How Will I Know If I Am Starting The Transition To Menopause
Sometimes it can be hard for you and your doctor to tell whether you are in perimenopause, the transition to menopause:
- Symptoms: Tell your doctor or nurse about any menopause symptoms, such as hot flashes or trouble sleeping.
- Irregular periods: Track your periods. Irregular periods may be your first sign of menopause.
- Hormone levels: Your doctor may test the amount of hormones in your blood if your periods stopped at an early age . Doctors dont usually recommend this test unless there is a medical reason to do so. This is because, for most women, hormone levels go up and down in an unpredictable way during the transition to menopause. So it is difficult to tell for sure whether you have gone through menopause or are getting close to it based on this blood test.
Are There Nonhormonal Options For The Management Of Menopausal Symptoms
Hormone therapy may not be the right choice for you. Some medical conditions may prevent you from safely being able to use hormone therapy or you may choose not to use that form of treatment for your own personal reasons. Changes to your lifestyle may help you relieve many of your symptoms without need for hormonal intervention.
Lifestyle changes may include:
What Is The Best Natural Remedy For Menopause Symptoms
There are some things you can do to improve menopausal symptoms. Achieving a healthy weight, exercising regularly, and eating foods rich in vitamin D and calcium can help. Foods with a high phytoestrogen content, like soybeans, tofu, flaxseed, linseed, and beans, can also reduce symptoms such as hot flashes. Avoid foods that trigger your symptoms, as well.
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What Are The Signs And Symptoms Of Menopause
Estrogen is used by many parts of a womanâs body. As levels of estrogen decrease, you could have various symptoms. Many women experience mild symptoms that can be treated by lifestyle changes such as avoiding caffeine or carrying a portable fan. Some women donât require any treatment at all, but for others, symptoms can be more severe. The severity of symptoms varies greatly around the world and by race and ethnicity.
Here are the most common changes you might notice at midlife. Some may be part of aging rather than directly related to menopause.
Change in your period. This might be what you notice first. Your periods may no longer be regular. They may be shorter or last longer. You might bleed more or less than usual. These are all normal changes, but to make sure there isnât a problem, see your doctor if:
- Your periods happen very close together.
- You have heavy bleeding.
- Your periods last more than a week.
- Your periods resume after no bleeding for more than a year.
Bladder control. A loss of bladder control is called incontinence. You may have a sudden urge to urinate, or urine may leak during exercise, sneezing, or laughing. The first step in treating incontinence is to see a doctor. Bladder infections also can occur in midlife.
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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How Long Does The Menopause Last
Symptoms of the menopause can start months or even years before periods stop completely. They usually continue for around 4 years after your last period, though some womens symptoms continue for much longer.
The menopause usually happens between the ages of 45 and 55, but its very difficult to predict when it will take place in an individual.
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 people can experience menopause early, either as a result of surgical intervention or damage to the ovaries . Menopause that occurs before the age of 45 is called early menopause. Menopause that occurs at 40 or younger is considered premature menopause. When there this no medical or surgical cause for premature menopause it’s called primary ovarian insufficiency.
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Hair Loss Or Thinning
While hair loss tends to be subtler in women overall than in men, most women experience thinning rather than bald spots or chunks of hair falling out. Hair thinning for women can occur on the front, sides, or top of the head and can fall out most noticeably during brushing and showering.
Hair loss during menopause is the direct result of the hormonal imbalance women experience in menopause. So you can thank lower levels of estrogen and progesterone again for your hair thinning. As these levels drop, hair grows slowly and can become thinner.
Some women can also experience irregular hair growth on their face and body due to a higher level of testosterone during menopause. This can cause thick and coarse hair to grow on areas, such as the face, arms, back, or chest.
When Do Most Women Experience The Symptoms Of Menopause
But around 1 in 100 women experience the menopause before 40 years of age. This is known as premature menopause or premature ovarian insufficiency. 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:
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Do All Menopausal People Experience A Decrease In Sexual Desire
Not all people experience a decreased sexual desire. In some cases, its just the opposite. This could be because theres no longer any fear of getting pregnant. For many, this allows them to enjoy sex without worrying about family planning.
However, it’s still important to use protection during sex if not in a monogamous relationship. Once your doctor makes the diagnosis of menopause, you can no longer become pregnant. However, when you are in the menopause transition , you can still become pregnant. You also need to protect yourself from sexually transmitted infections by wearing a condom. You can get an STI at any time in your life . STIs like HPV can lead to cervical cancer.
What Happens During Menopause
Born with a uterus and ovaries? Menopause is a natural and normal process that happens to you as you get older. Menopause usually happens between ages 45 and 55, with 51 being the most common age.
Menopause starts when your ovaries stop making estrogen, and slow down making other reproductive hormones, like progesterone. Without these hormones, you stop getting your period and stop being able to get pregnant.
If youre between 45-55 and you havent had your period in a year, you arent pregnant, and you dont have a serious illness, you may be going through menopause.
Not everyone goes through menopause because of aging. Sometimes other health issues kickstart menopause. If your ovaries are removed through surgery, you may experience sudden symptoms of menopause instead of the gradual change that usually happens. Medical treatments like chemotherapy and radiation can also make menopause happen early or suddenly.
Your doctor or nurse can help you figure out if youre going through menopause. They can also help you manage menopause symptoms.
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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
What Are The Long
There are several conditions that you could be at a higher risk of after menopause. Your risk for any condition depends on many things like your family history, your health before menopause and lifestyle factors . Two conditions that affect your health after menopause are osteoporosis and coronary artery disease.
Osteoporosis, a “brittle-bone” disease, occurs when the inside of bones become less dense, making them more fragile and likely to fracture. Estrogen plays an important role in preserving bone mass. Estrogen signals cells in the bones to stop breaking down.
People lose an average of 25% of their bone mass from the time of menopause to age 60. This is largely because of the loss of estrogen. Over time, this loss of bone can lead to bone fractures. Your healthcare provider may want to test the strength of your bones over time. Bone mineral density testing, also called bone densitometry, is a quick way to see how much calcium you have in certain parts of your bones. The test is used to detectosteoporosis and osteopenia. Osteopenia is a disease where bone density is decreased and this can be a precursor to later osteoporosis.
If you have osteoporosis or osteopenia, your treatment options could include estrogen therapy.
Coronary artery disease
- The loss of estrogen .
- Increased blood pressure.
- A decrease in physical activity.
- Bad habits from your past catching up with you .
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What To Expect After Menopause Is Over
Once menopause is over, certain symptoms such as hot flashes should slowly begin to disappear. However, other issues such as vaginal dryness and low libido may continue even after the final menstrual period has ended.
Furthermore, after menopause, women have an increased risk of several chronic health issues, including:
- Weight gain
How Can I Treat The Symptoms
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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Are There Treatments For The Menopause
If your symptoms are severe, theres treatment available which could help. This includes hormone replacement therapy , which replaces oestrogen to alleviate symptoms, creams for vaginal dryness, and cognitive behaviour therapy to help with mood changes. Speak to your doctor about the risks and benefits of different treatments.
Will I Still Enjoy Sex After Menopause
You should still be able to enjoy sex after menopause. Sometimes, decreased sex drive is related to discomfort and painful intercourse. After treating the source of this pain , many people enjoy intimacy again. Hormone therapy can also help many people. If you are having difficulties enjoying sex after menopause, talk to your healthcare provider.
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Removal Of The Ovaries
If you have surgery to remove your ovaries , you will experience menopause immediately because the organs that produce hormones and release eggs are no longer present.
Menopause that occurs from the absence of ovaries is known as surgical menopause.
Conditions like endometriosis, tumors, and cancer may require a person to have their ovaries removed.
People who have an oophorectomy will experience typical menopause symptoms however, rather than having them come on gradually as they would with natural menopause, they will experience them all at once, which can be intense.
Hormone replacement therapies can be used to treat menopause symptoms. However, hormone therapy is not recommended for people being treated for breast cancer, as it may increase the risk of recurrence.
What Are The Stages Of Menopause
- Perimenopause typically occurs 3-5 years prior to the start of menopause. This stage occurs when your estrogen levels begin to drop and your body begins the transition towards menopause. You can still get pregnant during perimenopause.
- Menopause is confirmed to have started after youve missed your period for 12 consecutive months. Though every woman is unique and will experience this transition differently, most women enter menopause when they are 51 or 52.
- Postmenopause includes the time after menopause. Estrogen levels continue to decline during this stage, which can cause some menopausal symptoms to linger.
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What Age Will I Be When I Go Through Menopause
The average age for onset of menopause is 51. The majority of women stop having periods somewhere between ages 45 to 55. The beginning stages of declining ovary function can start years before that in some women. Others will continue to have menstrual periods into their late 50s.
The age of menopause is
Common Signs Of Menopause
Menopause is a natural biological process, and although it ends fertility, women can stay healthy, vital, and sexual. Even so, the physical symptoms, such as hot flashes, and emotional symptoms of menopause may disrupt your sleep, lower your energy orfor some womentrigger anxiety or feelings of sadness and loss.
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What Are The Symptoms Of Menopause
You may be transitioning into menopause if you begin experiencing some or all of the following symptoms:
- Hot flashes .
- Night sweats and/or cold flashes.
These symptoms can be a sign that the ovaries are producing less estrogen or a sign of increased fluctuations in hormone levels. Not all people get all of these symptoms. However, those affected with new symptoms of racing heart, urinary changes, headaches or other new medical problems should make sure there is no other cause for these symptoms.
What Are The Complications And Effects Of Menopause On Chronic Medical Conditions
Osteoporosis is the deterioration of the quantity and quality of bone that causes an increased risk of fracture. The density of the bone normally begins to decrease in women during the fourth decade of life. However, that normal decline in bone density is accelerated during the menopausal transition. Consequently, both age and the hormonal changes due to the menopause transition act together to cause osteoporosis. Medications to treat osteoporosis are currently available and pose less risk than hormone therapy. Therefore, hormone therapy is not recommended for prevention or treatment of osteoporosis.
Prior to menopause, women have a decreased risk of heart disease and stroke when compared with men. Around the time of menopause, however, a women’s risk of cardiovascular disease increases. Heart disease is the leading cause of death in both men and women in the U.S.
Coronary heart disease rates in postmenopausal women are two to three times higher than in women of the same age who have not reached menopause. This increased risk for cardiovascular disease may be related to declining estrogen levels, but in light of other factors, medical professionals do not advise postmenopausal women to take hormone therapy simply as a preventive measure to decrease their risk of heart attack or stroke.
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Can Menopause Affect Sleep
Some people 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.