirmed.
Natural family planning is not recommended for perimenopausal women because irregular periods make predicting ovulation difficult.
Many contraception options exist. Dr. Bembry says vasectomy is the most effective form of birth control, as long as post-procedure care is followed, but admits a lot of men just dont go there.
When considering birth control options, talk to your physician. She can discuss risks, effectiveness rates, perimenopausal symptom relief and even which methods can protect against certain cancers.
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Do You Need Contraceptives During Perimenopause
Unless you are absolutely sure you are in full menopause, getting pregnant is still a possibility and therefore contraceptives are essential. Whether you are using birth control or other methods of contraception, if you want to be sure you still need to use it. Some studies have found that over 75% of pregnancies in women over 40 are unplanned, so its important to assume you are fertile, unless proven otherwise.
What Are The Chances Of Getting Pregnant After Menopause
Menopause is reached when a womans menstrual cycles have stopped for 12 months. This milestone also represents the end of monthly ovulation and a womans ability to naturally become pregnant.
Can a woman still have a child once shes gone through menopause? Its possible. While ovulatory cycles cease once youre in menopause, theres still a chance for pregnancy via IVF and implantation of a fertilized donor egg.
In many ways, women have two biological clocks. One clock counts down your ability to ovulate and use your own eggs for pregnancy. This clock on natural fertility runs out in menopause. The other biological clock relates to your bodys ability to allow for successful implantation and gestation of a donor egg .
According to the American Society of Reproductive Medicine, any woman of any age can get pregnant with assisted reproductive technology provided that she has a normal uterus even if she no longer has ovaries or ovarian function.
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How Will Menopause Affect Me
Symptoms of menopause may begin suddenly and be very noticeable, or they may be very mild at first. Symptoms may happen most of the time once they begin, or they may happen only once in a while. Some women notice changes in many areas. Some menopausal symptoms, such as moodiness, are similar to symptoms of premenstrual syndrome . Others may be new to you. For example:
- Your menstrual periods may not come as regularly as before. They also might last longer or be shorter. You might skip some months. Periods might stop for a few months and then start up again.
- Your periods might be heavier or lighter than before.
- You might have hot flashes and problems sleeping.
- You might experience mood swings or be irritable.
- You might experience vaginal dryness. Sex may be uncomfortable or painful.
- You may have less interest in sex. It may take longer for you to get aroused.
Other possible changes are not as noticeable. For example, you might begin to lose bone density because you have less estrogen. This can lead to osteoporosis, a condition that causes bones to become weak and break easily. Changing estrogen levels can also raise cholesterol levels and increase your risk for heart disease and stroke.
Talk to your doctor about possible treatment for your menopause symptoms if they bother you.
How Long Will Menopausal Transition Symptoms Last
Menopause is technically one full year without bleeding, and perimenopause is the stage before the final menstrual period, also known as the menopausal transition. Puberty and perimenopause are similar in that they both involve hormonal changes, and the transitions can take place over several years. Some medical organizations, such as the American Osteopathic Association, refer to perimenopause as reverse puberty in women.
According to NAMS, this phase can last four to eight years, and it comes with symptoms caused by hormone fluctuations, such as mood swings, poor sleep, and hot flashes.
The age at which a woman begins perimenopause can help predict how long the transition to menopause will last, according to research published in the journal Menopause in February 2017. The authors found that perimenopause lasted longer in women who started the transition at a younger age, and the women had more symptoms, such as hot flashes.
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What Medications Are Used To Treat Postmenopausal Symptoms
Hormone therapy could be an option, although healthcare providers often recommend using it for a short amount of time and in people under the age of 60. There are health risks associated with hormone therapy like blood clots and stroke. Some healthcare providers do not recommend using hormone therapy after menopause has ended or if you have certain medical conditions.
Some medications your healthcare provider may consider helping with postmenopausal symptoms are:
- Antidepressants for mood swings or depression.
- Vaginal creams for pain related to sexual intercourse and vaginal dryness.
- Gabapentin to relieve hot flashes.
Oftentimes your provider will recommend lifestyle changes to help manage your symptoms.
You Cant Get Pregnant After Menopause
Once youve had a full year without your period the reproductive stage of life is overand so begins a whole new era of life free from periods and fear of pregnancy. If you still want to start a family, there are other options available like adoption. There are still plenty of children out there in need of love and attention, just waiting for someone like you to say hello.
Were lucky to live in an era in which waiting to have children is not only an option but happening with increasing frequency. As long as youre aware of the risks, you can forge ahead down this new path freely empowered by the knowledge that some things may be more complicated, but at the end of this road you can still have the family youve always wanted.
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Can Menopause Affect My Sex Life
After menopause, your body has less estrogen. This major change in your hormonal balance can affect your sex life. Many people experiencing menopause may notice that theyre not as easily aroused as before. Sometimes, people also may be less sensitive to touch and other physical contact than before menopause.
These feelings, coupled with the other emotional changes you may be experiencing, can all lead to a decreased interest in sex. Keep in mind that your body is going through a lot of change during menopause. Some of the other factors that can play a role in a decreased sex drive can include:
- Having bladder control problems.
- Having trouble sleeping through the night.
- Experiencing stress, anxiety or depression.
- Coping with other medical conditions and medications.
All of these factors can disrupt your life and even cause tension in your relationship. In addition to these changes, the lower levels of estrogen in your body can cause a decrease in the blood supply to the vagina. This can cause dryness. When you dont have the right amount of lubrication in the vagina, it can be thin, pale and dry. This can lead to painful intercourse.
Are There Any Additional Risks To Being Pregnant During Perimenopause
There are risks associated with pregnancy later in life.
Older mothers are much more likely to have blood pressure problems in pregnancy, have premature births and to have gestational diabetes, so they need to be watched closely and treated aggressively if any medical complications occur, says Dr. Santoro.
For example, pre-eclampsia, is one possible pregnancy complication. Pre-eclampsia is a pregnancy-related complication characterized by high blood pressure and signs of damage to an organ system, like your kidneys or liver. If not addressed, it can threaten both you and your baby.
As people age, high blood pressure does become more common, and pre-existing high blood pressure can increase your risk of developing pre-eclampsia during pregnancy. But even if you dont have high blood pressure, your age may still increase your risk of having pre-eclampsia during pregnancy, according to ACOG.
So, your doctor may want to watch you closely for signs such as an abnormal amount of protein in the urine, pain in your upper abdomen, a severe headache, changes in vision such as blurred vision. Your doctor might also check you for a lower-than-usual platelet count or signs of abnormal kidney or liver function.
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Can I Get Pregnant After Going Through Menopause
Guest over a year ago
Guest over a year ago
Sure, you still have this chance to get pregnant. You can get pregnant if you are going through the menopause, but not after it. Naturally, of course. You still are ovulating even if you don’t have a period anymore. I know one girl, she is actually a very good friend of mine who conceived during the menopause. She believed that this is not possible, she had all the symptoms of the menopause as well, vaginal dryness during menopause was her big problem, but she was coping with it amazingly well. Even if your body is changing, that doesn’t mean that as soon as you enter a menopause, you will stop ovulating. That is a mistake and a lot of ladies actually are not aware of this.
Guest over a year ago
Guest over a year ago
Guest over a year ago