Can You Get Pregnant During Perimenopause
Despite a decline in fertility during this stage, you can still become pregnant during perimenopause. Unless you are in full menopause its safe to assume you are still capable of conceiving during perimenopause.
Menopause is not an off switch, and although fluctuations in hormones and ovarian function may be hallmarks of perimenopause, they do not automatically spell the end of fertility.
Declining and erratic hormone levels contribute to decreases in fertility, but natural conception is still possible for women until menopause is reached . Pregnancy during perimenopause may have increased risk factors , but it is still very much possible to get pregnant during perimenopause.
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 womans 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 womans 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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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.
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Do Women Still Have An Ovulation Cycle After Menopause
This question bothered me as I have heard about the ovulation cycle and what a beautiful guideline it could be in the lives of women if they learn to live according to their cycle. I am in menopause myself and have decided to dedicate some of my time to find out more.
SUMMARY: Follow the menstruation / ovulation blueprint. Physically there is no ovulation happening anymore after menopause but it is said the ovulation / menstruation blueprint is still within each woman. It is advised that women keep note of their experiences between full moon and new moon. This will remind them of the wonderful powers of the ovulation blueprint that is an everlasting source of power within them. Meditation, yoga and tantra techniques can assist women to observe, feel and share all that is in them.
My search to discover more about the menstruation / ovulation cycle.
I searched for answers but could not find much about this topic in scientific or general writings. It took me months to find one book called Wild Power from Alexandra Pope and Sjanie Hugo Wurlitzer, that answered some of my questions. In the book these two wonderful ladies talk about menstrual cycle awareness while I actually prefer the term ovulation cycle awareness.
What Are The Hormonal Changes During Perimenopause
The hormonal changes you experience during perimenopause are mostly caused by declining estrogen levels. Your ovaries make estrogen, which plays a vital role in maintaining the reproductive system. Once you enter perimenopause, your estrogen levels start to decrease. As estrogen decreases, it throws off the balance with progesterone, another hormone produces by the ovaries. These two hormones together are responsible for ovulation and menstruation. Its common for hormone levels to fluctuate during perimenopause to go up and down like a rollercoaster.
When you reach menopause, your body makes so little estrogen that your ovaries no longer release eggs. At this point, you stop having your period.
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How Can I Reduce My Risk Of Perimenopause Complications
Irregular periods are the most common symptom of perimenopause. But its important to know when to talk to your healthcare provider about your periods. Sometimes, irregular bleeding can point to an underlying problem.
You can lower your risk of complications by seeking treatment when necessary. Talk to your healthcare provider if you:
- Bleed for more than seven days in a row.
- Bleed between periods.
- Change pads or tampons every one to two hours.
- Have periods more frequently than every 21 days.
Postmenopause And In Vitro Fertilization
When you reach postmenopause, your hormone levels are no longer suitable for ovulation and natural pregnancy, and birth control isnt necessary anymore. However, there is still a chance you could get pregnantthrough in vitro fertilization .
IVF after menopause has proven to be successful in many cases. It can be done using your own eggs that you had frozen earlier in life, or by using a donors eggs . This process will require you to undergo hormone therapy to prepare your body for the implantation process and to carry the baby to term.
However, be aware that postmenopausal women are much more likely to experience minor to major complications of pregnancy after IVF compared to premenopausal women.
IVF after menopause isnt an option for everyone. It depends greatly on your overall state of health and a doctor should be able to tell you whether or not its an option for you.
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Do You Still Ovulate During Menopause
Progesterone, another natural female hormone, decreases towards menopause. This is because progesterone is produced only if an egg is released . The release of progesterone usually prepares the uterus for a fertilised egg and pregnancy. With menopause, ovulation stops, and so progesterone levels drop.
Do You Live Both Poles Of Your Menstruation / Ovulation Cycle
Another important message I took from Wild Power is the information about our two poles during our menstruation / ovulation cycle. The pole of menstruation and the pole of ovulation stand as beacons that embrace our female existence. These poles are like the north and south poles of our being. At each pole something happens at menstruation you bleed and at ovulation you release an egg. In between these two activities your being is in transition. The built-in imperative of your menstrual cycle is to facilitate this evolutionary process but if you only honour one pole you can end up sabotaging this natural process of initiation.
We firmly believe that much of our menstrual and menopausal suffering is ultimately a profound feeling of indignation from our own soul that this awesome process of evolution has gone unrecognized. The grief and rage that emerges pre-menstrually and at menopause, this grief has a direct line back to this loss. Much postnatal suffering is also the result of not being tutored in this initiatory dynamic, so the initiation into motherhood shocks us.
The first half of the cycle builds our sense of self. It is about going out into the world and take our place. The second half of the cycle makes us more permeable and allows us to see the world as one. It is a time to rest more and reflect. This was also the time that I could really get into my meditation, yoga and tantra practices effortlessly.
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How Does Pregnancy Occur During Perimenopause
Despite the irregular periods, ovulation occurs in the perimenopausal stage. Therefore, there is a chance for the release of a healthy egg, which gets fertilized with the release of the sperm, and you conceive.
Signs such as breast tenderness and white vaginal discharge could help you know you are ovulating. Unprotected sexual intercourse 3-4 days before ovulation and on the day of ovulation could increase the chances of getting pregnant.
How Will I Know If I Am Starting The Transition To Menopause
Sometimes it can be hard for you and your doctor to tell whether you are in perimenopause, the transition to menopause:
- Symptoms: Tell your doctor or nurse about any menopause symptoms, such as hot flashes or trouble sleeping.
- Irregular periods: Track your periods. Irregular periods may be your first sign of menopause.
- Hormone levels: Your doctor may test the amount of hormones in your blood if your periods stopped at an early age . Doctors dont usually recommend this test unless there is a medical reason to do so. This is because, for most women, hormone levels go up and down in an unpredictable way during the transition to menopause. So it is difficult to tell for sure whether you have gone through menopause or are getting close to it based on this blood test.
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Are There Any Health Risks Associated With Perimenopause
There are health risks associated with menopause, which happens right after perimenopause.
Estrogen plays an important role in preserving your bones. Osteoporosis is a condition where the insides of your bones become less dense and more fragile. This increases your risk for bone fractures. Your healthcare provider may recommend a multivitamin, calcium supplement, extra vitamin D or more weight-bearing exercises.
People in menopause are also at an increased risk for heart disease and other cardiovascular health conditions.
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.
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Period Again After None For 2 Years
I am 50 years old. I have not had a period for two years, but today I started. Is this normal?
26 likes, 1070 replies
Edited 8 months ago
I did have this happen to me also â postmenopausal bleeding â only a bit earlier . I could not attribute it to any particular changes and was frightened. Saw my family doc asap. He ordered a transvaginal ultrasound and I think I also had a smear. All was normal. You certainly should report this to your doctor, though â standard orders for any such bleeding. Call today.
Edited 8 months ago
I am so glad to have found this forum. Suddenly had a period after a 13 month period. I was not surprised to see it as two weeks prior had some signs that I was ovulating. But on being advised by a friend to see a doctor I googled post menopausal bleeding and was scared to death with what I read about it possibly being signs of cancer. I didnât sleep last night as a result and will certainly get it checked out by the Doctor but I feel loads better to read that it seems to happen to quite a lot of women. Fingers crossed that everything is normal. But thanks everyone for sharing.
Edited 8 months ago
Sorry â should clarify: it is important to report vaginal bleeding that occurs AFTER 12 months have passed without a period. You clearly fall within that guideline.
About Dr Roohi Jeelani
Dr Roohi Jeelani is Director of Research and Education at Vios Fertility Institute in Chicago, Illinois. Dr Jeelani earned her medical degree from Ross University School of Medicine in Portsmouth, Dominica. She then completed a residency in Obstetrics and Gynecology and a fellowship in Reproductive Endocrinology and Infertility at Wayne State University, Detroit Medical Center, where she was awarded a Womens Reproductive Health NIH K12 Research Grant. She is board certified in Obstetrics and Gynecology.
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Supplements For Perimenopause And Menopause
Plant and dietary supplements have mixed and unclear results, including Black cohosh a popular herb often prescribed for menopausal symptoms is not effective at relieving hot flashes. Phytoestrogens such as those found in soy may provide some benefit to relieving hot flashes and vaginal dryness, but no do help with night sweats . Weâll be writing more on current ânaturalâ approaches to perimenopause symptom treatment.
Using dietary supplements can also have negative side effects, and some supplements may interact with other medications, so speak with your healthcare provider before treating your perimenopausal symptoms with supplements.
Women After 50 Can Have Safe Pregnancy
But They Have More C-sections, Diabetes, High Blood Pressure
Nov. 12, 2002 â As the years pass and technology improves, the barrier to pregnancy gets pushed farther and farther back. It used to be thought that women shouldnât get pregnant over the age of 40. Today, 50-something women and their doctors wonder if it is safe to push that barrier even farther.
âThere is no medical reasonâ not to, said Richard J. Paulson, MD, in a news conference today. Chief of the division of reproductive endocrinology and fertility at the University of Southern California Keck School of Medicine, he is also the lead investigator on a study that appears in the Nov. 13 issue of The Journal of the American Medical Association.
The study of women aged 50 to 63, all of whom were postmenopausal, revealed an increased number of complications, but nothing that cannot be handled by close monitoring and quality healthcare.
After menopause, a woman no longer produces eggs and thus cannot become pregnant naturally. But although eggs succumb to this biological clock, pregnancy is still possible using a donor egg. Therefore, all of the women in the study had an egg from a younger woman implanted into her uterus.
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Other Symptoms Of An Ovarian Tumor
As we mentioned above, ovarian pain can be a symptom of a tumor in this area. In addition, there are other symptoms that can alert you to this situation. For example, women may have difficulty eating and even be satisfied with very little food. Similarly, there are urinary symptoms such as a constant desire to pee.
However, these symptoms may occur in other diseases too. Having said that, the symptoms are usually persistent or more frequent when youre dealing with an ovarian tumor. You must consult your doctor regardless.
In addition, you may feel more tired and have back pain and feel pain during sex. It can even affect your stomach and lead to swelling and constipation. Bleeding is an alarming sign, especially if you havent had a period for over a year.
What Are The Stages Leading Up To Menopause
After puberty, there are three other phases of female fertility:
- Pre-menopause: Women have full ovarian function, regularly produce estrogen and ovulate.
- Perimenopause: The ovaries begin to fluctuate in their ovulation and production of estrogen, which can result in unpredictable menstrual cycles and symptoms.
- Menopause: When the ovaries have shut down. Someone would be in menopause after 12 months without menses.
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What Are The Symptoms Of Perimenopause
Your body has been producing estrogen since puberty. Once your estrogen levels begin to decline, your body has to adjust to the changes in hormones.
The symptoms vary, but most people experience at least one of the following:
- Sleep problems .
- Changes in mood like irritability, depression or mood swings.
The length of time you have symptoms of perimenopause can vary between a few months to many years. The decrease in estrogen also can lead to bone thinning or changing cholesterol levels. Continue to have regular checkups with your healthcare provider to keep an eye on your health.
Myth: Your Chances Of Getting Pregnant During Perimenopause Are So Low That You Dont Need To Use Birth Control
Fact: Although pregnancy becomes less likely as you get older, an unplanned pregnancy is still possible until youve gone 12 months without a period . In addition, the North American Menopause Society doesnt recommend natural family planning for perimenopausal women because it can be difficult to predict when youre ovulating when your periods are irregular.6 Your ob-gyn can recommend the best contraceptive options for you during perimenopause.
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