Premature Vs Early Menopause
Premature menopause affects 1% of women under the age of 40. The only difference between premature menopause and early menopause is the timing.
Premature menopause occurs before age 40 and early menopause happens after age 40 but before age 45. Many of the same causes of premature menopause also cause early menopause. Both conditions cause similar symptoms.
Who Should Be On My Childs Care Team For Turner Syndrome
Treatment for Turner syndrome depends on each childs specific symptoms and development. A coordinated care team can provide the most comprehensive, effective care. The team will look at the whole picture and tailor a plan that works for your child.
Usually, children with Turner syndrome work with their pediatricians. They also receive evaluation and monitoring from pediatric endocrinologists. These hormone specialists can provide recommendations on how to treat hormone deficiencies.
Other pediatric specialists may include:
- Speech pathologist.
Parents can help the care team by keeping growth charts and tracking other symptoms. Its also a good idea for families to get genetic counseling.
Smoking Or Other Toxin Exposure
Some toxins can bring on premature ovarian failure, Dr. Tassone says. Things like cigarettes and pesticides. Normally we are born with enough primordial follicles to last us until the natural age of menopause, around 50. But exposure to harmful chemicals is thought to cause a woman to run out of follicles sooner rather than later.
What Are The Symptoms Of Turner Syndrome
The main symptom of Turner syndrome is short stature. Almost all females with TS:
- Grow more slowly than their peers during childhood and adolescence.
- Have delayed puberty and lack of growth spurts, resulting in an average adult height of 4 feet, 8 inches. .
Another symptom is not experiencing typical sexual development. Most females with TS:
- Don’t experience breast development.
- Unusually short, wide neck or webbed neck .
Can Early Menopause Contribute To Other Conditions
Infertility is often the most obvious concern when you start menopause 10 or more years early. Yet, there are other health concerns.
A steady stream of estrogen to your tissues has many uses. Estrogen increases good HDL cholesterol and decreases bad LDL cholesterol. It also relaxes blood vessels and prevents bones from thinning.
Losing estrogen earlier than normal can increase your risk of:
- premature death
Discuss your concerns about these symptoms with your doctor. Because of these risks, women who enter menopause early are often prescribed hormone replacement therapy.
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Reasons Why Some Women Go Through Early Menopause
One in 100 women will start to experience the frustrating symptoms of early menopause before they turn 40.
Maybe you wake up at night drenched in sweat. Or youre struggling to concentrate, and oh yeah, your period has been MIA. These symptoms are enough to freak any woman out, even when she’s at the right age for menopause, the natural transition to infertility that most women experience around 50. But when these symptoms begin in your 30s, they can be downright scary.
For some women, early menopause is brought on by surgery that removes the ovaries. A woman who carries a BRCA gene mutation, for example, may opt to have her ovaries and fallopian tubes taken out in a preventative salpingo-oopherectomy. The result? Levels of estrogen and other female hormones drop dramatically, which may lead to hot flashes, vaginal dryness, and other telltale signs of menopause.
But one in 100 women will experience these symptoms for other reasonswhich are often hard to pin down. In fact, for about 90 percent of cases a woman never learns the reason why. The technical term for this medical condition is primary ovarian insufficiency . Basically the ovaries poop out early, explains Shawn Tassone, MD, an ob-gyn who specializes in integrative medicine at Austin Area Obstetrics, Gynecology, and Fertility.
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Is Estrogen Therapy A Good Treatment For Me
For many women, estrogen therapy relieves symptoms of vaginal dryness, night sweats and hot flashes. It can also reduce the risk of osteoporosis.
Hormone therapy has fewer risks for younger women. In general, healthcare providers recommend that women who opt to use hormone therapy start it within 10 years of beginning menopause symptoms and use it for less than five years.
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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:
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.
Premature Menopause Can Be Controlled
Early menopause is an unfortunate thing that will happen to a lot of women before they are ready. The main key to dealing with it is to know that you have options. There are early menopause risks and concerns, but the treatments for those issues are fairly available and just require you to talk to a doctor.
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General Recommendations For Ht
Current guidelines support the use of HT for the treatment of severe hot flashes that do not respond to non-hormonal therapies. General recommendations include:
- HT may be started in women who have recently entered menopause.
- HT should not be used in women who have started menopause many years ago.
- Women should not take HT if they have risks for stroke, heart disease, blood clots, and breast cancer.
- Currently, there is no consensus on how long HT should be used or at what age it should be discontinued. Treatment should be individualized for a woman’s specific health profile.
- HT should be used only for menopause symptom management, not for chronic disease prevention.
Before starting HT, your doctor should give you a comprehensive physical exam and take your medical history to evaluate your risks for:
- Heart disease
- Breast cancer
While taking HT, you should have regular mammograms and pelvic exams and Pap smears. Current guidelines recommend that if HT is needed, it should be initiated around the time of menopause. Studies indicate that the risk of serious side effects is lower for women who use HT while in their 50s. Women who start HT past the age of 60 appear to have a higher risk for side effects such as heart attack, stroke, blood clots, or breast cancer. HT should be used with care in this age group.
Women who should not take hormone therapy include those with the following conditions:
How Is Premature Menopause And Primary Ovarian Insufficiency Treated
Management of the condition can vary depending on why menopause started earlier than normal. Given the health risks associated with early menopause, hormone replacement therapy is routinely recommended to all women with premature menopause or primary ovarian insufficiency, unless there is a compelling reason it cant be used. There is a lot of confusion about the safety of hormone therapies. Many of the risks of hormone therapy used after natural menopause are not thought to apply to women who have premature menopause. It is important to discuss the pros and cons of hormone therapy with your doctor. Some healthcare providers have additional certification in the management of menopause, and these providers will be a valuable resource when receiving conflicting information about the safety of hormone therapy.
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Supplemental Calcium And Vitamin D
Supplementary calcium and vitamin D can help prevent osteoporosis if you arent getting enough of these nutrients from your diet.
Women ages 19 to 50 should get 1,000 milligrams of calcium per day through food or supplements. Women over age 51 should get 1,200 milligrams per day.
A recommended daily amount of vitamin D is around . For adult women, most doctors recommend 600-800 IU through food or supplements.
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The sudden loss/stoppage of estrogen, hormones, and the resulting hormone shock can affect brain function. Confusion, rage, depression, and memory loss that can mimic an alzheimers type state can manifest. In addition to these symptoms, women who lose both ovaries also lose the protection these hormones provide against heart disease and osteoporosis many years earlier than if they had experience natural menopause.
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Impact Of Premature Menopause Onyour Life
You expect to go through the menopausewhen you reach middle age and so view this as a natural part of growingolder. So imagine the shock of discovering that you are experiencingthis whilst still a young woman.
Your 20s and 30s are often consideredthe best years of your life and a time when you are having fun and enjoyingyourself before thinking of settling down.
You may be thinking of starting a familyat some point and to find that you are unlikely to do so whilst in your20s or 30s is unexpected and unwelcome.
To be told that your reproductive capabilitiesare coming to an end much sooner than you expected and feeling as ifyou are the only one is devastating and can lead to depression.
What makes it worse is that you arecompletely unprepared for this. You expect this when you are older andso can come to terms with it but not when you are still a young woman.
These are the psychological effectsof a premature menopause but there are physical aspects to take intoaccount.
The main problem is to do with theprotective effects of oestrogen: oestrogen protects the woman againsta range of diseases which include osteoporosis and cancer.
Oestrogen levels fall during the menopausewhich means a loss of its protective effects and this causes an increasedrisk of these diseases.
This is expected in the latter yearsof life but a premature menopause means that you will experience thisloss of protection for a larger part of your life than a woman who goesthrough a normal menopause.
Can I Prevent Sexual Dysfunction
While there isnât a single way to prevent sexual dysfunction, you can reduce your risk by:
- Avoiding drugs and too much alcohol.
- Eating a balanced diet.
- Exercising regularly.
- Maintaining a healthy body weight.
- Seeking help from a health care professional if you are experiencing trouble with your mood or difficulty communicating with your partner.
Also, talk to your healthcare provider about sexual dysfunction risk before starting new medications or undergoing certain medical procedures.
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Does The Age My Mother Reached Menopause Mean Anything
Most likely your moms age at menopause will provide a clue. When we look at the things that are the greatest determinants for when someone is going to go through menopause, genetics seems to be one of the most important things, says Streicher.
A womans race or ethnicity can influence when she goes through menopause, too, she says. Findings from the Study of Womens Health Across the Nation indicate that women of color tend to begin perimenopause and menopause at earlier ages than white women.
The question I always ask women when they ask when theyre going to go through menopause is, When did your mom go through menopause? because that is very often predictive, says Streicher.
Theres a lot of truth in that. You may follow what happened with your mother if she went through menopause early or late, you may, too, she says.
Causes And Risk Factors
In some cases, people can go into early menopause as a result of undergoing medical procedures. For example, removal of the ovaries can cause people to experience premature or early menopause.
In other cases, early menopause may be the result of medical treatments, such as radiation or chemotherapy. Both radiation and chemotherapy can cause the ovaries to stop functioning normally, which can lead to premature or early menopause.
There are several other potential causes of premature or early menopause, as well as factors that can increase its likelihood. These include:
- genetic predisposition
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What Are Some Causes Of Early Menopause
There is usually a health factor associated with going through menopause earlier than normal.
Heres what some of the causes are:
- Chemotherapy and Radiation: A womans age will determine how much of a factor chemotherapy and radiation will play in when shell experience menopause. Many younger women going through these treatments experience signs of menopause that then disappear once the treatment ends.
- The use of chemotherapy and radiation may also affect the female children of women who had cancer and then gave birth after treatment.
- Autoimmune Disorders: Inflammation from such disorders as thyroid disease can cause your ovaries to stop producing earlier than normal.
- Chromosomal Defects: Certain defects like Turner Syndrome can cause a woman to go through menopause early.
- Epilepsy: Its been shown that 14% of women with epilepsy go through early menopause over 1% of the rest of the population. Epilepsy may cause a premature ovarian failure that leads to menopause.
- Other Family Members Also Experienced Early Menopause: As usual, the answer may simply lie in your DNA. If your mother and/or your sister went through menopause early, theres a good chance you will, too.
There are other environmental factors that may contribute to younger women experiencing menopause earlier than normal. However, the studies are too new to provide an actual data.
Another reason why a woman might experience menopause earlier than age 50 is when your ovaries are surgically removed.
Medications And Treatments For Other Health Conditions
Specifically, radiation, chemotherapy, and some immunosuppressant drugs. These medications do not always cause menopausethat will depend on your course of treatment, including the length of time and the amount of medication you are receiving.
If you are going to be on an aggressive course of chemotherapy, radiation, or another substance that could induce menopause, your doctor should discuss that with you in advance so that youre aware of the risks before you begin treatment.
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How Long Does It Take For Tubal Ligation To Take Place
It is within the fallopian tube that fertilization, the joining of the egg and the sperm, takes place. During tubal ligation, the tubes are cut or blocked in order to close off the sperms access to the egg. Normally, tubal ligation takes about 2030 minutes, and is performed under general anesthesia, spinal anesthesia,
How Is Premature Ovarian Insufficiency Diagnosed
If your doctor believes you have POI they will consider your:
- symptoms, such as changes in your periods or symptoms of oestrogen deficiency
- family history of early menopause
- medical history such as other autoimmune conditions.
You should be offered a blood test to measure your hormone levels . You may also be offered a blood test to check for diabetes and thyroid problems.
It is very rare, but POI can be caused by a problem with the chromosomes, which are contained in the cells in the body that hold genetic information. If you are under 35 you may be offered a blood test to check your chromosomes.
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What Is Perimenopause Its When Menopause Symptoms Begin
Perimenopause or pre-menopause is a word that means around menopause. Perimenopause describes what happens to your body leading up to menopause. This stage typically starts about four to eight years before menopause.
When you enter perimenopause youll probably start to notice some early menopause symptoms like changes to your period or mood shifts. These changes happen because your bodys estrogen and progesterone levels are starting to naturally decline. As your ovaries produce lower amounts of these hormones, your body adapts. Its basically the reverse of what happened to your hormones as a teenager.
Induced Premature Menopause Or Early Menopause
Induced menopause may result from premenopausal bilateral oophorectomy or from cancer treatments including chemotherapy and radiation. Premature menopause from these causes has increased over time because of the improved success in the treatment of cancer in children, adolescents, and reproductive-age women. Similarly, the practice of prophylactic bilateral oophorectomy at the time of hysterectomy has increased over time . However, evidence for the long-term risks and adverse health outcomes following induced menopause is starting to accumulate.
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How Do I Know If I Am Going Through Early Or Premature Menopause
You know you have gone through menopause when you have not had your period for 12 months in a row. If you think you may be reaching menopause early, talk to your doctor or nurse.
- Your doctor or nurse will ask you about your symptoms, such as hot flashes, irregular periods, sleep problems, and vaginal dryness.
- Your doctor or nurse may give you a blood test to measure estrogen and related hormones, like . You may choose to get tested if you want to know whether you can still get pregnant. Your doctor or nurse will test your hormone levels in the first few days of your menstrual cycle .