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 Does Menopause Affect My Bladder Control
Unfortunately, bladder control issues are common for women going through menopause. There are several reasons why this happens, including:
- Estrogen. This hormone plays several roles in your body. It not only controls your period and promotes changes in your body during pregnancy, estrogen also keeps the lining of your bladder and urethra healthy.
- Pelvic floor muscles. Supporting the organs in your pelvis your bladder and uterus are called the pelvic floor muscles. Throughout your life, these muscles can weaken. This can happen during pregnancy, childbirth and from weight gain. When the muscles weaken, you can experience urinary incontinence .
Specific bladder control problems that you might have can include:
- Stress incontinence .
- Urge incontinence .
- Painful urination .
- Nocturia .
What Is The Difference Between Premature Menopause And Early Menopause
The difference between premature menopause and early menopause is when it happens. Premature menopause occurs before a woman is 40. Early menopause is when a woman undergoes menopause before age 45.
Many of the causes of premature menopause can also be causes of early menopause. The two types of menopause also share many of the same symptoms.
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I Got My First Period Early Does That Mean Ill Go Through Menopause Early
I have many patients tell me, I know Im going to go through menopause earlier because I started my period really early, says Streicher. The reason women think that is because they think menopause occurs when you run out of eggs. This isnt going to happen were born with millions of eggs and many of those are never used. When you go through menopause is really about the aging of eggs and what causes them to age more quickly, she says.
The average age of menarche in the United States has gotten younger for a variety of reasons, but that hasnt made women go through menopause earlier, she points out.
Hormone Tests Related To Menopause
Measuring your hormone levels is a good way to check whether you have started the transition to menopause, or if you have already entered postmenopause. A simple and easy way to do this is with the Perimenopause Test and Postmenopause Test from Everlywell. These at-home tests allow you to collect your sample from the comfort of your home and receive your digital results in days.
Menopause affects every woman differently, so what is normal for you may not be normal for someone else. Menopause may involve lifestyle changes to help with symptoms. Be sure to discuss any concerns you have about your hormone levels or menopausal symptoms with your primary care provider.
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Antidepressants And Other Medications
Antidepressant medications: The class of drugs known as selective serotonin reuptake inhibitors and related medications has 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.
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.
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When Menopause Comes Early
There are risks associated with early menopause:
- Loss of fertility at a younger age.
- An increased risk of osteoporosis and fracture in women who do not take menopausal hormone therapy .
Early menopause is particularly difficult for women who have not yet started or completed their families.
Can Menopause Be Treated
Menopause is a natural process that your body goes through. In some cases, you may not need any treatment for menopause. When treatment for menopause is discussed, its about treating the symptoms of menopause that disrupt your life. There are many different types of treatments for the symptoms of menopause. The main types of treatment for menopause are:
It is important to talk to your healthcare provider while you are going through menopause to craft a treatment plan that works for you. Every person is different and has unique needs.
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General Recommendations For Ht
Current guidelines support the use of HT for the treatment of severe hot flashes that do not respond to non-hormonal therapies. General recommendations include:
- HT may be started in women who have recently entered menopause.
- HT should not be used in women who have started menopause many years ago.
- Women should not take HT if they have risks for stroke, heart disease, blood clots, and breast cancer.
- Currently, there is no consensus on how long HT should be used or at what age it should be discontinued. Treatment should be individualized for a woman’s specific health profile.
- HT should be used only for menopause symptom management, not for chronic disease prevention.
Before starting HT, your doctor should give you a comprehensive physical exam and take your medical history to evaluate your risks for:
- Heart disease
- Breast cancer
While taking HT, you should have regular mammograms and pelvic exams and Pap smears. Current guidelines recommend that if HT is needed, it should be initiated around the time of menopause. Studies indicate that the risk of serious side effects is lower for women who use HT while in their 50s. Women who start HT past the age of 60 appear to have a higher risk for side effects such as heart attack, stroke, blood clots, or breast cancer. HT should be used with care in this age group.
Women who should not take hormone therapy include those with the following conditions:
When Do Menopause Symptoms Stop
Midlife discomforts can plague women’s lives for years, leaving them wondering exactly how long can menopause symptoms last before finding any relief. Luckily, symptoms do not usually last a lifetime, and reprieve isn’t too far out of reach.
Continue reading to learn about how long menopause symptoms last and treatment options so that you can have a better knowledge of your reproductive health and better quality of life.
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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.
Is There A Link Between Menopause And Perimenopause
Perimenopause symptoms. In fact, women actually have a lower rate of depression after age 45 than before. Menopause-related hormone changes are also unlikely to make women anxious or chronically irritable, although the unpredictability of perimenopause can be stressful and provoke some episodes of irritability.
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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.
When To See A Doctor
At the onset of perimenopause, a person may wish to schedule regular doctor visits for preventive healthcare.
Around perimenopause, doctors may recommend certain health screenings that sometimes include a colonoscopy, mammogram, and blood tests.
An individual should not hesitate to seek a doctors care and advice to deal with disruptive menopausal symptoms. If vaginal bleeding occurs after menopause, a person should also seek medical attention.
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Lifestyle Factors In Controlling The Symptoms And Complications Of Menopause
Many of the symptoms of menopause and the medical complications that may develop in postmenopausal women can be lessened or even avoided by taking steps to lead a healthy lifestyle.
- Regular exercise can help protect against cardiovascular disease and osteoporosis. Exercise also has proven mental health benefits.
- Stop smoking
Which types of doctors treat menopausal symptoms?
The symptoms of menopause are often treated by a womanâs gynecologist. Primary care providers, including family medicine specialists and internists, may also treat the symptoms of menopause.
Can I Get Pregnant During Menopause
The possibility of pregnancy disappears once you are postmenopausal, you have been without your period for an entire year . However, you can actually get pregnant during the menopause transition . If you dont want to become pregnant, you should continue to use some form of birth control until you have gone fully through menopause. Ask your healthcare provider before you stop using contraception.
For some women, getting pregnant can be difficult once theyre in their late 30s and 40s because of a decline in fertility. However, if becoming pregnant is the goal, there are fertility-enhancing treatments and techniques that can help you get pregnant. Make sure to speak to your healthcare provider about these options.
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When Does Menopause Usually Happen
Menopause happens when you have gone 12 months in a row without a period. The average age of menopause in the United States is 52. The range for women is usually between 45 and 58. One way to tell when you might go through menopause is the age your mother went through it.
Menopause may happen earlier if you:
- Never had children. Pregnancy, especially more than one pregnancy, may delay menopause.
- Smoke. Studies show smoking can cause you to start menopause up to two years earlier than women who dont smoke.
can also cause you to start menopause earlier.
Menopause usually happens on its own. However, you may enter menopause earlier than you normally would if you have had chemotherapy or surgery to remove both ovaries. Learn more about early menopause on our page.
What Are My Menopause Treatment Options
In most cases, doctors will start with non-prescription treatments that make symptoms more bearable as they pop up. Dressing in layers so that you can remove clothing during a hot flash, always having ice water with you, and having a personal fan by your bedside are all recommended, Shen says.
Lifestyle changes can also help. Weight loss may be encouraged, Shen says, as a 2013 study in Menopause found that women who lost 10 pounds or more than 10% of their body weight experienced fewer hot flashes. You also want to avoid triggers for hot flashes, including spicy foods, caffeine, smoking, alcohol, and stress, according to Cleveland Clinic.
For those interested in natural treatments, Shen says that mindfulness, paced breathing, and acupuncture seem to work. A 2011 study also published in Menopause found that while mindfulness-based stress reduction didnt decrease the number of hot flashes patients were experiencing, it did improve their quality of life, sleep habits, anxiety, and perceived stress levels significantly. A 2012 study in Evidence-Based Complementary Alternative Medicine also showed similar effects in those who practiced yoga.
Its almost like helped women to modulate their perceptions of what they were feeling, Reed says.
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At What Age Does A Woman Typically Reach Menopause
The average age of menopause is 51 years old. However, there is no way to predict when an individual woman will have menopause or begin having symptoms suggestive of menopause. The age at which a woman starts having menstrual periods is also not related to the age of menopause onset. Most women reach menopause between the ages of 45 and 55, but menopause may occur as earlier as ages 30s or 40s, or may not occur until a woman reaches her 60s. As a rough “rule of thumb,” women tend to undergo menopause at an age similar to that of their mothers.
Symptoms and signs related to the menopausal transition such as irregularities in the menstrual cycle, can begin up to 10 years prior to the last menstrual period.
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.
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How Long Do Menopausal Symptoms Last
Irregular periods, hot flashes, night sweats, vaginal dryness, sleep problems, and mood changes all fall under the umbrella of menopausal symptoms that can begin during the perimenopause transition, says Susan D. Reed, M.D. chief of service for obstetrics and gynecology at Harborview Medical Center in Seattle, Washington. The severity of these symptoms ranges from person to person, as does which specific symptoms you’ll experience. “I have patients who never had a hot flash, and I have patients in their 70s who are still having hot flashes,” Shen says.
The most intense symptoms typically period changes and night sweats last for approximately four years, and they tend to feel the worst during the perimenopause transition, Reed says. All symptoms, however, can last for an average of 10 years, she adds.
How Do I Know If Changes In My Periods Are Normal Perimenopausal Symptoms Or Something To Be Concerned About
Irregular periods are common and normal during perimenopause . But other conditions can cause abnormalities in menstrual bleeding. If any of the following situations apply to you, see a doctor to rule out other causes.
- Your periods are changing to become very heavy, or accompanied by blood clots.
- Your periods last several days longer than usual.
- You spot or bleed after your period.
- You experience spotting after sex.
- Your periods occur closer together.
Potential causes of abnormal bleeding include hormonal imbalances, hormonal treatments, pregnancy, fibroids, blood-clotting problems or, rarely, cancer.
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Healthy Diet And Menopause
Suggestions for maintaining good health through diet at the time of menopause include:
- Choose a wide variety of foods, including plenty of vegetables, fruits, cereals, whole grains and small portions of lean meat, fish or chicken.
- Increase fluids and eat low-fat dairy foods with high calcium content.
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.
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