Premenopausal Cvd May Mean Menopause At An Early Age
Cardiovascular disease is the leading cause of death in women, outnumbering deaths from all other causes combined. According to the American Heart Association, one in three women have some form of cardiovascular disease. Recognizing women at risk of CVD is of tremendous public health importance.
While the risk factors for CVD are many, menopause has been identified as one of the strongest with an observed increase in female heart attacks occurring 10 years after menopause. Although menopause does not directly cause CVD,;a series of other risk factors such as;blood pressure;and;LDL cholesterol;also;increase around this time.;
;;Menopause & CVD;On average, menopause occurs between the ages of 51 and 54, with a precursory period of decreasing estrogen levels. The natural hormone is believed to have a positive effect on the inner layer of the artery wall, helping to keep blood vessels flexible and maintain proper heart functioning. Declining estrogen levels compound other CVD risk factors, increasing the risk of cardiovascular disease in menopausal and post-menopausal women.
Preventing premature menopause is essential to lowering female cardiovascular disease-related mortality rates and ensuring better outcomes for patients with CVD or past CVD events. Although previous studies have proven a link between early menopause and cardiovascular disease, the converse is yet to be extensively researched.;
Q: How Long Will My Symptoms Last
Answer:;; Thats the million dollar question and a difficult one to answer! There really is no definitive answer we can offer you.; Some women get symptoms for only a short time; others get intense symptoms for years . Most women get symptoms for a few years, then they fade out.; For most women, the common solution to managing your symptoms is by either going on hormone replacement therapy or by using alternative treatments, like phytoestrogens, herbs, and vitamins.
In the latter case its important to avoid exploitative retailers selling unproven formulations.; Seek your doctors advice and if you do choose to take dietary supplements and/or herbal products, carefully select those with scientific research supporting the manufacturers claims.
Treatments For Early Menopause
A GP will probably recommend you take this treatment until at least the age of natural menopause , to give you some protection from osteoporosis and other conditions that can develop after the menopause.
If you have had certain types of cancer, such as certain types of breast cancer, you may not be able to have hormonal treatment.
The GP will talk to you about other treatment options and lifestyle changes you can make to help protect your health.
If you’re still getting symptoms, the GP can refer you to a specialist menopause centre.
Going through the menopause early can be difficult and upsetting.
Permanent early menopause will affect your ability to have children naturally.
You may still be able to have children by using IVF and donated eggs from another woman, or using your own eggs if you had some stored. Surrogacy and adoption may also be options for you.
Counselling and support groups may be helpful.
Here are some you may want to try:
Page last reviewed: 02 February 2021 Next review due: 02 February 2024
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Emotional Impact Of Early Or Premature Menopause
Premature menopause can be emotionally devastating. Some of the common issues women may face include:;
- grief at the prospect of not having children
- fear of ‘growing old before their time’
- concern that their partner wont find them sexually attractive anymore
- self-esteem problems.
Psychological counselling and support groups may help women come to terms with their experience of early or premature menopause.
Diagnosis Of Primary Ovarian Insufficiency
If you have irregular periods or have stopped your periods for more than three months, please see your doctor and make sure your doctor includes hormone tests to exclude early menopause.
Your doctor will need to do a full physical examination and investigate the cause of your symptoms.
The criteria for a diagnosis of POI are:
- at least three months without a period
- two blood tests to confirm whether the levels of follicle-stimulating hormone are more than 40IU/l the two tests need to be performed on the third day of your period and at least one month apart.
A doctor is likely to perform the following tests:
- pregnancy test, FSH and Oestradiol
- prolactin this is the hormone usually involved with breastfeeding, but when raised, it causes periods to stop
- transvaginal ultrasound this is an internal ultrasound of the vagina and uterus to check for evidence the ovary is functioning by:
- counting the number and size of the follicles or eggs in the ovary
- measuring the volume of the ovaries
- assessing the thickness of the lining of the uterus or endometrium
- checking for any blockage that is stopping menstrual blood flow.
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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.
Symptoms Of Induced Menopause
People who experience induced menopause do not go through natural menopause where there is a gradual transition of many years before the final menstrual period occurs. The term induced describes menopause caused by medical treatment.
The most common type of induced menopause is surgical. With surgical menopause, menopause is abruptusually on the day of surgery. With menopause induced by medication, there might be a short transition before the damaged ovaries shut down completely.
Symptoms of induced menopause may include:
- Hot flashes
- Joint pain
- Sexual problems, including pain with intercourse
Induced menopause can occur at any age after puberty and at an age before natural, spontaneous menopause would occur. The abrupt loss of ovarian hormones with induced menopause will be more drastic than what is experienced with natural menopause. Symptoms will be more intense and will have a rapid onset.
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Q: Im Still Getting Periods But Ive Got A Lot Of Symptoms Like Hot Flashes And Night Sweats Is This Normal
Answer:;; Yes, it is. Even though the technical definition of menopause is not having your period for at least 6 months to a year, its not uncommon for young women going through early menopause or premature ovarian failure to get their periods fairly regularly. For example, my FSH level was up at 158 , yet I was still getting my period.
Your hormones often fluctuate with volatility at the beginning stages of early or premature menopause, so you may be producing enough estrogen to get periods even while your FSH levels are high.; Many times, your periods will be anovulatory in other words, you arent producing an egg. But you are producing enough estrogen to build up your uterine lining.
Are You Headed Toward Early Menopause
There are many negative health consequences linked to early menopause, including a higher risk of osteoporosis and fracture, heart disease, cognitive impairment and dementia, and early death, says Dr. Faubion.
If you have questions about when youll experience menopause and if you can do anything to change it, keep reading for answers.
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Early Menopause Tied To Heart Problems Before 60
Women who go through menopause earlier in life may be more likely to have a heart attack or stroke before they reach age 60 than their counterparts who go through menopause later on, a recent study suggests.
Researchers examined data from 15 observational studies with a total of more than 300,000 women, including almost 13,000 women who survived events like a heart attack or stroke after menopause.
Compared with women who went through menopause at age 50 or 51, women who experienced premature menopause, before age 40, were 55% more likely to have events like a heart attack or stroke after menopause. With early menopause, from age 40 to 44, women had a 30% greater risk of cardiovascular events after menopause; with relatively early menopause, from age 45 to 49, the increased risk was 12%.
Heart disease is a leading cause of illness and death for women, said senior study author Gita Mishra of the University of Queensland in Brisbane, Australia.
These findings will help to identify women at most risk of cardiovascular disease for closer monitoring and earlier diagnosis and even prevention of the disease, Mishra said by email.
Women go through menopause when they stop menstruating. As the ovaries curb production of the hormones estrogen and progesterone, women can experience symptoms ranging from vaginal dryness to mood swings, joint pain and insomnia.
What Can Bring On Early Menopause
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Most women begin menopause between the ages of 45 and 55. The average age for menopause onset in the United States is 51 years old. Early menopause usually refers to onset before age 45. Premature menopause or premature ovarian insufficiency occurs before age 40.
Also Know, is early menopause dangerous? Premature menopause and early menopause, whether spontaneous or induced, are associated with long-term health risks which may include premature death, cardiovascular disease, neurologic disease, osteoporosis, psychosexual dysfunction, and mood disorders. Estrogen mitigates some but not all of these consequences.
Similarly, you may ask, can stress bring on early menopause?
While stress, along with poor diet, heavy drinking, and smoking, may play a role in early menopause, there is not enough evidence to say that stress alone causes early menopause. Stress can, however, cause you to experience the symptoms of menopause more severely.
How can I stop early menopause?
Here is a list of 11 natural ways to reduce the symptoms of menopause.
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How Is Premature Menopause And Primary Ovarian Insufficiency Treated
Management of the condition can vary depending on why menopause started earlier than normal. Given the health risks associated with early menopause, hormone replacement therapy is routinely recommended to all women with premature menopause or primary ovarian insufficiency, unless there is a compelling reason it cant be used. There is a lot of confusion about the safety of hormone therapies. Many of the risks of hormone therapy used after natural menopause are not thought to apply to women who have premature menopause. It is important to discuss the pros and cons of hormone therapy with your doctor. Some healthcare providers have additional certification in the management of menopause, and these providers will be a valuable resource when receiving conflicting information about the safety of hormone therapy.
Can A Woman Have An Orgasim After Menopause
orgasmAfter menopausecangethaveHere is a list of 11 natural ways to reduce the symptoms of menopause.
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Selective Estrogen Receptor Modulators
SERMs are a category of drugs, either synthetically produced or derived from a botanical source, that act selectively as agonists or antagonists on the estrogen receptors throughout the body. The most commonly prescribed SERMs are raloxifene and tamoxifen. Raloxifene exhibits oestrogen agonist activity on bone and lipids, and antagonist activity on breast and the endometrium. Tamoxifen is in widespread use for treatment of hormone sensitive breast cancer. Raloxifene prevents vertebral fractures in postmenopausal, osteoporotic women and reduces the risk of invasive breast cancer.
Q: What About Getting An Ultrasound Of My Ovaries
Answer:;; In some cases, your doctor may perform high resolution ovarian ultrasound to view your ovaries. This will determine whether you still have any eggs and follicles. However, generally, this information doesnt help that much.
Studies have indicated that perhaps up to two-thirds of women diagnosed with premature ovarian failure do indeed have remaining follicles. The problem is, even when eggs are detected, attempts to stimulate ovulation through hormones have been relatively unsuccessful. However, ultrasound may make sense if you are in the early stages of premature menopause and are intending to pursue an aggressive fertility program.
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Can I Decrease My Cancer Risk After Menopause
Late-onset menopause usually occurs because of a genetic predisposition. If your mother went through menopause late, chances are you may also. However, every womans experience with menopause is different.;A;study;found that late menopause is not uncommon among obese women because fat tissue produces estrogen. If you are worried about your age and menopause exercise, eat a healthy diet, dont smoke, and maintain a healthy body weight which can have a plethora of health benefits. Regular mammograms and cervical cancer screening are also important for women experiencing late-onset menopause.;
Symptoms Of Premature And Early Menopause
The symptoms of early menopause are the same as for menopause at the typical age and can include:
- menstrual cycle changes, including changes to the usual bleeding pattern, particularly irregular bleeding
- hot flushes
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Determining When Menopause Will Occur
The bottom line is that we still are unable to determine when menopause will occur, which is what many women in the reproductive years want to know. Although, basal antral follicle counts , drawing the following routine blood work helps to assess reproductive capacity:
- Follicle Stimulating Hormone level with estradiol level on cycle days 2 to 3, and Anti-Müllerian hormone
However, a diminished ovarian reserve does not signify an absolute inability to conceive. In general, the best surrogate marker for egg quality is age. Egg freezing for fertility preservation is recommended around age 32, if a woman wants to be a biological mother and does not have current plans and a partner to start conception.
Responses To Loss Of Fertility
For some women, early or premature menopause can take away the possibility of becoming a mother. Some women have said, ‘I wasn’t sure if I even wanted children’, or, ‘I didn’t know if I wanted more children’, but when the power to make that decision is taken away, it can seem unfair. Early or premature menopause can mean the longed-for role of motherhood might not happen or, if it happens, it may not be in the way you anticipated. How this feels and the impact it has will depend on your individual circumstances, support networks and coping skills.
Some women with early or premature menopause feel they have to take on a role they did not expect until they were in their 50s that of a menopausal woman. They might even experience menopause before their mother.
Sometimes we have many roles, which we overlook when we focus strongly on wanting to fulfil one particular one. Some women forget they are also partners, daughters, sisters, friends, aunties, granddaughters, workers, neighbours, caregivers. Thinking about these other roles does not necessarily take away all the pain of loss, but it can help to shift the focus.
There are also other constructive ways to think about your role in life. For example, if you think your role is to be a mother, explore the steps you can take to achieve this; perhaps donor eggs or adoption are options. It can be helpful to seek counselling to help you with your decision-making.
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Premature Vs Early Menopause
Premature menopause affects 1% of women under the age of 40. The only difference between premature menopause and early menopause is the timing.
Premature menopause occurs before age 40 and early menopause happens after age 40 but before age 45. Many of the same causes of premature menopause also cause early menopause. Both conditions cause similar symptoms.
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 .
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