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How Old Do Women Start Menopause

What Questions Should I Ask My Doctor

Perimenopause Age Range | When Does Menopause Start?

Discuss your perimenopause symptoms with your healthcare provider. It might help to keep a journal of your menstrual cycles including when they start and stop and the amount of bleeding.

Some questions you should ask are:

  • Are these symptoms of perimenopause?
  • What can I do to relieve my symptoms?
  • How long do you think I will have these symptoms?
  • Would hormone therapy be an option for me?
  • Do I need to start taking medication or vitamins?
  • Are there any tests that should be done?
  • Can I still become pregnant?

When To Start Hrt: Earlier May Be Better But Its Never Too Late

Asking, When should I start hormone replacementtherapy? seems like it risks slipping into tautology, or at the very leastredundancy. After all, isnt the answer, When you need more hormones. But thereal answer is more complicated.

Every woman ages differently. Every woman goes through hormonal changes differently. And every woman approaches menopause differently. However, there are broad guidelines that can help you decide if and when hormone replacement therapy is the best choice. Significantly, knowing when to start HRT can help you maximize its impact while minimizing any risks. By strategically considering the timing of treatment, you may not only prevent unnecessary suffering, but protect your health for years to come.

At What Age Does Perimenopause Begin

Perimenopause begins about eight to 10 years before menopause. It usually starts in your mid-40s, but it can start earlier. Completing menopause before age 40 is called premature menopause. Some medical conditions or procedures cause early menopause. If there is no medical or surgical cause for premature menopause, it’s called primary ovarian insufficiency.

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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 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 people, 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.

How Can I Treat The Symptoms

Can Menopause Start At Age 43

There are a bunch of ways.

Lifestyle changes. A healthy diet and regular exercise program will help manage your symptoms and boost your health. This is a great time to finally kick any old, unhealthy habits like smoking or drinking too much alcohol. To help with hot flashes, dress lightly and in layers. Avoid triggers like caffeine and spicy foods. And if you stay sexually active, that may help preserve your vaginal lining.

Prescription medication for hot flashes. If you still have your uterus, your doctor might prescribe treatment with estrogen and progesterone. This is called combination hormone therapy or hormone replacement therapy . It helps with hot flashes and night sweats, and it may help prevent osteoporosis. If you donât have a uterus, you might get estrogen alone.

Hormone therapy isnât for everyone. Donât take it if you’ve ever had breast cancer, uterine or “endometrial” cancer, blood clots, liver disease, or a stroke. Also don’t take it if you might be pregnant or you have undiagnosed vaginal bleeding.

If you can’t or don’t want to take hormones, other medications can ease symptoms. They include antidepressants, antiseizure drugs, or blood pressure medications to help with hot flashes and mood swings.

Prescription and OTC medication for vaginal dryness and sleep problems. You can try topical estrogen, lubricants, and non-estrogen prescriptions for dryness and painful sex. OTC or prescription sleep aids can help if you have trouble falling asleep.

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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 sleep well because of hot flashes and you may experience mood swings. Anxiety and fear could also be at play during this time. All of these factors can lead to depression.

If you experience 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.

Home Remedies: Vitamin E Black Cohosh And Herbs

Vitamin E

Some women report that vitamin Esupplements can provide relief from mild hot flashes, but scientific studies are lacking to prove the effectiveness of vitamin E in relieving symptoms of menopause. Taking a dosage greater than 400 international units of vitamin E may not be safe, since some studies have suggested that greater dosages may be associated with cardiovascular disease risk.

Black Cohosh

Black cohosh is an herbal preparation promoted for the relief of hot flashes. Clinical trials show that black cohosh is actually no more effective than placebo in controlling hot flashes.

Other alternative therapies for menopause symptoms

There are many supplements and substances that have been advertised as “natural” treatments for symptoms of menopause, including licorice, dong Quai, chaste berry, and wild yam. Scientific studies have not proven the safety or effectiveness of these products.

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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:

Calcium

Vitamin D

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.

What Age Does Menopause Start

What is perimenopause, and at what age does a woman experience it?

The average age of menopause in the United States is 51 years old, but you may enter perimenopause years in your 40s or 50s, says Felice Gersh, MD, an OB-GYN with Integrative Medical Group.

Medical term: Early menopause is when your period stops sooner than expected. If this happens before 40 it’s called primary ovarian insufficiency, which affects about 1% of women ages 30-39.

There are a few different factors that influence when you may enter menopause, including:

  • Smoking. People who smoke are more likely to go through menopause sooner and experience more severe symptoms. In fact, a 2012 analysis found a 43% increased risk of menopause occurring before age 50 in women who smoked compared to nonsmokers.
  • Family history. If you have a family history of early menopause, you are more likely to experience an early onset too.
  • Certain medical conditions, like Turner Syndrome. Turner syndrome is a genetic disorder that affects the X chromosome and can cause ovarian dysfunction, leading to early menopause.
  • Surgical removal of your ovaries will lead to menopause but this can be treated with estrogen and/or progesterone replacement or non-hormonal medications. If you have a hysterectomy but your ovaries are not removed, you will continue to produce estrogen so will not likely experience menopausal symptoms like hot flashes. Much of the treatment plan will depend on the age at which you have your ovaries removed.

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An Early First Menstrual Period May Lead To Premature Menopause

How do you know if you’re starting perimenopause?

The most telling symptom is changes in your menstrual cycle, says psychiatrist Hadine Joffe, the executive director of the Connors Center for Women’s Health and Gender Biology at the Brigham and Women’s Hospital in Boston.

“It’s the menstrual cycle pattern that really defines this lead-up to menopause,” she says. During perimenopause, periods “might be shorter, then a long one, or then a skipped one, or then the flow might be different,” says Joffe.

There’s no blood or hormone test that can “diagnose” perimenopause. Joffe says a hormone test isn’t helpful because hormonal cycles become erratic and unpredictable during this stage.

“There’s not really one point in time when a hormone test is done that can be definitive,” she says. Even if you took several tests over time, “you might get a very different readout.”

Surprisingly, sometimes doctors aren’t prepared to help women recognize the start of this life phase. Edrie was upset at her doctors’ responses â or lack thereof. “I felt so disappointed in the medical industry. How many women has my OB/GYN seen and not recognized the symptoms of perimenopause?”

What symptoms to expect

Should I Be On Birth Control During Perimenopause

Yes. If you do not want to become pregnant, you should use birth control during perimenopause. Even if you are getting your period every few months, you are still ovulating those months. Since its not possible to predict when you are ovulating, you should use birth control until you havent gotten a period for at least 12 months.

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How Can You Alleviate Perimenopausal Symptoms

Some women deal with the symptoms of perimenopause, and some women seek treatment for specific health concerns. Women with heavy bleeding, periods that last longer than seven days, spotting between periods or cycles that are less than 21 days should contact a doctor.

Typically, perimenopause is a gradual transition, and no particular test indicates what is happening to the body. Hormone therapy, vaginal estrogen treatments and antidepressants can help treat perimenopausal symptoms.

Start by identifying what’s bothering you most and then working with your doctor to address it. There are steps you can take to feel better. Lifestyle changes that can make a big impact in easing perimenopausal symptoms and improving your overall health include:

  • Yoga

What Are The Effects Of Early Or Premature Menopause

What Is Menarche, And What It Can Say About Your Health

Women who go through menopause early may have symptoms or health problems similar to those of regular menopause.

But some women with early or premature menopause may also have:

  • Higher risk of serious health problems, such as heart disease and osteoporosis, since women will live longer without the health benefits of higher estrogen levels. Talk to your doctor or nurse about steps to lower your risk for these health problems.
  • More severe menopause symptoms. Talk to your doctor or nurse about treatments to help with symptoms if they affect your daily life.
  • Sadness or depression over the early loss of fertility or the change in their bodies. Talk to your doctor if you have symptoms of depression, including less energy or a lack of interest in things you once enjoyed that lasts longer than a few weeks. Your doctor or nurse can recommend specialists who can help you deal with your feelings. Your doctor or nurse can also discuss options, such as adoption or donor egg programs, if you want to have children.

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Hormone Levels Fluctuate Leading To Menopause

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.

What Causes The Menopause

The menopause is caused by a change in the balance of the body’s sex hormones, which occurs as you get older.

It happens when your ovaries stop producing as much of the hormone oestrogen and no longer release an egg each month.

Premature or early menopause can occur at any age, and in many cases there’s no clear cause.

Sometimes it’s caused by a treatment such as surgery to remove the ovaries , some breast cancer treatments, chemotherapy or radiotherapy, or it can be brought on by an underlying condition, such as Down’s syndrome or Addison’s disease.

Page last reviewed: 29 August 2018 Next review due: 29 August 2021

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How Can I Reduce My Risk Of Perimenopause Complications

Irregular periods are the most common symptom of perimenopause. But its important to know when to talk to your healthcare provider about your periods. Sometimes, irregular bleeding can point to an underlying problem.

You can lower your risk of complications by seeking treatment when necessary. Talk to your healthcare provider if you:

  • Bleed for more than seven days in a row.
  • Bleed between periods.
  • Change pads or tampons every one to two hours.
  • Have periods more frequently than every 21 days.

Will Hormone Therapy Help Prevent Long

What age does menopause start?

The benefits and risks of hormone therapy vary depending on a womans age and her individual history. In general, younger people in their 50s tend to get more benefits from hormone therapy as compared to those who are postmenopausal in their 60s. People who undergo premature menopause are often treated with hormone therapy until age 50 to avoid the increased risk that comes from the extra years of estrogen loss.

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Can I Have An Orgasm After Menopause

Yes, you can still have an orgasm after menopause. An orgasm may feel hard to achieve once you have reached menopause, but there is no physical reason to prevent you from having an orgasm. Using lubricants and increasing foreplay can help with discomfort. Try to be open with your partner about your feelings and talk to them about what feels good.

When Does Menopause Begin

Menopausal symptoms usually start from around age 47 years. The final menstrual period is usually about age 51 but can vary considerably. There is currently no reliable way to predict when you will experience menopause and what your menopausal symptoms will be like.

When menopause happens before 40 years it is called premature, and when it happens before 45 years it is called early. Menopause after age 45 years is considered normal and there is no upper age limit to when it can begin. However, most women have experienced menopause by age 55 years.

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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.

When Does Menopause Start

Gynecologist Guides Women Through Menopause Treatment

Though menopause is defined as starting one year after the end of a person last period, they may begin experiencing symptoms earlier.

According to the North American Menopause Society, the average age for a woman to reach menopause in the United States is 51 years. However, this age range varies. Menopause may happen early when a woman is in her forties or later when she is in her late 50s.

The onset of menopause can also follow surgery that reduces ovarian function or hormones, such as a hysterectomy, where a surgeon removes the uterus, or surgery or other treatments for cancer. In these circumstances, symptoms may begin rapidly as an adverse effect of these procedures.

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As Menopause Nears Be Aware It Can Trigger Depression And Anxiety Too

“Technically, menopause is only one day in a woman’s life, which is exactly when she has not had a period for 12 months,” she says. “It’s the period of time leading up to menopause that causes all the trouble.”

And it can start earlier than you might think. Many listeners wrote to us in response to our call-out for individual experiences with menopause to say that they struggled to get medical support for perimenopause in their mid-30s and early 40s.

When Edrie went back to her OB/GYN with the fertility clinic’s conclusion, she says the doctor shrugged again and told her that menopause is a normal part of life. She wasn’t satisfied with that answer. “Yeah, it’s a normal part of life, but it would be great if we could talk about it and figure out strategies.”

With that spirit in mind, we reached out to endocrinologists, gynecologists and psychiatrists for advice about navigating this major life transition.

How early can perimenopause start?

It’s quite possible for women to start to notice things changing in their mid-30s. Most women arrive at menopause between the ages of 45 and 55, but perimenopause can start as much as a decade beforehand. And about 1% of women in the U.S. reach menopause at age 40 or younger.

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