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:
Starting Periods At A Young Age Is Linked To Early Menopause
Girl talk: puberty hits younger and younger
Women are more likely to go through menopause early if they started menstruating before their 12th birthday.
This is the conclusion of the largest study of its kind, involving 50,000 postmenopausal women in the UK, Australia, Japan and Scandinavia.
On average, a first period arrived around age 13 and the last when the women were 50. But 14 per cent had their first period before they were 12, and 10 per cent had their last period before they turned 45.
To investigate whether there was a link between early menstruation and early menopause, Gita Mishra at the University of Queensland, Australia, and her colleagues performed a statistical analysis, adjusting for possible confounding variables like weight and smoking.
They found that women who began menstruating before the age of 12 were 31 per cent more likely to have an early menopause between the ages of 40 and 44.
Of the women who had their first period when they were 13, only 1.8 per cent had premature menopause , and 7.2 per cent reached menopause early. But in women who had their first period when they were 11 or younger, 3.1 per cent had premature menopause, and 8.8 per cent went through it early.
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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How Do I Decrease My Cancer Risk After Menopause
Late-onset menopause usually occurs because of a genetic predisposition. If your mother went through menopause late, chances are you may also. A study found that late menopause is not uncommon among obese women because fat tissue produces estrogen. If you are worried about your age and menopause exercise, eat a healthy diet, dont smoke, and maintain a healthy body weight which can have a plethora of health benefits. Regular mammograms and Pap smears are also important for women experiencing late-onset menopause. Remember, pap smears have changed to the HPV test in December 2017.
If you wish to receive regular information, tips, resources, reassurance and inspiration for up-to-date care, that is safe and sound and in line with latest research please subscribe here to receive my blog, or like Dr Andreas Obermair on Facebook. Should you find this article interesting, please feel free to share it.
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.
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What Age Is Considered Early For Menopause
If you reach menopause before age 40, that is considered premature menopause, says Faubion. This occurs in about 1 to 2 percent of women, she says.
Experiencing menopause at 40 to 45 years of age is called early menopause, and that occurs in about 5 to 7 percent of the population, so its safe to say that at least 7 percent of women are going to go through menopause early or prematurely, says Faubion. Menopause at age 46 or older is considered normal, she says.
When Do Menopause Symptoms Stop
Midlife discomforts can plague women’s lives for years, leaving them wondering exactly how long can menopause symptoms last before finding any relief. Luckily, symptoms do not usually last a lifetime, and reprieve isn’t too far out of reach.
Continue reading to learn about how long menopause symptoms last and treatment options so that you can have a better knowledge of your reproductive health and better quality of life.
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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.
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.
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.
How Long Do Menopause Symptoms Last
Menopause symptoms are reported to last for an average of 7.4 years with some women experiencing them for only a few months or for over a decade.
In general, women suffer from menopause symptoms up to a few years into postmenopause. However, this depends on the individual as some women report experiencing hot flashes well into their 70s and 80s.
Having said that, all postmenopausal women are at an increased risk of developing other serious health complications, such as osteoporosis and cardiovascular disease, and they should have their hormone levels monitored for a proper treatment plan.
Menopause Care Tips: How To Take Care Of Yourself During Menopause
Menopause is a fact of life for women, but the transition isnt something to dread. Changes occur that impact the body and mind, but treatment is available every step of the way. At Southside Medical Center in Atlanta, GA, we are committed to offering world-class menopause care to our female patients.
What Happens After Menopause
As you wind down from the menopause, your body continues to go through a lot of changes. While your hormone levels adjust to a new normal, you can face changes to different parts of your body, and your health.
Common post menopause symptoms:
1. Your hot flushes will stop – eventually
As your hormones settle down, so will perimenopausal symptoms like hot flushes. Hurrah! However, they may continue for up to 8 years – and things might get worse before they get better. “Leading up to menopause, your oestrogen levels fluctuate. When they’re high, you don’t have symptoms,” gynaecologist Dr. Kevin Audlin explains. “But when you go into menopause and there’s a complete lack of oestrogen, you start to notice those symptoms more.”
2. Your breasts may look different
Postmenopausal breasts may shrink, change shape, lose firmness and become more prone to lumps. This is because weight can fluctuate during the menopause, meaning your breasts lose their elasticity. Time to go for that bra fitting.
3. Your weight distribution will change
Fat is less likely to settle on the hips and thighs post menopause – but more likely to settle on the waistline. It’s thought that the body attempts to hoard’ oestrogen in fat cells around the belly area, but experts warn that this kind of fat has been associated with diabetes, heart disease, stroke and even some cancers. Discover our tips to help you deal with menopause weight gain here, if you are concerned.
4. Sex may become more painful
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Emotional Impact Of Early Or Premature Menopause
Premature menopause can be emotionally devastating. Some of the common issues women may face include:
- grief at the prospect of not having children
- fear of ‘growing old before their time’
- concern that their partner wont find them sexually attractive anymore
- self-esteem problems.
Psychological counselling and support groups may help women come to terms with their experience of early or premature menopause.
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.
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Women And Menopause: Why This Group Wants To Change The Discussion
I found some or other life hack for every symptom. And while I wasnt sad I had made my peace with shutting fertility down when my husband got a vasectomy shortly after our second child was born I struggled with the incongruity of it happening so soon to me.
According to WomensHealth.gov, natural early menopause affects about 5 percent of women. I would never have bet on myself to be in this 5 percent because Ive always been a late bloomer. I didnt start my period until the end of my first year in high school, when I was 14. I didnt date until I was about 20, get married until I was 33, have kids until I was 34.
As a writer who specializes in writing about honesty, this experience offers a chance to speak with candor about a thing so many people dont want to talk about.
Ive mostly had a sense that I belong at the tail end. Not only did a September birthday mean I was usually the youngest person in my class, Im also the youngest of seven children. My brothers and sisters were getting married and tending to teething babies when I was still losing baby teeth. My parents were older, my siblings were older and I was the young one meandering along the scenic route, a little out of step, though not unhappy to do things on my own schedule.
All during my year of calendar-watching, menopause still felt implausible, and even as I was very happy not to have to deal with periods, I found myself whispering to my ovaries, “I think you have the wrong 5 percent.”
Why Does Menopause Happen
The reasons for menopause are not well understood. Currently, we think that menopause happens because the ovaries run out of eggs. This leads to changes in the hormones produced by the ovaries and the hormones from the brain that control the ovaries. Eventually, the ovaries stop producing eggs and menstrual periods stop permanently. After menopause, the ovaries continue to produce oestrogen at lower levels and also testosterone.
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Can I Still Get Pregnant After Being Diagnosed With Premature Menopause Early Menopause Or Primary/premature Ovarian Insufficiency
Unless the ovaries have been surgically removed, it can be difficult to diagnose a woman younger than age 45 with menopause as opposed to primary ovarian insufficiency . Women with POI can have intermittent ovulation, which may or may not be accompanied by a menstrual bleed. Other women may be able to get pregnant through in vitro fertilization with egg donation. It is important to work with a fertility specialist to explore options.
Options available to you will vary depending on whether you have interest in having children in the future. In some cases, fertility may be restored and pregnancy could be possible. Assisted reproductive technology , including in vitro fertilization might be considered.
If you do not want to get pregnant while on hormone-replacement therapy, your doctor will talk to you about contraceptive options.
Talk to your healthcare provider about possible causes of premature or early menopause and your questions regarding fertility.
Factors That Influence Menopause Age:
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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:
Q: What Is A Hot Flash
A: Hot flashes are the quick bursts of hot skin and often drenching sweat that last anywhere from 30 seconds to about five minutes. Your face and neck may turn red, your heart rate may increase and you will most likely break out in a sweat. Night sweats are the same thing, only youre asleep and are jolted awake by the heat and sweat sensation consuming your body.
These sudden bursts, especially at night, can cause fatigue, irritability and even forgetfulness. For 10 to 15 percent of women, hot flashes are so severe that they disrupt normal functions, such as leading a meeting or sticking to a schedule. If you feel your daily activities are impacted by hot flashes, make sure to speak with your gynecologist.
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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.