Are You Headed Toward Early Menopause
There are many negative health consequences linked to early menopause, including a higher risk of osteoporosis and fracture, heart disease, cognitive impairment and dementia, and early death, says Dr. Faubion.
If you have questions about when youll experience menopause and if you can do anything to change it, keep reading for answers.
At What Age Do Most Women Reach Menopause
The medical definition of menopause is no menstrual bleeding for a year, according to Lauren Streicher, MD, a clinical professor of obstetrics and gynecology and the medical director of the Northwestern Center for Menopause and the Northwestern Center for Sexual Medicine in Chicago.
Most women experience menopause between age 40 and 58, and the average age at menopause is 51, according to the North American Menopause Society.
Many women are surprised when they go through menopause in their forties because they think theyre too young, but its not unusual, says Dr. Streicher.
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.
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 .
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:
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Ht Forms And Regimens
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” 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.
Differences By Socioeconomic Status
A number of studies have observed that lower social class, as measured by the woman’s educational attainment or by her own or her husband’s occupation, is associated with an earlier age at natural menopause.,,,,,, However, results from a British birth cohort indicated that early life socioeconomic status was more strongly associated than adult status with age at natural menopause, although even the relation of early life SES was greatly attenuated when adjusted for childhood cognitive ability and having been breastfed. One study found that education was more strongly associated with age at natural menopause than occupation. Most studies that have examined the relation of marital status have found that single women undergo an earlier natural menopause, and this association cannot be explained by nulliparity.,,
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Q: How Long Will I Get Hot Flashes
A: On average, you may be looking at 10-15 years of living with hot flashes. Though they are sporadic, their unpredictability is very frustrating. Lets look at what you can expect:
- 40s: This is when most women start perimenopause. Some hot flashes and night sweats begin.
- 46-53: In the U.S., this is the average age for menopause, which is defined as 12 straight months with no period. Hot flashes tend to be most frequent in the two years after menopause.
- Late 50s: Most women continue to have hot flashes anywhere from 4-10 years after menopause. But most of these will decrease in frequency and severity.
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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Diagnosis Of Primary Ovarian Insufficiency
If you have irregular periods or have stopped your periods for more than three months, please see your doctor and make sure your doctor includes hormone tests to exclude early menopause.
Your doctor will need to do a full physical examination and investigate the cause of your symptoms.
The criteria for a diagnosis of POI are:
- at least three months without a period
- two blood tests to confirm whether the levels of follicle-stimulating hormone are more than 40IU/l the two tests need to be performed on the third day of your period and at least one month apart.
A doctor is likely to perform the following tests:
- pregnancy test, FSH and Oestradiol
- prolactin this is the hormone usually involved with breastfeeding, but when raised, it causes periods to stop
- transvaginal ultrasound this is an internal ultrasound of the vagina and uterus to check for evidence the ovary is functioning by:
- counting the number and size of the follicles or eggs in the ovary
- measuring the volume of the ovaries
- assessing the thickness of the lining of the uterus or endometrium
- checking for any blockage that is stopping menstrual blood flow.
Confirming That The Menopause Has Taken Place
Its not always easy to confirm that the menopause has actually happened. Of course, irregular periods and the occasional hot flush are a sign that changes are taking place, but identifying the time of the actual menopause is not so simple, especially if you are taking the Pill or have started Hormone Replacement Therapy for the relief of peri-menopausal symptoms.
The question may seem irrelevant, but it is helpful to know the date of your last period, not only so that you can respond to symptoms in the most appropriate way, but also for contraceptive purposes. A truly menopausal woman will be infertile and will have no need of contraception. However, most doctors advise menopausal women under 50 to continue with their contraception for two years after their last period and for one year if they are over 50.
Most doctors will evaluate a womans menopausal status according to her symptoms , pattern of periods, and medical record. It is possible to take a blood test to measure levels of a reproductive hormone known as FSH. However, while elevated FSH levels may be a sign of the menopause, the test is not always accurate and results cant be guaranteed. Measurement of FSH is not required to diagnose perimenopause or menopause in women aged over 45 years.
This is also the case in those rare instances of premature ovarian Insufficiency, when the hormonal system fails at an early age and the ovaries lose their normal function.
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How Is Early Menopause Treated Or Managed
Early menopause generally doesnt require treatment. However, there are treatment options available to help manage the symptoms of menopause or conditions related to it. They can help you deal with changes in your body or lifestyle more easily.
Premature menopause, however, is often treated since it occurs at such an early age. This helps support your body with the hormones that would normally be made until you reach the age of natural menopause.
The most common treatment includes hormone replacement therapy . Systemic hormone therapy can prevent many common menopausal symptoms. Or you may take vaginal hormone products, usually in low doses, to help with vaginal symptoms.
HRT does have risks though. It can increase your chances of heart disease, stroke, or breast cancer.
Talk to your doctor about the risks and benefits to your individual care before starting HRT. Lower doses of hormones may decrease your risk.
When Does Perimenopause Start
The average age of menopause is 51, and perimenopause symptoms typically begin about four years before your final period. Most women start to notice perimenopause symptoms in their 40s. But perimenopause can happen a little earlier or later, too. The best predictor of when your final period will be is the age at which your mother entered menopause .
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Insomnia Fatigue Depression Tension
To symptoms also include insomnia. Because of problems or troubles or the stresses of the tides, a woman cant sleep. She is always worrying about something, it is not the feeling of anxiety. During sleep many of the observed respiratory disorders and movement disorders. Reduced ability to work, there is constant fatigue and weakness, irritability and even anxiety. Reduced concentration and memory, absent or greatly appears appetite, changing taste preferences.
A symptom of menopause at this age is depression, which is accompanied by depression, frequent mood swings, pessimism. It is caused by hormonal changes in the entire body. In this state, the woman tearful, apathetic and vulnerable. Those who have faced similar frustration earlier, are more likely to suffer from it during menopause. Stress and Smoking increase the risk of depression.
Unpleasant symptoms of menopause can cause insomnia
Treatments For Menopausal Symptoms
Your GP can offer treatments and suggest lifestyle changes if you have severe menopausal symptoms that interfere with your day-to-day life.
- hormone replacement therapy tablets, skin patches, gels and implants that relieve menopausal symptoms by replacing oestrogen
- vaginal oestrogen creams, lubricants or moisturisers for vaginal dryness
- cognitive behavioural therapy a type of talking therapy that can help with low mood and anxiety
- eating a healthy, balanced diet and exercising regularly maintaining a healthy weight and staying fit and strong can improve some menopausal symptoms
Your GP may refer you to a menopause specialist if your symptoms do not improve after trying treatment or if you’re unable to take HRT.
Here’s What Women Need To Know About Early Menopause Which Occurs Between Ages 40 And 45 And Premature Menopause Which Occurs Before Age 40
For Leslie Mac, it started with irregular menstrual periods. Mac, a digital strategist and organizer, didn’t think much of it, but once she started going months without menstruating, she decided to see her doctor. “Something must be wrong,” she remembered thinking.
“I didn’t even know it was possible to start the process so early,” Mac explained. By 34, she received a diagnosis of menopause, which is officially diagnosed when a woman goes a year without a menstrual period.
Menopause is a normal part of a woman’s life and signals the end of the reproductive years. In the U.S., this typically occurs around age 51, but 5% of women have early menopause, which occurs between ages 40 and 45, and 1% experience premature menopause, which occurs before age 40.
While age of diagnosis may differ, premature and early menopause follow the same process as usual menopause. As women age, the levels of the hormones estrogen and progesterone in their body begin to decline. In premenopausal women, the ovaries produce these hormones in a regular cycle, and they’re important for both reproductive and overall health.
“You have estrogen receptors everywhere in your body,” explained Dr. Barb DePree, director of the Women’s Midlife Services at Holland Hospital, founder of MiddlesexMD and a member of HealthyWomen’s Women’s Health Advisory Council.
What Is Premature Menopause
When menopause occurs before age 40, it is said to be premature. This happens to approximately 1 percent of women. There are many reasons for premature menopause.
Ovaries may fail because of chemotherapy or radiation treatments for cancer. Menopause may occur early if one or both ovaries need to be removed surgically.
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Womens Wellness: 5 Things To Know About Early Menopause
So you missed a period. Or two. You think to yourself, Im too young for menopause. Right?
Not necessarily. Early menopause, between the ages of 40 and 45, affects about 5 percent of women. Premature menopause, before age 40, affects about 1 percent of women.
You are said to be in menopause if you have gone a full 12 months with no menstrual period. Thats when your ovaries stop making estrogen and progesterone, the female hormones necessary to maintain your menstrual cycles and fertility. For most women, menopause occurs naturally at about age 51. With increasing life expectancy, many women will spend up to 40 percent of their lives in the postmenopausal stage.
For some women, menopause is induced early because of treatments needed to save their lives, such as surgery, chemotherapy or radiation. For others, its genetic conditions, autoimmune disorders or even unknown reasons that bring about this change.
So, without a big neon billboard saying, Welcome to Menopause, what should you do? Here are 5 Things You Need to Know about Early Menopause:
3. Your family plans may change. If you wish to have a family, you may need to consider options such as freezing embryos or eggs. If you had planned to have children, you may need to allow yourself to envision a new dream, such as building your family through in vitro fertilization with donor eggs, adoption or surrogacy.
How To Determine The Beginning Of Menopause
At this age a woman can to take care of your health and to undergo an examination by a gynecologist and other doctors. This will help to identify violations in the body and many serious diseases.
The most frequent symptoms are:
- failure of the menstrual cycle
- the tides
- weight gain and high blood pressure
- insomnia, fatigue, depression, tension
- pain in muscles and joints
- the change in appearance.
Learn about the beginning of menopause can be due to a special test for the glycoprotein hormone. Its level increases at the onset of this period. If you go monthly, but there are already signs of menopause, it is necessary to conduct this test within six days of onset of menstruation and then repeated in seven days. Consistently high levels of FSH in the urine indicates the onset of the climacteric process.
Weight gain often accompanies menopause
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Emotional And Cognitive Symptoms
Women in perimenopause often report a variety of thinking and/or emotional symptoms, including fatigue, memory problems, irritability, and rapid changes in mood. It is difficult to determine exactly which behavioral symptoms are due directly to the hormonal changes of menopause. Research in this area has been difficult for many reasons.
Emotional and cognitive symptoms are so common that it is sometimes difficult in a given woman to know if they are due to menopause. The night sweats that may occur during perimenopause can also contribute to feelings of tiredness and fatigue, which can have an effect on mood and cognitive performance. Finally, many women may be experiencing other life changes during the time of perimenopause or after menopause, such as stressful life events, that may also cause emotional symptoms.
Should You Worry About Menopause In 48 Years
Mild and moderate climacteric syndrome is not a cause for concern. But in some situations you should seek the advice of a specialist and to undergo timely examination.
In severe symptoms of menopause prescribed hormone therapy, vitamins and other medications to maintain immunity.
Remember, that is treated not the menopause, and the effects of lower hormone levels. Noticing the first signs, it is not recommended to self-start therapy. The doctor himself individually selects the treatment regimen and dosage, based on analyses of the patient.
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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.
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.