Could I Have A Polyp
Polyps are soft outgrowths which can arise from the uterus and can cause heavy periods. They are usually benign with prevalence between 6% and 32%.3 Different research shows different prevalences and as polyps dont cause any symptoms apart from bleeding they are often under diagnosed. The prevalence usually increases with age which is why women may complain of heavy periods/irregular bleeding during the time of their menopause.4 It is still not known why polyps cause menorrhagia. A different blood supply to the polyp and impeded blood drainage may contribute to heavy bleeding.5
Polyps can be detected on ultrasound and removed using hysteroscopy . Very rarely can a polyp be cancerous .6 This risk increases with age, with post-menopausal women being most at risk, but there is no way of checking if polyps are cancerous until they are removed and sent to the lab.
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 .
Role Of Hormones During The Menstrual Cycle
While menstruation is orchestrated by many hormones, progesterone and estrogen are the primary ones connected to irregular periods.
Estrogen is responsible for thickening the uterine lining before ovulation. As levels of estrogen become erratic during menopause, this lining is often shed irregularly and can lead to heavy bleeding.
Progesterone plays a part in regulating the release of an egg, known as ovulation. It is also responsible for controlling the intensity and duration of menstrual bleeding. When progesterone declines during menopause, it can lead to irregular periods. During anovulation, which is common with irregular periods in menopause, progesterone is not produced, or at least not at sufficient levels.
As production of these two essential hormones begins to decrease prior to menopause, periods are usually affected. Before decreasing to a consistently low level, estrogen and progesterone levels will often fluctuate drastically and cause irregular periods.
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Q What Can I Do About Perimenopausal Weight Gain
What Age Will My Period Stop
So what age do your periods start to change as you go towards the menopause? The average age is between 45 and 55, but some women do start younger. Very often, this is hereditary, so, you know, if you can find when your mum, or your gran, or your aunties, or your older sisters started the menopause that might give you a clue as to roughly when you’re going to start as well.
Some women do start later. This is not so common but it does happen. Again, you know, if you get to the stage where you’re 58 or 59, and you’re wondering what’s going to happen if you’re still getting regular periods, we do advise that you just check with your doctor, but this does happen. And again, very often, that particular age will run in families.
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Q When Should I Call A Doctor About My Perimenopausal Symptoms
If you have not had a period for 12 months and then experience vaginal bleeding, contact your doctor. It is not normal for bleeding to recur after this period of time. Read our article about when you should see your OBGYN.
Remember, perimenopause and menopause are natural and normal transitions, but they can be stressful. Many symptoms can be managed which can help you regain a sense of control, well-being, and confidence to thrive in your next stage of life.
We want you to feel supported, heard, and cared for as you go through this change.
Sometimes, the biggest help is simply confirmation that what youre experiencing is normal!
Dr. Ashley Durward has been providing healthcare to women in Madison since 2015 and joined Madison Womens Health in 2019, specializing in high and low risk obstetrics, contraception and preconception counseling, management of abnormal uterine bleeding, pelvic floor disorders, and minimally invasive gynecologic surgery.
Sometime In Your 40s Or 50s You Will Experience The Process Of Menopause This Represents The Natural Decline In Fertility And The End Of The Menstrual Cycle Find Out What To Expect As You Go Through Menopause
Eventually, menstruation comes to an end, typically in the late 40s or early 50s. When you have had no periods for a full year, you are considered to be menopausal. The period of time when your periods are slowing down, becoming irregular, and your hormones are changing is called perimenopause. Most women experience some symptoms related to the change in hormones that happens as the cycles slow down. There are many things you can do to cope with perimenopausal symptoms if they become difficult to manage.
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When To See A Doctor About Perimenopause Symptoms
You should see a doctor as soon as possible if:
- youre having very heavy periods, theyre happening more often than every 3 weeks, youre bleeding after sex or you have any bleeding after the menopause
- you have any symptoms of a UTI that dont get better after 2 days
- you feel pain deep inside when you have sex
- you feel low, depressed or anxious and these feelings dont go away, even after youve tried self-care measures
- you have joint pain with swelling or redness
- you have night sweats with weight loss or swollen glands
- you lose weight without trying to
- youre worried about any side effects from menopause medication you may be taking, like hormone replacement therapy
Be sure to see a doctor too, if:
- youre under 45 and are getting menopausal symptoms
- you have any menopausal symptoms that are upsetting your daily life or worrying you
- your symptoms arent getting better with self-care measures, or they keep coming back
Maggies Periods Have Become Increasingly Irregular In The Past 16 Months
My periods were fairly regular up till September, not last year, the year before, 2007, so at that point I just stopped having periods for about a period of six months, and again I wasnt too concerned about it, I thought perhaps, I started to think then, I started to do a bit of reading about the menopause about the perimenopause, as I realised thats probably what was happening. And sorry Ive lost the train of thought now. So yes I didnt have periods for six months and then I started a relationship and I got one period in the same month that I started the relationship, and then again a gap of about eight months, and again some light bleeding for about two or three days, and that was a couple of months ago. So I think in the period of time of about sixteen months Ive had two lots of quite light bleeding.
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What Is The Difference Between Primary And Secondary Amenorrhea
Primary amenorrhea occurs when a young woman has not had her first period by the time she turns 16. Secondary amenorrhea happens when a woman who has previously had normal menstruation cycles stops getting her period. .
Primary amenorrhea signifies a change in organs and hormones involved in menstruation. Secondary amenorrhea has a wide variety of causes ranging from pregnancy to stress. .
In addition, women with amenorrhea may experience other symptoms such as:
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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If You Are Having Very Difficult Symptoms Of Menopause Including Irregular Periods You Should Consider Some Changes To Your Lifestyle As Necessary
Please visit our Treatments page and Lifestyle pages for some information and inspiration on a wide variety of topics from Nutrition to Exercise, Sex and your changing home and wardrobe at midlife. Here at My Second Spring, we’re interested in chatting to you about all things midlife not just the pesky symptoms of menopause. We hope you’ll find lots of cool articles to read there and also on our blog.
Complementary And Natural Remedies
As menopause is a natural event, some women dont want any medical intervention, while others try complementary and natural remedies. These include:
- phytoestrogens including soy extracts or red clover isoflavones
- foods rich in vitamins B and E
- black cohosh
- evening primrose oil and
Research into the possible benefits of such remedies is ongoing and some may not have any benefit at all. There is currently not enough evidence showing that complementary medicines are effective for doctors to routinely recommend their use. Also, natural or herbal remedies can have serious side effects just like other medicines. Black cohosh, for example, has been linked with several reports of liver damage.
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Calcium And Vitamin D
A combination of calcium and vitamin D can reduce the risk of osteoporosis, the bone loss associated with menopause. The best sources are from calcium-rich and vitamin D-fortified foods.
Doctors are currently reconsidering the use of calcium and vitamin D supplements. The U.S. Preventive Services Task Force advises that healthy postmenopausal women don’t need to take these supplements. According to the USPSTF, taking daily low-dose amounts of vitamin D supplements , with or without calcium supplements , does not prevent fractures. For higher doses, the USPSTF says there is not enough evidence to make a recommendation. In addition to possible lack of benefit, these supplements are associated with certain risks, like kidney stones.
However, calcium and vitamin D are important nutrients. Supplements may be appropriate for certain people including those who do not get enough vitamin D through sunlight exposure and those who do not consume enough calcium in their diet. They are also helpful for people who have been diagnosed with osteoporosis. Talk with your doctor about whether or not you should take supplements.
The National Osteoporosis Foundation recommends:
Vitamin D is necessary for the absorption of calcium in the stomach and gastrointestinal tract and is the essential companion to calcium in maintaining strong bones.
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.
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Why Does Menopause Happen
Natural menopause menopause that happens in your early 50s and is not caused by surgery or another medical condition is a normal part of aging. Menopause is defined as a complete year without menstrual bleeding, in the absence of any surgery or medical condition that may cause bleeding to artificially stop As you age, the reproductive cycle begins to slow down and prepares to stop. This cycle has been continuously functioning since puberty. As menopause nears, the ovaries make less of a hormone called estrogen. When this decrease occurs, your menstrual cycle starts to change. It can become irregular and then stop. Physical changes can also happen as your body adapts to different levels of hormones. The symptoms you experience during each stage of menopause are all part of your bodys adjustment to these changes.
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My Periods Have Changed Is Menopause Around The Corner
An ob-gyn explains the course of perimenopause.
Its a common scene in any ob-gyn practice: A patient comes in, concerned that her periods have changed. Whats going on? she asks. Is this menopause?
If youre a woman in your 40s, a change in your menstrual periods is the hallmark of perimenopause thats what we call the years leading up to your last menstrual period.
Heres a look at how we diagnose perimenopause and menopause, and what else to expect as you enter this phase of life.
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What Is Perimenopause Or The Transition To Menopause
Perimenopause , or the menopausal transition, is the time leading up to your last period. Perimenopause means around menopause.
Perimenopause is a long transition to menopause, or the time when your periods stop permanently and you can no longer get pregnant. As your body transitions to menopause, your hormone levels may change randomly, causing menopause symptoms unexpectedly. During this transition, your ovaries make different amounts of the hormones estrogen and progesterone than usual.
Irregular periods happen during this time because you may not ovulate every month. Your periods may be longer or shorter than usual. You might skip a few months or have unusually long or short menstrual cycles. Your period may be heavier or lighter than before. Many women also have hot flashes and other menopause symptoms during this transition.
Pregnancy Is Still Possible
Menopause marks the end of a females reproductive years, but it is still possible to become pregnant around or after this time.
Perimenopause can start 4 8 years before menopause. As long as menstruation continues, a person can become pregnant. However, the chances of conceiving and having a full-term pregnancy decline as a person approaches menopause.
Advances in reproductive technology mean it is also possible to become pregnant after menopause. This will usually be with donated eggs or embryos that the individual preserved earlier in life.
There may be a higher risk of pregnancy loss, preterm birth, and risks to the womans health, depending on the individuals age and health status at the time of conception.
However, as one points out, younger people who have not entered menopause may also experience similar issues.
Learn more here about becoming pregnant around the time of menopause.
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Menopause And Complementary Therapies
Some women can benefit from using complementary therapies for menopause. But it is important to remember that natural herb and plant medications can have unpleasant side effects in some women, just like prescribed medications. A registered naturopath may provide long-term guidance and balance through the menopausal years.Herbal therapies can often be taken in conjunction with hormone therapy. It is important to let both your doctor and naturopath know exactly what each has prescribed, and to consult your doctor before taking any herbal treatments or dietary supplements for menopause. Some natural therapies can affect or interact with other medications you may be taking.
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Predicting Natural Menopause: Why Does Age Matter
If theres not a lot that women can do to change when theyll experience menopause, why does predicting it even matter?
It would be helpful for every woman to know exactly when menopause will arrive. Beyond recognizing and addressing issues such as increased cardiovascular disease risk and risks related to bone health, if a woman knows her age of menopause and how long the perimenopause transition will last, it could help her make important health decisions, says Faubion.
If youre bleeding like crazy it would be helpful to know, she says.
As of now, research hasnt uncovered a way to determine when a women will go into menopause, but having that information could be useful in making decisions such as whether to have a hysterectomy or other invasive procedures, says Faubion. If menopause is going to be a few months or a year from now, you may choose to wait it out if it’s going to be five years from now, you might want to go ahead and have an invasive procedure, she says.
The ability to predict when menopause will occur could also help with managing menopause symptoms or deciding which type of birth control to use, adds Faubion.
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