Menopause Symptoms At Age 40
For the vast majority of women, menopause symptoms dont start this early. If menopause happens before age 40, its called premature menopause. If it happens between age 40 and age 45, its known as early menopause. Fewer than 10 percent of women experience premature or early menopause.
But if youre in your early 40s and are regularly experiencing symptoms such as changes to your periods timing or flow, hot flashes, mood changes or sleep problems, dont ignore them. Talk with a womens health specialist.
A specialist like an OB-GYN or certified nurse-midwife can work with you to determine whether your symptoms are related to menopause, or another reason such as hormonal disorders or other health conditions.
How Does Menopause Affect Heart Health
People are more likely to develop heart disease after menopause. Lower estrogen levels may be part of the cause. It also could be that other health issues that are more common as people get older. These include gaining weight, becoming less active, and developing high blood pressure or diabetes. You can reduce your risk of these health problems by eating a variety of healthy, nutrient-rich foods. It also helps to stay active and maintain an appropriate weight.
What’s The First Sign Of Perimenopause
The first perimenopause sign is typically a disruption of your menstrual cycle. For many women, your period starts earlier or later than normal. For example, if your menstrual cycle has always been 28 days, during perimenopause, your period could come as early as 21 or as late as 35 days. Some women start skipping months entirely and then experience heavier-than-normal periods when they do have them.
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Menopause Can Have Mental And Emotional Effects Too
Most people dont like their period, but when it goes away you feel your age, Dr. Rowen tells SELF. For some people, the idea of losing their period can be psychologically distressing.And as we mentioned, your hormones, specifically estrogen and progesterone, change during menopause. And this change may cause feelings of anxiety and depression. Lower estrogen can also trigger hot flashes that make it difficult to sleep, leading to mood swings and anxiety. Coupled with any emotional distress from losing your period, and you understandably may not be in the mood to have sex. If you feel down for more than two weeks, you may be depressed and want to speak with a therapist, the Cleveland Clinic recommends. However, finding a therapist can be a long, and often stressful, process. . Generally, you will want to start by asking your insurance company for a list of providers. If you dont have insurance, websites like Open Path include therapists who offer reduced-fee sessions.
I Wasnt Expecting This
For instance, the hot flushes and night sweats didnt really bother me. The development of severe migraine that disabled me for 24 hours at least once a fortnight did. I was expecting irregular, heavier periods. I wasnt expecting to bleed three weeks out of four, or to have such excruciating period pain that I was given IM Pethidine by a sympathetic GP. I wasnt expecting bouts of dizziness and nausea requiring me to lie down for an hour at random times of the day. I was expecting to feel a bit tearful, a bit snappy. I wasnt expecting to be completely out of control of my emotions. Crying at criticism, at imagined slights, at the television for Gods sake. Or being angry and sharp, irrationally boiling with rage over really small things. Being within a hairs breadth of walking out of work, of leaving home and twelve hours later thinking What on earth, was that all about? It was about peri-menopause. No One Told Me it could be like that. No one warned me that these symptoms might be severe and intense so that I could recognize and work through those times to minimize the disruption to me, my colleagues, my family, my work. And then there were the myriad other relatively minor things forgetfulness, poor concentration, weight gain , forgetting what I wanted to say mid-sentence, aches and pains, fatigue. There really is a seemingly endless list.
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Do Phytoestrogen Treatments Reduce The Number And Severity Of Hot Flushes And Are They Safe And Acceptable
Cochrane evidenceCochrane Reviews are systematic reviews. In systematic reviews we search for and summarize studies that answer a specific research question . The studies are identified, assessed, and summarized by using a systematic and predefined approach. They inform recommendations for healthcare and research. More: A Cochrane review includes 43 randomisedRandomization is the process of randomly dividing into groups the people taking part in a trial. One group will be given the intervention being tested and compared with a group which does not receive the intervention . Morecontrolled trialsA trial in which a group is given a intervention being tested is compared with a group which does not receive the intervention . More with over 4000 women, but many were small, brief and poor quality, and looked at many different types of phytoestrogens.
There is no conclusive evidence to show that phytoestrogen supplements effectively reduce the frequency or severity of hot flushes and night sweats in perimenopausal or postmenopausal women.
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Also Check: Is Dizziness A Symptom Of Menopause
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.
How Long Do The Stages Of Menopause Last
Perimenopause typically lasts for four to six years, but it can last as long as 12 years for some women. In most cases, the onset occurs between ages 35-45. However, it can occur earlier or later in a minority of women. While they do remain potentially fertile during this time, it becomes far more difficult to conceive. Hot flashes, fatigue, chills, and other symptoms associated with menopause begin to emerge during this stage.
How Will I Know If Im Going Through Menopause If Ive Had A Hysterectomy
If your uterus was surgically removed through a hysterectomy, you may not know youre going through menopause unless you experience hot flashes.
This can also happen if youve had an endometrial ablation and your ovaries werent removed. Endometrial ablation is the removal of the lining of your uterus as treatment for heavy menstruation.
If you arent having any symptoms, a blood test can determine if your ovaries are still functioning. This test can be used to help doctors find out your estrogen level, which may be beneficial if youre at risk of osteoporosis. Thats because knowing your estrogen status may be important in determining whether you need a bone density assessment.
What Factors Influence How Long Menopause Lasts
Although there is a usual range for how long menopause symptoms last, each woman’s journey is unique. The transition often takes about four years, but some symptoms may last longer. There are no hard and fast rules as menopause begins and ends on its own schedule.
Read Also: What Causes Vaginal Odor After Menopause
How Do I Stay Healthy After Menopause
It is important to maintain a healthy lifestyle, especially as you age and your risk for certain medical conditions increases. Some ways for people in postmenopause to stay healthy include:
- Exercising regularly. Walking, doing yoga or strength training can help lower your risk for many medical conditions.
- Weight-bearing exercises can strengthen your bones and muscles.
- Eating a healthy diet. Foods like fruits, vegetables, lean meats and whole grains should make up the bulk of your diet. Avoid lots of salt or sugar and limit your consumption of alcohol.
A note from Cleveland Clinic
Going through menopause can be uncomfortable and present new challenges and health concerns. Speak with your healthcare provider about any symptoms you feel or questions you have. They can help make sure you are supported through this time and get the care you need.
Last reviewed by a Cleveland Clinic medical professional on 10/05/2021.
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
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When To See A Gp
It’s worth talking to a GP if you have menopausal symptoms that are troubling you or if you’re experiencing symptoms of the menopause before 45 years of age.
They can usually confirm whether you’re menopausal based on your symptoms, but a blood test to measure your hormone levels may be carried out if you’re under 45.
When Should You See A Doctor About Perimenopausal Symptoms
While experiencing some symptoms is normal and common, a person with a uterus should consult a doctor if their daily life is negatively impacted. It is possible that their experience is solely related to perimenopause, but it could also be the result of other, more serious conditions such as fibroids, pregnancy, blood clotting disorders, or even cancer. Furthermore, speaking with a doctor is necessary in order to ensure that symptoms are caused by menopause and not something else.
The following symptoms may warrant a trip to the doctor
- Very heavy periods with blood clots.
- Periods that last much longer than usual.
- Periods that occur more frequently than normal
- Breakthrough bleeding between periods.
- Spotting and/or pain after intercourse.
How Long Does A Woman Go Through Menopause
The entire process of menopause typically lasts between 7 and 11 years, though it may be more or less for some.
Disclaimer:The views expressed in this article intend to inform and induce conversation. They are the views of the author and do not necessarily represent the views of Pandia Health, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis or treatment, and should never be relied upon for specific medical advice.
Can I Put Off Menopause
Natural menopause is a normal transition process that you cant delay or stop. Even around the age of 35, as your hormones start to transition you may not notice symptoms. By your early to mid-40s, fluctuations of your sex hormones estrogen and progesterone may increase. This is when most women begin to notice symptoms. These symptoms may continue to increase in severity through their late 40s and early 50s until they quit menstruating. No matter what age menopause begins, I always suggest that women focus on techniques that reduce their symptoms so they can feel their best during this important stage in their life.
When Does Menopause Occur
Most women reach menopause between 45-55 years of age, and the average age for women in Australia to reach menopause is 51-52 years. Some women will have a later menopause, at up to 60 years of age, especially if there is a family history of late menopause.
Menopause sometimes occurs earlier than expected as a result of cancer treatment, surgery or unknown causes. This is discussed further in ‘Causes of menopause’.
Hormone Treatment And Therapy
Estrogen and progesterone therapy
Hormone therapy , or menopausal hormone therapy , consists of estrogens or a combination of estrogens and progesterone . This was formerly referred to as hormone replacement therapy . Hormone therapy controls the symptoms of menopause-related to declining estrogen levels , and HT is still the most effective way to treat these symptoms. But long-term studies of women receiving combined hormone therapy with both estrogen and progesterone were halted when it was discovered that these women had an increased risk for heart attack, stroke, and breast cancer when compared with women who did not receive HT. These risks were most pronounced in women over 60 taking hormone therapy. Later studies of women taking estrogen therapy alone showed that estrogen was associated with an increased risk for stroke, but not for heart attack or breast cancer. Estrogen therapy alone, however, is associated with an increased risk of developing endometrial cancer in postmenopausal women who have not had their uterus surgically removed.
Hormone therapy is available in oral , transdermal forms . Transdermal hormone products are already in their active form without the need for “first pass” metabolism in the liver to be converted to an active form. Since transdermal hormone products do not have effects on the liver, this route of administration has become the preferred form for most women.
Read Also: How Does Menopause Affect Sex Drive
Remedies For Vaginal Dryness
- Topical HRT – there are several creams and pessaries containing oestrogen that you can apply from once a day to once a week to relieve symptoms. Doctors recommend you tail them off every few months to check if you still need them. There is also a vaginal ‘ring’ which your doctor can fit, which releases small amounts of oestrogen.
- Replens® – this is a non-hormonal vaginal moisturising cream which you apply every three days. It works much better than water-based gels like K-YJelly® and is available from your pharmacist as well as on prescription.
Are Women Who Arent Experiencing Menopausal Symptoms Still Fertile
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.
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Facts You Should Know About Menopause
- Menopause is defined as the absence of menstrual periods for 12 months. It is the time in a woman’s life when the function of the ovaries ceases.
- The process of menopause does not occur overnight, but rather is a gradual process. This so-called perimenopausal transition period is a different experience for each woman.
- The average age of menopause is 51 years old, but menopause may occur as early as the 30s or as late as the 60s. There is no reliable lab test to predict when a woman will experience menopause.
- The age at which a woman starts having menstrual periods is not related to the age of menopause onset.
- Symptoms of menopause can include abnormal vaginal bleeding, hot flashes, vaginal and urinary symptoms, and mood changes.
- Complications that women may develop after menopause include osteoporosis and heart disease.
- Treatments for menopause are customized for each woman.
- Treatments are directed toward alleviating uncomfortable or distressing symptoms.