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 for your menopause symptoms if they bother you.
What To Expect During Diagnosis
After discussing your symptoms, your provider will perform a pelvic exam.
During the exam, theyll check your vulva for unusual redness, swelling, or other symptoms. Theyll insert a speculum into your vagina so they can inspect inside the vagina and cervix.
Your provider may take a small sample of discharge to send to a lab for testing. The lab technician will likely check the pH level. A high pH level means your discharge is more basic. Its easier for bacteria to grow in a more basic environment. This is a pH level above 4.5.
They may also view the sample under a microscope to look for yeast, bacteria, and other infectious substances. An infection can change the texture, amount, or smell of your discharge.
The results of these tests will help your healthcare provider determine whether treatment is necessary, and if so, which treatment is best.
Fluctuations usually result from changing estrogen levels and dont require treatment.
If your doctor diagnoses DIV, they may recommend topical clindamycin or hydrocortisone to help relieve symptoms.
If your symptoms are the result of a fungal or bacterial infection, your doctor will recommend an over-the-counter or prescription topical to soothe irritation and clear the infection.
Treatment options are also available for symptoms that result from a sexually transmitted infection or other cause unrelated to perimenopause.
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.
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At What Age Does Perimenopause Begin
Perimenopause begins about eight to 10 years before menopause. It usually starts in your mid-40s, but it can start earlier. Completing menopause before age 40 is called premature menopause. Some medical conditions or procedures cause early menopause. If there is no medical or surgical cause for premature menopause, it’s called primary ovarian insufficiency.
Perimenopause Period: How To Relief It
If a woman faces the challenge of how long does perimenopause last, she surely faces some health complications. In most cases, they are related to different forms of bleeding. However, women may suffer from many other health problems and its vital to know how to treat them.
Mind that women may overcome their perimenopausal symptoms using some lifestyle and home remedies. They are quite efficient and do not have any health risks. Consider the following measures:
- Follow a healthy lifestyle. Its important to get rid of bad habits, such as smoking and alcohol consumption. Stick to a healthy diet and be physically engaged.
- Sleep enough. A healthy slumber is one of the best and easiest ways to recover from health problems. Sleep at least 8 hours per day to avoid tiredness, frequent fatigue, and energy losses.
- Reduce stress. Excess stress may provoke premature menopause and worsen its symptoms. Therefore, you should learn how to manage stress and relax. You can undertake various therapies and activities. Amongst such are art and music therapies, journaling , meditation, yoga, tai chi, and something of the kind.
If the issue of how long does perimenopause last leads to worsening of your health conditions, remember these measures. Some of them can be fulfilled by you right at home. The others require the attention of a certified specialist. Discuss your current conditions and the possible treatment measures to choose the safest and most effective ones.
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Period Symptoms But No Period During Menopause
Your period eventually stopping is a normal and inevitable part of menopause but one situation which often surprises women is when they still experience period symptoms without a period!
This week I explain why it’s possible to get period symptoms but no period during menopause, as well as why periods can come back and what you can do to help yourself.
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.
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Psychological And Emotional Symptoms Of Perimenopause Include:
Memory lapses – being forgetful
Sleep disorders being unable to sleep or waking up several times a night
Fatigue feeling unusually tired
Many women experience a loss of confidence at work, feeling they aren’t on the ball as much as they used to be. They describe how sometimes they are unable to find the right word in a meeting or feel anxious about tasks they’d normally take in their stride. Being unable to sleep soundly can add to this feeling of not coping. At the same time, many women are coping with moody teenagers and frail elderly parents. Is it any wonder life becomes stressful?
How Can A Women Know When Her Progesterone
There are many clues and they differ between women, and in one woman over time. Early in the process of my perimenopause, I dreamed I was going to have a baby and woke thinking I had really lost it! At fifty, with my two children grown, the last thing in the world I wanted was to be pregnant. But after some thought, I began to understand that it was my subconscious selfs way of saying goodbye to the fertile part of my life.
Many of the things I felt in that dream, however, are also high progesterone is not. It is this imbalance that can cause significant difficulties for many women.
Dr. Patricia Kaufert, a scientist from Winnipeg who has done one of the best studies about what women experience during progesterone is too low. Any period is too heavy if you soak more than 16 pads or tampons.
It is normal for the breasts to swell during the week before flow and it is sometimes normal to feel tenderness in the front or nipple area when
slap you up against the doors of your unfinished business .
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Home Remedies: Vitamin E Black Cohosh And Herbs
Some women report that vitamin Esupplements can provide relief from mild hot flashes, but scientific studies are lacking to prove the effectiveness of vitamin E in relieving symptoms of menopause. Taking a dosage greater than 400 international units of vitamin E may not be safe, since some studies have suggested that greater dosages may be associated with cardiovascular disease risk.
Other alternative therapies for menopause symptoms
There are many supplements and substances that have been advertised as “natural” treatments for symptoms of menopause, including licorice, dong Quai, chaste berry, and wild yam. Scientific studies have not proven the safety or effectiveness of these products.
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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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.
Mayo Clinic Q And A: Spotting Perimenopause And Menopause
DEAR MAYO CLINIC: I am 52 and recently had gone 10 months without a period, so I had assumed I was in menopause. But, over the past three months, I’ve noticed some light spotting. Does this mean I’m not in menopause? How do I know when I’m in menopause, and do I need to see a gynecologist or health care provider about this issue?
ANSWER: It’s possible that you haven’t reached menopause yet. Clinically, menopause is defined as going without a period for one year. At 10 months, you don’t quite meet that threshold, but it is possible that you are just beginning menopause. However, depending upon when you last saw your health care provider and had a pelvic exam, it might be worthwhile to make an appointment, as there are a number of conditions where breakthrough bleeding is the first indication of an issue.
Menopause is the natural process that marks the end of a woman’s reproductive years when menstrual cycles stop. It typically happens during the 40s or 50s, with the average age of menopause in the U.S. at 51.
Skipping periods as you approach menopause a stage sometimes called perimenopause is common and expected. During that time, menstrual periods often will skip a month and return, or skip several months and then start monthly cycles again for a few months. Periods also tend to happen on shorter cycles during perimenopause, so they may be closer together than is typical for you.
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How Do I Manage Bleeding After Menopause
Your doctor will want to do some investigations to find the cause of your bleeding. Let them know if you have noticed any changes going to the toilet, whether you have pain, have lost weight or whether you are on HRT. You may also want to check whether you need a cervical screening test.
Some women may need to have an ultrasound, blood test or may be referred to a gynaecologist for further tests.
Treatment will depend on what is causing the bleeding. It may involve medicines to control problems with the lining of the uterus, or surgery to remove polyps.
Could It Be A Coagulation Problem
Although most people with a coagulation problem are likely to have had menorrhagia at a young age and therefore be diagnosed, it is possible for clotting problems to occur later in life. Bleeding disorders can occur during perimenopause and those that do have sudden heavy bleeding should be investigated.12 Medication such as warfarin, heparin, or steroids can also effect your clotting, as can disorders of the liver, thyroid, bone marrow.
Besides the causes stated above, there are many other causes of heavy periods that occur at a younger age that still apply to those going through menopause, such as pregnancy and infection. If you are having periods, it is possible to become pregnant no matter your age.
Heavy periods are becoming more common due to the rise in body mass index of the general population. Adipose tissue produces oestrogen which has the same effect on your endometrium as the oestrogen from follicles. If heavy bleeding is new to you, you should see your doctor. Endometrium exposed to prolonged periods of oestrogen can result in a condition called endometrial hyperplasia which can be a precursor to cancer. However, the risk of developing endometrial cancer with simple hyperplasia is low less than 5% over 20 years.13
Your heavy periods may be nothing or it could be an indicator that something else may be going on inside your body. We as doctors would be very happy to see you as we want to be able to rule out anything serious.
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Perimenopause Periods: Causes And How To Manage Them
If you wonder how long does perimenopause last, you should put different questions. You ought to review the issue from different angles because this condition may lead to various health complications. Thus, you should define the causes of the problem and how to manage it. If you wonder is it normal to bleed for weeks during perimenopause, or how long does a period last, we can help you. There are certain reasons why you bleed abnormally and certain measures can help with your problem.
Firstly, you should be aware of the factors that lead to how long does a period last. They are various and not all will necessarily happen to a woman. These may be:
- Heat packs if you have cramps, etc.
Summary Of How Long Is Too Long For A Period During Perimenopause
How long does perimenopause last? You already know the answer to this important question. Besides, you know what symptoms it may cause. Menopause is an inevitable and pretty complex time for every woman. Its necessary to face many health inconveniences induced by the transformation of your body. Thus, you should always remember about such questions as:
- Is it normal to bleed for weeks during perimenopause?
- How long does a period last on average?
- What frequency categories are for perimenopause periods?
Each question is vital and must be studied. Obligatorily consult your doctor if you doubt is it normal to bleed for weeks during perimenopause? or how long is too long for a period during perimenopause? Clarifying them on time, you prevent possible health complications due to unstable perimenopause periods.
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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.