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How Many Months No Period Is Considered Menopause

Hot Flashes & Night Sweats

When Does Menopause Start and How Long Does It Last?

Hot flashes and night sweats are common symptoms of perimenopause and menopause, with over 85% of women reporting hot flashes. Hormone changes affect your bodys internal thermostat. A hot flash feels like a wave or sensation of heat across your face, neck, and chest. It can last for several minutes. Hot flashes can happen a few times a day, a few times a week, or less often.

Hot flashes that happen at night are called night sweats, which can cause women to wake up drenched in sweat and disturb sleep. Women are more likely to report hot flashes at night.

How Is Incontinence Treated

There are many different factors that your healthcare provider will consider when creating a treatment plan for your incontinence. The type of incontinence and the ways it affects your life are both big considerations. Your provider will also talk to you about the type of treatment you are most comfortable with. There are three main types of treatment you can explore for incontinence medications, lifestyle changes and surgery. Each option has pros and cons that your provider will discuss with you.

Medications to treat incontinence

There are quite a few medications that can reduce leakage. Some of these drugs stabilize the muscle contractions that cause problems with an overactive bladder. Other medications actually do the opposite thing relaxing muscles to allow your bladder to empty completely. Hormone replacement therapies can often involving replacing estrogen thats decreased during menopause may also help restore normal bladder function.

In many cases, medications can work very well to return normal function to the bladder. Your provider will carefully select a medication that matches your specific needs. Often, your provider will start you on a low dose of the medication and then increase it slowly. This is done to try and reduce your risks of side effects and to keep track of how well the medication is working to treat your incontinence.

Common medications that can be used to treat incontinence include:

Lifestyle changes to manage incontinence

What Else Should I Ask My Healthcare Provider

You may also want to ask your healthcare provider:

  • How long should I expect perimenopause to last?
  • What can I do to decrease symptoms naturally?
  • Am I a candidate for hormone therapy?
  • What are the signs perimenopause is ending?
  • What do I need to do to take care of my health through this transition?
  • Am I up-to-date on all my health screening tests such as a pap smear and mammogram?

A note from Cleveland Clinic

Perimenopause is the transition to menopause. During perimenopause, you may start having menopause-like symptoms, such as hot flashes, mood swings or vaginal dryness. Most perimenopause symptoms are manageable. But if you need help managing symptoms, medications and other treatments are available. For some people, estrogen therapy may be an option. Perimenopause can last from a few months to several years. Perimenopause ends when youve had no period for a full year. At that point, you enter menopause.

Last reviewed by a Cleveland Clinic medical professional on 06/25/2021.

References

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Menopause Symptoms At Age 45

Around the age of 45 many women enter pre-menopause and start to notice the first signs that menopause is coming. For some women, the symptoms are mild and short-lasting. For others, menopause symptoms can be disruptive and long-lasting.

Some of the earliest signs of menopause may include:

Changes to your period

Period changes are usually the first signs of menopause. For example, your period may start to happen every six to eight weeks. Or you may miss a couple months before it comes back again. You may also have a heavier flow or a lighter flow from time to time.

That said, its important to know you can still get pregnant during perimenopause. So, continue to use birth control in the lead up to menopause as you normally would. Also, if youve missed your period and youre not sure whether perimenopause has started, consider taking a pregnancy test as a first step.

Mood changes

As your hormone levels change, you may find yourself more irritable, anxious, sad or forgetful than usual. Your sex drive can also decrease or increase.

These changes are very typical as your body approaches menopause. So, be kind to yourself, practice self-care and ask for help if youre having trouble.

Sleeping problems

You may find it difficult to get to sleep, or you may wake up in the middle of the night. Sleep trouble can contribute to a constant feeling of tiredness, which can make you moodier.

What Questions Should I Ask My Healthcare Provider

Periods And Menopause Month Two Causes What One
  • What is the cause of my hair loss?
  • How many strands of hair am I losing per day?
  • What type of hair loss do I have?
  • Will my hair loss be permanent?
  • Whats the best treatment for me?

A note from Cleveland Clinic

Hair loss may cause you distress whether it happens because of genetics, a disease, or even stress. Know that there are some treatments you can try, and expert dermatologists are there to help you. Your hair loss may be able to be reversed. See your healthcare provider as soon as you notice something wrong because the sooner you start treatment, the better.

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Symptoms Of The Menopause

Most women will experience menopausal symptoms. Some of these can be quite severe and have a significant impact on your everyday activities.

Common symptoms include:

Menopausal symptoms can begin months or even years before your periods stop and last around 4 years after your last period, although some women experience them for much longer.

Sleep Problems And Mood Swings

Try these options to avoid sleep problems:

  • Avoid large meals, smoking, coffee, or caffeine after noon.
  • Avoid napping during the day.
  • Avoid exercise or alcohol close to bedtime.
  • Drink warm milk or warm caffeine-free tea before bed.
  • Sleep in a dark, quiet, and cool room.
  • Treat hot flashes to improve sleep.

Easing stress, eating right, and staying physically active can help with mood swings and sleeping problems. Your doctor may also prescribe medication to help with mood swings.

You should talk to your doctor about managing your symptoms and to rule out other conditions that may be causing your symptoms, like depression or asthma. Its also helpful to join a support group for women in menopause so you have a safe place to share your concerns and issues.

Your doctor may also prescribe menopausal hormone therapy to help treat your symptoms. MHT can ease:

  • hot flashes

Studies show that women who take MHT are at an increased risk of heart attack, stroke, and blood clots. The risks are similar for women using contraceptive pills, patches, and rings. However, women taking MHT are older, and the risks increase with age.

Many women cant take MHT because of a previous illness such as cancer or because they take other medications.

Additional research found that the risk of getting breast cancer can increase with five or more years of continuous MHT use .

Women who have had their uterus removed will use estrogen-only therapy.

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What Can I Do To Help Myself

To help you manage hot flushes, simple things like wearing light clothing, using a fan and keeping your bedroom cool could help.

If youre struggling with your mood, consider trying self-help measures like relaxation, getting enough sleep and staying active. Regular physical activity and eating a healthy diet can also help to improve menopausal symptoms.

How Long Do Symptoms Last

Irregular Periods During Perimenopause

Perimenopausal symptoms can last four years on average. The symptoms associated with this phase will gradually ease during menopause and postmenopause. Women whove gone an entire year without a period are considered postmenopausal.

Hot flashes, also known as hot flushes, are a common symptom of perimenopause. One study found that moderate to severe hot flashes could continue past perimenopause and last for a

Researchers also found that Black women and women of average weight experience hot flashes for a longer period than white women and women who are considered overweight.

Its possible for a woman to experience menopause before the age of 55. Early menopause occurs in women who go through menopause before theyre 45 years old. Its considered premature menopause if youre menopausal and are 40 years old or younger.

Early or premature menopause can happen for many reasons. Some women can go through early or premature menopause because of surgical intervention, like a hysterectomy. It can also happen if the ovaries are damaged by chemotherapy or other conditions and treatments.

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Should I Continue Using Birth Control During The Transition To 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.

How Long Are Normal Perimenopause Periods

Ordinarily, your menstrual cycle occurs every 21 to 35 days and lasts from 2 to 7 days. However, perimenopause periods can last much longer. Some months, the ovaries might not produce sufficient levels of estrogen and progesterone, preventing menstruation altogether. Other months, the imbalance might cause the uterine lining to become overly thick, which means it will take longer to be shed by your body to shed.

Excessive bleeding and long periods are fairly common during perimenopause. Many women experience an increased flow and extended perimenopause periods before entering menopause.

If youve had periods that are several days longer or more frequent or heavier than usual, its a good idea to see your doctor.

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Can I Still Get Pregnant During Perimenopause

Yes. You may be less likely to get pregnant during perimenopause, but it’s still possible. As long as you have a period, you can still get pregnant. If you want to expand your family during this time, speak with your healthcare provider about your health, fertility and possible fertility treatment options.

When your periods are irregular, you may be more likely to get pregnant unexpectedly. If you dont want to expand your family at this age, continue using birth control until your healthcare provider tells you its safe to stop. Continue to practice safe sex to prevent sexually transmitted diseases throughout your life.

Menopause Symptoms: Age 50

6 Early Signs of Menopause in Women

Most women will have their last period around the age of 50. Twelve months without a period later, menopause is reached and post-menopause begins.

As menopause gets closer, your estrogen and progesterone levels start to decline more rapidly. As a result, your symptoms will likely become more intense.

Your periods will probably become more irregular. You may experience greater mood swings. And you might experience an increase in insomnia. Plus, youll likely start experiencing new symptoms that are common right around or right after reaching menopause, including:

Hot flashes and chills

Hot flashes can happen during pre-menopause, but theyre most often reported right around menopause and in the first few years of post-menopause. These are sensations of heat that develop around your face, neck and chest, and may spread to other areas of your body. They usually last for just a few minutes.

Alongside the feeling of heat, your skin may redden, you may sweat, your heart rate might increase and your mood may change. Afterward, you may feel chills.

Doctors arent sure why hot flashes happen but there are ways to lessen their impact. Some tips include:

  • Try to stay in cooler environments
  • Dress lightly or wear layers you can remove
  • Manage stress

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How Long From My First Skipped Cycle Until My Final Period

Again there are no answers based on studies of womens experiences. Although previously, gynecological physicians considered

can become longer if we get another period, as 10-20% of us normally do10. The younger we are, the more likely it is that we will experience a further flow. Then, the last year clock starts again!

Do I Need To See A Doctor If I’m Going Through Menopause

Menopause is a normal process that does not always require medical intervention. However, you may wish to discuss your symptoms with your doctor especially if they are affecting your quality of life.

Your doctor may recommend tests if there is concern that physical changes are a sign of illness, such as thyroid disorder or if spontaneous menopause occurs at an early age.

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Looking After Yourself During Menopause

Menopause is a normal part of life. Allow yourself time to adjust to what you are experiencing and try to get support from others, especially from your partner and family. If they understand what you are going through it will help them know how they can best support you.

Don’t forget about contraception!

  • If aged less than 50 years, the general advice is you still need contraception for two years after your final menstrual period .
  • If you are aged 50 years or more when you reach menopause, you need to continue to use contraception for at least one year after your final period.

Read more about self-care for menopause

Hormone Levels Fluctuate Leading To Menopause

Causes of Periods Every two weeks or Two Periods in one Month- Charlies-Magazines

As you approach menopause, the production of female hormones by the ovaries starts to slow down. Hormone levels tend to fluctuate, and you may notice changes in your menstrual cycle such as:

  • period cycles may become longer, shorter or totally irregular
  • bleeding may become lighter
  • bleeding may become unpredictable and heavy .

Eventually, your hormone levels will fall to a point where your ovaries stop releasing eggs, your periods stop and menopause is reached.Although fertility after the age of 45 is low, you still need to use contraception to prevent pregnancy. Its recommended to continue contraception until you have had one year without a natural period if youre over 50 years old, or two years without a natural period if youre under 50.

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How Can Hair Loss In Women Be Prevented

Preventing hair loss is not possible when it is due to disease, aging, heredity or physical stressors like injuries. You can prevent hair loss caused by caustic chemicals or tight hairstyles by avoiding them. You might be able to prevent some hair loss by eating a healthy diet that provides necessary nutrients in terms of vitamins, minerals and protein. You can stop smoking.

When Should I See A Doctor About Incontinence

Its important to know that incontinence can be treated. Many people believe that its something that just goes along with aging and is an unavoidable issue. If you find that incontinence is disturbing your daily activities and causing you to miss out on things you typically enjoy, talk to your healthcare provider. There are a wide range of options to treat incontinence.

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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.

Why Does Menopause Occur

How to Tell If Irregular Periods Are a Sign of Menopause

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  • Natural menopause occurs when levels of oestrogen and progesterone decline naturally.
  • Premature menopause is when periods stop before the age of 40 years. This can be due to many reasons including medical conditions such as diabetes or underactive thyroid , and surgery or medications that have affected the blood supply to the ovaries. Genetic factors may also play a part as premature menopause can run in families. Women who smoke are also more likely to go through premature menopause. Sometimes, however, there is no identifiable cause.
  • Artificial menopause is a consequence of surgical removal of both ovaries or destruction of the ovaries by some cancer treatments. With artificial menopause there is a sudden drop in hormone levels and menopausal symptoms begin abruptly. Often the symptoms experienced are more severe than those experienced with natural or premature menopause.

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