Fertility ‘predicted By Mother’s Age At Menopause’
Women may be able to better gauge their own fertility based on the age their mother went through the menopause, a study has concluded.
Women whose mothers had an early menopause had far fewer eggs in their ovaries than those whose mothers had a later menopause, a Danish team found.
Women with fewer viable eggs have fewer chances to conceive.
The study, of 527 women aged between 20 and 40, was reported in the journal Human Reproduction.
What Are The First Signs Of Menopause How Do You Know If Youre In Perimenopause
In my experience, and chatting to thousands of women on My Second Spring over the years, the following symptoms are the first signs that you might be in perimenopause:
- Increased feelings of anxiety and low confidence even panic attacks out of the blue
- Increased feelings of irritation
- Urinary leakage and increased urgency
- Fatigue and trouble sleeping either problems dropping off or you wake during the night at 3am, 4am;Insomnia
Most of us find that these symptoms come and go and periods are still mainly present adding to confusion as to whats going on.; Also, I find that no two women have the same cocktail of symptoms. Click on the links above to get more details of these symptoms and how to manage them. Many of us experience some of these symptoms but never put two and two together and realise its the menopause knocking on the door. I get a huge number of messages from second springers telling me that they thought they had a terminal disease or were going crazy or developing dementia. We need to chat about this a lot more. Theres no need to suffer in silence there are plenty of ways to treat these symptoms. Keep reading!
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Are Egg Quality And Quantity Related
While they are certainly not married to each other, there are some correlations between both age and egg quantity and age and egg quality. Unfortunately, there is no real measure of egg quality as there is egg quantity. The only real way to tell is to fertilize an egg and determine if it fertilizes, develops into an embryo, and either test the embryo using Pre-implantation Genetic Testing or if the embryo develops into a fetus and healthy baby.
One study shown below clearly shows that the number of abnormal embryos goes up drastically as a woman ages.
While they are in no way guaranteed to go hand in hand, there is substantial evidence that the average egg is of poorer quality as age goes up, and ovarian reserve goes down.
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Diagnosis Of Premature Or Early Menopause
Premature and early menopause is diagnosed using a number of tests including:
- medical history, family history and medical examination
- investigations to rule out other causes of amenorrhoea , such as pregnancy, extreme weight loss, other hormone disturbances and some diseases of the reproductive system
- investigations into other conditions associated with premature or early menopause, such as autoimmune diseases
- genetic tests to check for the presence of genetic conditions associated with premature or early menopause
- blood tests to check hormone levels.
The Treatment Of Menopausea Review Of Options
The treatment of menopause is a lengthy topic well beyond the scope of this website. Menopause is not a disease that needs to be treated. However, there are symptoms associated with menopause for which women may seek relief or signs for which health care providers may suggest treatment. Generally, treatment is aimed at one of the following:
The symptoms of approaching menopauseChange in bleeding patternsHot flashes and night sweats and insomniaAnxiety, irritability and depressionThe symptoms of established menopauseVaginal dryness and atrophyOnset or worsening of urinary incontinenceOsteoporosisAn increased risk of cardiovascular disease and strokes
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Will I Put Weight On During It
Many women will notice that they gain weight and may also notice their shape changes.
Oestrogen affects how and where we store fat and it is the falling oestrogen levels which mean that fat is deposited around the tummy.
In addition, the symptoms of perimenopause joint and muscle pain, mood changes, energy-sapping insomnia and fatigue could stop you from exercising. But studies show that women who do cardiovascular exercise regularly have fewer menopausal symptoms.
How Will Menopause Affect Me
Menopause affects every woman differently. Most women get some hot flushes and/or night sweats but are able to manage these without treatment. Around 20 per cent of women have symptoms which are troublesome and/or prolonged and these women may consider treatment. The experience of menopause and symptoms differ in women from different ethnic groups, for example, for some Asian women, body and joint aches and pains are the most troublesome symptom.
Factors that may affect your experience of menopause
- Your age at menopause. Younger women who were not expecting to go through menopause may have more difficulty than;women at the average age.
- What you are expecting of menopause. Women who expect to have troublesome menopausal symptoms are more likely to experience troublesome symptoms when they go through menopause. So, a positive and informed approach to menopause may help.
- Many women are relieved that they no longer have menstrual periods and are no longer fertile.;
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Will I Still Enjoy Sex After Menopause
You should still be able to enjoy sex after menopause. Sometimes, decreased sex drive is related to discomfort and painful intercourse. After treating the source of this pain , many women are able to enjoy intimacy again. Hormone therapy can also help many women. If you are having difficulties enjoying sex after menopause, talk to your healthcare provider.
Can Menopause Affect Sleep
Some women may experience trouble sleeping through the night and insomnia during menopause. Insomnia is an inability to fall asleep or stay asleep at night. This can be a normal side effect of menopause itself, or it could be due to another symptom of menopause. Hot flashes are a common culprit of sleepless nights during menopause.
If hot flashes keep you awake at night, try:
- Staying cool at night by wearing loose clothing.
- Keeping your bedroom well-ventilated.
Avoiding certain foods and behaviors that trigger your hot flashes. If spicy food typically sets off a hot flash, avoid eating anything spicy before bed.
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Irritability And Mood Problems
Suddenly, everyone is rude to you, all the drivers on the road are idiots, and your dog is barking way louder than usual; everything is just wrong somehow. Perhaps, your changing hormones are the true culprit. Actually, studies have shown that the irritability and mood problems may be stemming from several causes including the lack of sleep mentioned above, kids moving away from home, aging parents, falling serotonin levels, and other issues that arise in your late 40s and early 50s.
Can Women Conceive After Menopause
Yes. With the help of IVF, women who have gone through menopause can still get pregnant, whether menopause came early or at a more expected time. You will need to use donor eggs, but chances are that you can still carry and deliver a healthy baby. A study;carried out at the Columbia University Medical center and published in The American Journal of Perinatology followed 101 women over the age of 50 who underwent IVF with donor eggs and found that the outcomes for both mothers and babies were as good for the post-menopausal women as they were for women under the age of 42.
If you think that you may be undergoing menopause early and are hoping to have a baby, it is a good idea to get professional advice as soon as possible. Your fertility team can run a series of tests to find out whether you are in fact going through menopause, and which treatment options make sense for your situation. If you decide to try IVF with donor eggs, you can use eggs from a known donor or go with a donor from an egg donation program, where you can choose to know the identity of the donor or proceed anonymously.
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How Is Menopause Diagnosed
There are several ways your healthcare provider can diagnose menopause. The first is discussing your menstrual cycle over the last year. If you have gone a full year without a period, you may be postmenopausal. Another way your provider can check if you are going through menopause is a blood test that checks your follicle stimulating hormone level. FSH is a hormone produced by the pituitary gland this gland is located at the base of your brain. However, this test can be misleading during the beginning of menopause when your body is transitioning and your hormone levels are fluctuating up and down. Hormone testing always need to be interpreted in the context of what is happening with the menstrual period.
For many women, a blood test is not necessary. If you are having the symptoms of menopause and your periods have been irregular, talk to your healthcare provider. Your provider may be able to diagnose menopause after your conversation.
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 menopausal women may notice that theyre not as easily aroused as before. Sometimes, women 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 actually 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.
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Can Ivf/fertility Drugs Cause Early Menopause
Absolutely not. There is a persistent rumor that undergoing IVF or other fertility treatments can bring on an early menopause. The general theory is that because the fertility drugs stimulate the ovaries to mature and release 10 to 15 eggs they may lead to running out of eggs earlier. This is categorically false.
In a normal cycle, your body produces 10 to 20 egg follicles each month. As the cycle progresses, one of these follicles will become dominant and fully mature to produce the egg that will be released that month. The rest of the immature eggs will be lost. Fertility drugs work by stimulating the follicles that your body has already produced, so that more of them come to maturity. This ovarian stimulation simply utilizes more of the eggs that would normally have been lost in that menstrual cycle. It does not in any way deplete your natural egg supply.
Will I Lose My Sex Drive
Research says that more than half of women experience an impact on their sex lives due to the menopause. One in ten stopped having sex altogether.
Before we consider the effects of the change in hormones on your desire itself, we have to consider how the symptoms make you feel.
Add into the mix vaginal dryness, leading to painful sex, and your libido can disappear.
There are things you can do to help speak to your doctor. Testosterone treatment as part of HRT can improve libido.
Vaginal dryness, which is common, can be managed with lubricants, vaginal moisturisers and topical oestrogen treatments.
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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 youre unable to take HRT.
In Vitro Fertilization After Menopause
IVF after menopause has been successfully demonstrated.
Postmenopausal eggs are no longer viable, but there are still two ways you can take advantage of IVF. You can use eggs you had frozen earlier in life, or you can use fresh or frozen donor eggs.
You will also need hormone therapy to prepare your body for implantation and to carry a baby to term.
When compared with premenopausal women, postmenopausal women are more likely to experience both minor and major complications of pregnancy after IVF.
Depending on your overall state of health, IVF after menopause may not be an option for you. Its worth consulting with a fertility expert who has worked with postmenopausal women.
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What Triggers A Hot Flash
There are quite a few normal things in your daily life that could set off a hot flash. Some things to look out for include:
- Tight clothing.
- Stress and anxiety.
Heat, including hot weather, can also trigger a hot flash. Be careful when working out in hot weather this could cause a hot flash.
Regenerative Medicine For Reproductive Medicine
The researchers did find some success, and a number of these women did begin to ovulate again. In one patient, they were even able to harvest and fertilize some of these eggs through IVF. The embryos were frozen for later use, so it is unknown whether this procedure can actually result in a pregnancy.
There are still lots of unanswered questions before we can consider this an option for infertile couples in menopause, early or otherwise. We know that the eggs are generally of poor quality in women in their late 40’s and when there is fertilization that embryos are generally unhealthy. These embryos rarely implant, and when they do the risk of miscarriage and genetic disorders such as Down Syndrome is quite high. It is not uncommon for women in above 45 to produce enough eggs to do IVF, but it is uncommon that any are good enough to result in a healthy pregnancy. Would the eggs from PRP be any different?
At this point, it is still just an interesting idea. Still, the prospect of being able to restart a menopausal ovary is intriguing to fertility specialists and their patients.
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Are There Any Tests For Menopause
The most accurate way to tell if its happening to you is to watch your menstrual cycles for 12 months in a row. It helps to keep track of your periods and chart them as they become irregular. Menopause has happened when you have not had any period for an entire 12 months.
Your doctor can check your blood for follicle stimulating hormone . The levels will jump as your ovaries begin to shut down. As your estrogen levels fall, youâll notice hot flashes, vaginal dryness, and less lubrication during sex.
The tissue in and around your vagina will thin as estrogen drops, too. The only way to check for this is through a Pap-like smear, but itâs rarely done. As this happens, you might have urinary incontinence, painful sex, a low sex drive, and vaginal itching.
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Can Menopause Cause Depression
Your body goes through a lot of changes during menopause. There are extreme shifts in your hormone levels, you may not be sleeping well because of hot flashes and you may be experiencing mood swings. Anxiety and fear could also be at play during this time. All of these factors can lead to depression.
If you are experiencing any of the symptoms of depression, talk to your healthcare provider. During your conversation, your provider will tell you about different types of treatment and check to make sure there isnt another medical condition causing your depression. Thyroid problems can sometimes be the cause of depression.
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What Do The Ovaries Do
The ovaries have two main reproductive functions in the body. They produce oocytes for fertilisation and they produce the reproductive hormones, oestrogen and progesterone. The function of the ovaries is controlled by gonadotrophin-releasing hormone released from nerve cells in the hypothalamus which send their messages to the pituitary gland to produce luteinising hormone and follicle stimulating hormone. These are carried in the bloodstream to control the menstrual cycle.
The ovaries release an egg at the midway point of each menstrual cycle. Usually, only a single oocyte from one ovary is released during each menstrual cycle, with each ovary taking an alternate turn in releasing an egg.;A female baby is born with all the eggs that she will ever have.This is estimated to be around two million, but by the time a girl reaches puberty, this number has decreased to about 400,000 eggs stored in her ovaries. From puberty to the menopause, only about 400500 eggs will reach maturity, be released from the ovary and be capable of being fertilised in the fallopian tubes/uterine tube/oviduct of the female reproductive tract.
The ovarian phases of a 28-day menstrual cycle. Ovulation occurs mid-cycle.