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Does The Age You Start Your Period Determine Menopause

Antidepressants And Other Medications

The first signs & symptoms of menopause

Antidepressant medications: The class of drugs known as selective serotonin reuptake inhibitors and related medications hasÂ;been shown to be effective in controlling the symptoms of hot flashes in up to 60% of women. Specifically, venlafaxine , a drug-related to the SSRIs, and the paroxetine , desvenlafaxine , citalopram , and escitalopram have all been shown to decrease the severity of hot flashes in some women. However, antidepressant medications may be associated with side effects, including or sexual dysfunction.

Other medications: Other prescription medications have been shown to provide some relief for hot flashes, although their specific purpose is not the treatment of hot flashes. All of these may have side effects, and their use should be discussed with and monitored by a doctor. Some of these medications that have been shown to help relieve hot flashes include the antiseizure drug gabapentin and clonidine , a drug used to treat high blood pressure.

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.

Q When Should I Call A Doctor About My Perimenopausal Symptoms

  • If you are experiencing hot flashes and night sweats under the age of 45, contact your OBGYN to see what else might be causing them. When you have abnormal uterine bleeding, it is important to alert us regardless of age as we may recommend an ultrasound or endometrial biopsy to rule out abnormal changes in the uterus.
  • 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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    What Age Will I Be When I Go Through Menopause

    The average age for onset of menopause is 51. The majority of women stop having periods somewhere between ages 45 to 55. The beginning stages of declining ovary function can start years before that in some women. Others will continue to have menstrual periods into their late 50s.

    The age of menopause is

    Are Women Who Arent Experiencing Menopausal Symptoms Still Fertile

    Menopause Humor Quotes. QuotesGram

    No matter when you experience natural menopause, your chances of getting pregnant after the age of 40 are low, says Faubion. But you can still become pregnant as youre transitioning to menopause, and you still need to use birth control if you don’t want to conceive, she adds.

    Streicher confirms, saying, Fertility and menopause are not the same thing; there are plenty of women who are pumping out estrogen and menstruating and are not fertile. If youre sexually active, its important to consult with your doctor before making any decisions about birth control to avoid unwanted pregnancy.

    On the other hand, dont assume that just because you are still menstruating that you can get pregnant. Women who are concerned that they may have trouble conceiving or think they may experience menopause early and still want children should discuss options such as egg freezing with their doctor, says Streicher.

    Read Also: Can You Have Night Sweats After Menopause

    When Does Perimenopause Start

    Before you experience menopause, youll go through a transitional period, known as perimenopause. This phase can last for months or years, and usually starts when youre in your mid-to-late 40s. On average, most women experience perimenopause for about four years before their periods stop completely.

    Can Early Menopause Protect Me From Other Conditions

    Starting menopause early can actually protect you from other diseases. These include estrogen-sensitive cancers such as breast cancer.

    Women who enter menopause late are at greater risk of breast cancer than those who enter the transition earlier. This is because their breast tissue is exposed to estrogen for a longer time.

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    What Symptoms Are Caused By The Reduced Levels Of Estrogen In My Body

    About 75 percent of women experience hot flashes during menopause, making them the most common symptom experienced by menopausal women. Hot flashes can occur during the day or at night. Some women may also experience muscle and joint pain, known as arthralgia, or mood swings.

    It may be difficult to determine whether these symptoms are caused by shifts in your hormones, life circumstances, or the aging process itself.

    What Affects The Age You Start Menopause

    4 reasons your periods can come back

    Certain factors may affect when you begin menopause. Your family history, medical conditions, and hormones all play a role in when menopause is likely to occur for you.

    Smoking may influence the age of menopause onset. Studies have found that smoking during the reproductive years was significantly associated with earlier menopause.

    Read Also: What Causes Period Pain In Menopause

    What Happens After Menopause

    After menopause you will no longer be able to get pregnant and you will no longer get a period. If you have any type of vaginal bleeding after menopause, you should see a doctor as soon as possible. Vaginal bleeding after menopause is not normal and can mean that you have a serious health problem. ;

    You may experience any of the following after menopause:

    • Low hormone levels. With menopause, your ovaries make very little of the hormones estrogen and progesterone. Because of changing hormone levels, you may develop ,;including osteoporosis, .
    • Menopause symptoms instead of period problems. After menopause, most women get relief from or menopause . However, you may still experience symptoms such as hot flashes because of changing estrogen levels. One recent study found that hot flashes can continue for up to 14 years after menopause.,
    • Vaginal dryness. Vaginal dryness may be more common post-menopause. Learn more about ;for vaginal dryness.

    Other Drugs Used For Menopausal Symptoms

    Despite its risks, hormone therapy appears to be the most effective treatment for hot flashes. There are, however, nonhormonal treatments for hot flashes and other menopausal symptoms.

    Antidepressants

    The antidepressants known as selective serotonin-reuptake inhibitors are sometimes used for managing mood changes and hot flashes. A low-dose formulation of paroxetine is approved to treat moderate-to-severe hot flashes associated with menopause. Other SSRIs and similar antidepressant medicines are used “off-label” and may have some benefit too. They include fluoxetine , sertraline , venlafaxine , desvenlafaxine , paroxetine , and escitalopram .

    Gabapentin

    Several small studies have suggested that gabapentin , a drug used for seizures and nerve pain, may relieve hot flashes. This drug is sometimes prescribed “off-label” for treating hot flash symptoms. However, in 2013 the FDA decided against approving gabapentin for this indication because the drug demonstrated only modest benefit. Gabapentin may cause:

    • Drowsiness

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    What Is Perimenopause

    Perimenopause occurs during the 40s for most women, but some notice changes as early as their mid-30s. As estrogen hormones rise and fall, periods grow longer or shorter and women experience menopause-like symptoms. Perimenopause is a natural part of the aging process, although some medications,;cancer treatments and ovary surgery can speed up the process or cause menopause sooner.;

    “Your ovaries are shutting down, but the process takes some time. That process is called perimenopause,” explains Kourtney Morris, MD, a Franciscan Physician Network Obstetrics & Gynecology in Lafayette, Indiana. “For some women, perimenopause is barely noticeable, but for others, the symptoms make them miserable.”

    Perimenopause lasts for four years on average but sometimes only a few months.;In the last one or two years of perimenopause, the drop in estrogen speeds up, and women experience menopause symptoms while still having a period.;

    Dr. Morris discusses this stage of life and how to deal with uncomfortable perimenopausal symptoms.

    What You Can Do

    What to Expect When You Get Your First Period  Lunette ...

    Consider keeping a journal to track your periods. Include information such as:

    • when they start
    • whether you have any in-between spotting

    You can also log this information in an app, like Eve.

    Worried about leaks and stains? Consider wearing panty liners. Disposable panty liners are available at most drugstores. They come in a variety of lengths and materials.

    You can even buy reusable liners that are made of fabric and can be washed over and over again.

    When your estrogen levels are high in comparison to your progesterone levels, your uterine lining builds. This results in heavier bleeding during your period as your lining sheds.

    A skipped period can also cause the lining to build up, leading to heavy bleeding.

    Bleeding is considered heavy if it:

    • soaks through one tampon or pad an hour for several hours
    • requires double protection such as a tampon and pad to control menstrual flow
    • causes you to interrupt your sleep to change your pad or tampon
    • lasts longer than 7 days

    When bleeding is heavy, it may last longer, disrupting your everyday life. You may find it uncomfortable to exercise or carry on with your normal tasks.

    Heavy bleeding can also cause fatigue and increase your risk for other health concerns, such as anemia.

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    How Is Early Menopause Diagnosed

    The time leading into menopause is called perimenopause. During this time, you may have irregular periods and other symptoms that come and go.

    Youre generally considered to be in menopause if you go 12 months without menstrual bleeding, and you dont have another medical condition to explain your symptoms.

    Tests arent usually needed to diagnose menopause. Most women can self-diagnose menopause based on their symptoms. But if you think youre experiencing early menopause, you may want to see your doctor to be sure.

    Your doctor can order hormone tests to help determine whether your symptoms are due to perimenopause or another condition. These are the most common hormones to check:

    • Anti-Mullerian hormone . The

    What Are The Long

    There are several conditions that you could be at a higher risk of after menopause. Your risk for any condition depends on many things like your family history, your health before menopause and lifestyle factors . Two conditions that affect your health after menopause are osteoporosis and coronary artery disease.

    Osteoporosis

    Osteoporosis, a “brittle-bone” disease, occurs when the inside of bones become less dense, making them more fragile and likely to fracture. Estrogen plays an important role in preserving bone mass. Estrogen signals cells in the bones to stop breaking down.

    Women lose an average of 25% of their bone mass from the time of menopause to age 60. This is largely because of the loss of estrogen. Over time, this loss of bone can lead to bone fractures. Your healthcare provider may want to test the strength of your bones over time. Bone mineral density testing, also called bone densitometry, is a quick way to see how much calcium you have in certain parts of your bones. The test is used to detectosteoporosis and osteopenia. Osteopenia is a disease where bone density is decreased and this can be a precursor to later osteoporosis.

    If you have osteoporosis or osteopenia, your treatment options could include estrogen therapy.

    Coronary artery disease

    • The loss of estrogen .
    • Increased blood pressure.
    • A decrease in physical activity.
    • Bad habits from your past catching up with you .

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    Menstruation Changes Are The Main Perimenopause Symptoms

    Menstruation changes are the first signs of perimenopause.

    Changes in the length of your period and menstrual bleeding become more abundant and irregular. Periods may occur once in 23 weeks or be absent for several months in a row until they disappear completely.

    This phase is unique for every woman and may require a doctors supervision.

    This is particularly important if the interval between periods is less than 2 weeks, there is severe bleeding , or if menstruation lasts for more than a week.

    Contrary to popular belief, menopause is not a bad thing, not a disease by any means. Its merely another peculiar stage in a womans life. The more we appreciate this menopause meaning, the better

    Ht Forms And Regimens

    What age will you start your period?

    HT comes in several forms:

    • Oral tablets or pills
    • Vaginal ring
    • Topical gel or spray

    HT pills and skin patches are considered “systemic” therapy because the medication delivered affects the entire body. The risk for blood clots, heart attacks, and certain types of cancers is higher with hormone pills than with skin patches or other transdermal forms.

    Vaginal forms of HT are called “local” therapy. Doctors generally prescribe vaginal applications of low-dose estrogen therapy to specifically treat menopausal symptoms such as vaginal dryness and pain during sex. This type of ET is available in a cream, tablet, or ring that is inserted into the vagina.

    “Bioidentical” Hormones

    “Bioidentical” hormone therapy is promoted as a supposedly more natural and safer alternative to commercial prescription hormones. Bioidentical hormones are typically compounded in a pharmacy. Some compounding pharmacies claim that they can customize these formulations based on saliva tests that show a woman’s individual hormone levels.

    The FDA and many professional medical associations warn patients that “bioidentical” is a marketing term that has no scientific validity. Formulations sold in these pharmacies have not undergone FDA regulatory scrutiny. Some of these compounds contain estriol, a weak form of estrogen, which has not been approved by the FDA for use in any drug. In addition, saliva tests do not give accurate or realistic results, as a woman’s hormone levels fluctuate throughout the day.

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    Can Menopause Cause Facial Hair Growth

    Yes, increased facial hair growth can be a change related to menopause. The hormonal change your body goes through during menopause can result in several physical changes to your body, including more facial hair than you may have had in the past. If facial hair becomes a problem for you, waxing or using other hair removers may be options. Talk to your healthcare provider about your options to make sure you dont pick a product that could harm your skin.

    Do All Menopausal Women Experience A Decrease In Sexual Desire

    Not all women experience a decreased sexual desire. In some cases, its just the opposite. This could be because theres no longer any fear of getting pregnant. For many women, this allows them to enjoy sex without worrying about family planning.

    However, it is still important to use protection during sex if not in a monogamous relationship. Once your doctor makes the diagnosis of menopause, you can no longer become pregnant. However, when you are in the menopause transition , you can still become pregnant. You also need to protect yourself from sexually transmitted infections . You can get an STI at any time in your life.

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    Vaginal Lubricants For Menopause Symptoms

    In women for whom oral or vaginal estrogens are deemed inappropriate, such as breast cancer survivors, or women who do not wish to take oral or vaginal estrogen, there are varieties of over-the-counter vaginal lubricants. However, they are probably not as effective in relieving vaginal symptoms as replacing the estrogen deficiency with oral or local estrogen.

    Should I Continue Using Birth Control During The Transition To Menopause

    Pin on Perimenopause & Menopause

    Yes. You can still get pregnant during perimenopause, the transition to menopause, even if you miss your period for a month or a few months. During perimenopause you may still ovulate, or release an egg, on some months.

    But it is impossible to know for sure when you will ovulate. If you dont want to get pregnant, you should continue to use birth control until one full year after your last period. Talk to your doctor about your birth control needs. Learn more about different .;

    You cant get pregnant after menopause, but anyone who has sex can get ;. If you are not in a monogamous relationship in which you and your partner have sex with each other and no one else, protect yourself by using a male condom or ;correctly every time you have vaginal, oral, or anal sex. After menopause you may be more likely to get an STI from sex without a condom. Vaginal dryness or irritation is more common after menopause and can cause small cuts or tears during sex, exposing you to STIs.

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