Can Menopause Affect Sleep
Some women may experience trouble sleeping through the night and insomnia during menopause. Insomnia is an inability to fall asleep or stay asleep at night. This can be a normal side effect of menopause itself, or it could be due to another symptom of menopause. Hot flashes are a common culprit of sleepless nights during menopause.
If hot flashes keep you awake at night, try:
- Staying cool at night by wearing loose clothing.
- Keeping your bedroom well-ventilated.
Avoiding certain foods and behaviors that trigger your hot flashes. If spicy food typically sets off a hot flash, avoid eating anything spicy before bed.
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Progesterone Period Or Pregnancy
Increasing oestrogen levels cause a surge in LH;mid-cycle leading to the release of an egg from the ovaries. In the second half of the cycle the corpus luteum forms in the ovary at the site where the egg was released and begins to produce progesterone. This progesterone stops endometrial growth and prepares the uterus for the possible implantation of a fertilised egg. If fertilisation does not occur, the corpus luteum degenerates, progesterone concentrations fall, and the endometrial lining is shed .
Progesterone levels peak 7 days prior to the onset of menses. If a menstrual cycles is regular and conforms to a standard 28 day length, progesterone concentrations will normally peak on approximately day 21 of the cycle .
When assessing for ovulation, progesterone should be measured at day 21 of the cycle or 7 days prior to the expected onset of menses. If a woman has an irregular or prolonged cycle then progesterone can be measured on a weekly basis until the onset of menses.
If an egg is fertilised following ovulation, and becomes implanted in the uterus, the corpus luteum continues to produce progesterone. After several weeks, the placenta replaces the corpus luteum as the main source of progesterone, producing relatively large amounts of the hormone throughout the rest of a normal pregnancy.
If progesterone concentrations do not rise and fall on a monthly basis, a woman may not be ovulating or having menstrual periods.;
How Do I Know If I Am Going Through Early Menopause
Symptoms of menopause usually begin in your early forties. Anything earlier than this is considered early menopause. Early menopause is not uncommon, and often occurs naturally, however it can also be caused by a variety of outside factors. Talking to your doctor and identifying what triggered premature menopause is the first step in dealing with the symptoms and consequences of premature menopause.
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Features Of Selfcheck Menopause Test
- Provides a reliable estimate
*Please note:;If your chosen pharmacy is in the North West, North East, Yorkshire, the Isle of Man, Channel Islands or Scottish Highlands and Islands your order will take an additional working day to these delivery times.;To find out if your pharmacy is impacted;.
Testing + Symptoms = Diagnosis
This time is a period of great fluctuation, both in terms of your symptoms and in terms of your lab tests and hormones.;
Your hormones and prohormones may fluctuate wildly during this time which means that checking just one time may not necessarily be accurate.;
As a woman is going through the menopause transition its not uncommon for her body to attempt to menstruate.;
This attempted menstruation may cause small to large rises in hormone levels which may alter your symptoms.;
Because of this, you dont want to rely heavily on one form of diagnostic tool over another.;
Instead, its best to combine both your symptoms and use them in conjunction with your lab tests .;
This is especially important if you are suffering from early menopause.;
Women who suffer from early menopause may be pushed aside as having depression as opposed to true ovarian failure/menopause.
The good news is that it is easily testable and that you can be sure what is happening in your body with a couple of lab tests.;
During menopause, we know that your estradiol levels and progesterone levels WILL fall dramatically.;
When in doubt, make sure to ask your doctor for the lab tests listed above as they may help to explain what is happening in your body.;
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How Is Menopause Diagnosed
There are several ways your healthcare provider can diagnose menopause. The first is discussing your menstrual cycle over the last year. If you have gone a full year without a period, you may be postmenopausal. Another way your provider can check if you are going through menopause is a blood test that checks your follicle stimulating hormone level. FSH is a hormone produced by the pituitary gland this gland is located at the base of your brain. However, this test can be misleading during the beginning of menopause when your body is transitioning and your hormone levels are fluctuating up and down. Hormone testing always need to be interpreted in the context of what is happening with the menstrual period.
For many women, a blood test is not necessary. If you are having the symptoms of menopause and your periods have been irregular, talk to your healthcare provider. Your provider may be able to diagnose menopause after your conversation.
What Is Premature Menopause
Menopause, when it occurs between the ages of 45 and 55, is considered “natural” and is a normal part of aging. But, some women can experience menopause early, either as a result of a surgical intervention or damage to the ovaries . Menopause that occurs before the age of 45, regardless of the cause, is called early menopause. Menopause that occurs at 40 or younger is considered premature menopause.
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Information For Women Having Treatment Likely To Cause Menopausestatement 5
Certain medical or surgical treatments, such as cancer treatments and gynaecological surgery, can affect fertility and induce menopause.1,4 It is important that women who require treatment of this kind are provided with information about menopause and fertility before they have their treatment, as they may be younger than women experiencing natural menopause and therefore less likely to be aware of menopausal symptoms.;
Left untreated, menopause symptoms can lead to long-term poor health outcomes and potential psychological trauma.6 Promoting awareness of menopausal symptoms increases the likelihood that women will access treatment and services as soon as they need them, and empowers women to make an informed choice about their ongoing hormonal status.;
Free Or ‘unattached’ Testosterone
Women’s ovaries also make small amounts of testosterone. The hormone is involved with many organs and body processes in women. Consultant Gynaecologist, Mr Mike Savvas explains that testosterone is often thought of as a male hormone, however, it is an important protective hormone in women too.
Unlike;oestrogen;which declines very sharply with the;menopause,;testosterone, which is produced by the;ovaries;and the;adrenal glands, starts to decline very slowly from the 20s or 30s. The level of testosterone in women in their 60s is around half that seen in women around 30 years of age. While the value of oestrogen replacement is well established the value of testosterone is often unrecognised.
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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’.
Purchasing In Bulk/high Unit Volume
Please note that when purchasing high unit volumes of single lines that delivery promotions are null and void.This is as a result of high volume orders not being able to be dispatched via our normal third party fulfilment.As a result for any excessive bulk orders of single lines we will be in touch regarding your order to discuss further delivery costs that will be incurred.
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Diagnosis Of Of Perimenopause
Perimenopause is a natural part of life, and also represents a point of transition that can last several years. For these reasons, perimenopause is not typically diagnosed unless its symptoms cause significant discomfort or inconvenience.
If your doctor suspects that another condition, such as a thyroid issue or hormonal imbalance, may be causing your symptoms , he or she may recommend hormone testing. Hormone testing is done through a hormone panel to test your levels of estrogen and other sex-linked hormones. This kind of testing can often show whether you are nearing or in menopause.
How Long Does Perimenopause Last
The length of each stage of the menopause transition can vary for each individual. The average length of perimenopause is about four years. Some women may only be in this stage for a few months, while others will be in this transition phase for more than four years. If you have gone more than 12 months without having a period, you are no longer perimenopausal. However, if there are medications or medical conditions that may affect periods, it can be more difficult to know the specific stage of the menopause transition.
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Types Of Perimenopause Tests
Because each woman experiences perimenopause symptoms differently, doctors will take many factors into consideration when determining if a woman has entered perimenopause, including perimenopause test results, menopause symptoms, age, and menstrual history, among others.
The following hormones can be checked via saliva, urine, or blood tests to determine perimenopause. Speak with your healthcare professional about which would be best for you.
What Are The Symptoms
Common symptoms include:
- Irregular periods. Some women have light periods. Others have heavy bleeding. Your menstrual cycle may be longer or shorter, or you may skip periods.
- Vaginal dryness.
Some women have only a few mild symptoms. Others have severe symptoms that disrupt their sleep and daily lives.
Symptoms tend to last or get worse the first year or more after menopause. Over time, hormones even out at low levels, and many symptoms improve or go away.
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Signs: How To Identify Perimenopause
Of course, women may not require a perimenopause quiz to understand that the early phase of this life stage has begun. Certain health changes and conditions may explain everything. Therefore, you should be attentive to your body signals and remember the following essentials:
Using a perimenopause quiz, you may recognize most or even all signs mentioned on our list. Therefore, this quiz may be additional evidence that the signs you feel surely mean that early menopause has begun. Nonetheless, you should obligatorily go to your doctor to confirm or refute this crucial assumption.
You should know about the risk factors, which may cause early menopause. Among them are active smoking, family history, cancer treatments, and a hysterectomy. Each factor may start the phase faster. For example, smoking women are more likely to have perimenopause than the ones who dont smoke. Under these conditions, their climax may come about 1-2 years earlier.
Nice Guidance On Menopause
In November 2015, NICE Guideline 23 on Menopause: diagnosis and management was published, providing recommendations for healthcare professionals who care for women in menopause.1 NICE NG23 also includes a section with information for the;public, which provides women with information about what to expect from a healthcare professional if they have menopausal symptoms.;
NICE Quality Standard 143,4 published in February 2017, distils the key points from NICE NG23 into measurable statements that can be used to assess the quality of care provided and quantify potential improvements to clinical practice. The five quality statements that make up NICE QS143 are listed in Table 1 and discussed in detail below.;
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Diagnosing Perimenopause And Menopausestatement 1
The single greatest change in clinical practice is that clinicians now have the green light to make a positive diagnosis of menopause in healthy women aged over 45 years based on symptoms alone, without the use of laboratory tests; diagnosis can be confirmed in women presenting with:1,4
- perimenopause based on vasomotor symptoms and irregular periods;
- menopause in women who have not had a period for 12 months and are not using hormonal contraception;
- menopause based on symptoms in women without a uterus.;
The most commonly used laboratory test is follicle-stimulating hormone ; however, evidence suggests that FSH testing does not reliably aid a diagnosis of menopause in women aged over 45 years because levels of this endocrine marker fluctuate considerably in the years leading up to menopause.1
Approximately 70% of FSH tests are currently received by women over the age of 45 years, but with implementation of Quality Statement 1 it is expected that this will fall to around 15%.5 This recommendation also has the potential to bring significant cost savings to the NHS.5 At approximately £15 per test, an estimated national saving of £9.6 million is predicted by reducing unnecessary FSH testing.5
Audit is recommended to measure the proportion of women aged over 45 years for whom a diagnosis of perimenopause or menopause is made based on symptoms alone, without the use of laboratory tests.;
Can Blood Tests Help To Manage Menopause And Hrt
There is increasing interest in whether blood testing can predict the onset of menopause, and whether it is useful in the management of hormone replacement therapy . We ask the experts if blood tests to assess hormones are worth considering.
Reviewed byDr Sarah Jarvis MBE
29-Sep-20·7 mins read
In the UK, the average age a woman will reach menopause is 51, though anywhere between 45 and 55 is still considered to be within the normal range. For some women, menopausal night sweats, painful joints, depression, and vaginal and bladder issues can be hugely debilitating. Hormone replacement therapy is one option to help manage these symptoms and alternatives to HRT are also available.
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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 .
Why Testing Is Important
Perhaps the most important aspect of testing has to do with what you do you with that information.;
What I’m referring to is the treatment for menopause.;
Knowing you are in menopause is only a small part of the battle.;
The next most important step is what you decide to do as a result of that information.;
As a woman, you will find that menopause hits certain women harder than others.;
Some women can go through their life with a few hot flashes and maybe some minor weight gain while others can be completely incapacitated.;
The decision to use treatment largely depends on you and how badly you are suffering from symptoms.;
The good news is that there is a VERY effective treatment for menopause known as hormone replacement therapy or HRT.;
The goal of HRT is NOT to give you more hormone than you need or to bring back your menstrual cycle or anything like that.;
It’s simply to provide your body with the exact replica of youthful hormone that your body has been used to for decades to help reduce your symptoms and improve your quality of life.;
HRT has been shown in many studies to completely reverse the symptoms associated with menopause in a matter of days.;
Because menopause is the result of the DECLINE in these hormones, so it makes perfect sense that the treatment would be to provide your body back with these hormones.;
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Does It Matter How Far After Menopause You Are Say Six Months Post
Dr. Jessie: It doesnt. Post-menopausal bleeding can be an indicator for abnormal cells in the uterine lining at any point after menopause. While there are probably more benign conditions that can cause some vaginal bleeding the closer you are to menopause , if you have gone a full year without a period, you need to get in to see your doctor.
What Happens At Menopause
Women are born with about a million eggs in each ovary. By puberty about 300,000 eggs remain, and by menopause there are no active eggs left.
On average, a woman in Australia will have 400-500 periods in her lifetime. From about 35-40 years of age, the number of eggs left in your ovaries decreases more quickly and you ovulate less regularly until your periods stop. Menopause means the end of ovulation.
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Understanding Your Menopause Blood Test Results
Your hormones fluctuate a lot, especially leading up to menopause. So it’s often recommended that you do a second test, 4-6 weeks later, if your first FSH level is raised to build a more accurate picture. If your FSH levels are raised in both instances, then it can suggest that youre menopausal.
Heres a brief overview of what your results might show.
Thyroid hormonesIf your thyroid hormones are out of range it can cause symptoms like irregular periods, weight changes, tiredness, anxiety, and restlessness similar to menopausal symptoms. So its a good idea to rule out a thyroid disorder when doing a menopause test.
FSHIn most cases, your FSH levels are the strongest indicator that youre perimenopausal or menopausal especially if its combined with missing periods.
OestrogenYour oestrogen levels drop as you reach menopause which is largely responsible for a lot of symptoms associated with menopause.
If your results show low oestrogen levels this can mean that youre perimenopausal or menopausal.
Luteinising hormone Your LH levels increase as you reach menopause. Raised LH levels, combined with your other hormone levels, can indicate that youre perimenopausal or menopausal.
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