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What Is The Average Age Of Menopause Onset

Symptoms Of The Menopause

Are you too young for perimenopause? Age of onset of perimenopause.

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:

Menopausal symptoms can begin months or even years before your periods stop and last around 4 years after your last period, although some women experience them for much longer.

The Beginning: What Is The Average Age Of Perimenopause Onset

If you’ve landed on this article, chances are you have some curiosity around the menopausal transition . Perhaps you’ve noticed irregular periods or maybe you’re approaching your midlife years and are wondering when the change will happen for you. Whatever it may be, you’ve come to the right place to learn more. The menopausal transition isn’t a mere fragment of time – rather, we regard it as an era of life. This is because there are three phases of menopause. The first phase is perimenopause, the mid phase is menopause and the last phase is postmenopause. The age you’ll begin to feel the effects of perimenopause varies – keep reading to learn more.

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.

Recommended Reading: Estrogen Dizziness

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.

At What Age Does A Woman Typically Reach Menopause

Menopause, periods, and what they tell us about aging ...

The average age of menopause is 51 years old. However, there is no way to predict when an individual woman will have menopause or begin having symptoms suggestive of menopause. The age at which a woman starts having menstrual periods is also not related to the age of menopause onset. Most women reach menopause between the ages of 45 and 55, but menopause may occur as earlier as ages 30s or 40s, or may not occur until a woman reaches her 60s. As a rough “rule of thumb,” women tend to undergo menopause at an age similar to that of their mothers.

Symptoms and signs related to the menopausal transition such as irregularities in the menstrual cycle, can begin up to 10 years prior to the last menstrual period.

Read Also: Dr Yael Swica

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” Hormones

“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.

Menopause Age: 4 More Influences

Your mother’s age at menopause is a key factor, but not the only one. Here are four others to consider:

  • Smoking. No other lifestyle factor does more damage to your ovaries than smoking. So if you smoke and your mother didnât, youâll probably reach menopause earlier than they did. If they smoked and you donât, you probably reach menopause later than they did.
  • Chemotherapy. Most forms of chemotherapy used in younger women are at least mildly toxic to the ovaries. Many women go through temporary menopause while undergoing chemotherapy if cycles do return , you can still expect to reach regular menopause a couple of years earlier than you otherwise would have.
  • Ovarian surgery. âThe more you operate on the ovaries, the more healthy tissue gets damaged,â says Marcelle Cedars, MD, director of the division of reproductive endocrinology at the University of California, San Francisco, School of Medicine. So if youâve had diagnostic surgery for endometriosis, for example, Cedars recommends using medical options to treat the condition in order to avoid repetitive surgeries.
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    What Are The 34 Symptoms Of Menopause

    Haley Fritz

    Banafsheh Kashani

    MD, FACOG

    When you think of a woman going through menopause, you might think of symptoms like hot flashes, vaginal dryness, or mood swings.

    These symptoms receive a lot of attention due to the fact that there are over-the-counter and prescription drug remedies designed especially to target them. However, the symptoms of menopause are actually far more complex than these companies let on!

    In total, there are 34 different symptoms that can be attributed to menopause. A woman going through menopause might experience some or all of these symptoms, ranging from mild to severe.

    Read on to learn more about the menopause process and how it might affect a womans health and well-being.

    How Can You Alleviate Perimenopausal Symptoms

    What is the Average Age for Menopause?

    Some women deal with the symptoms of perimenopause, and some women seek treatment for specific health concerns. Women with heavy bleeding, periods that last longer than seven days, spotting between periods or cycles that are less than 21 days should contact a doctor.

    Typically, perimenopause is a gradual transition, and no particular test indicates what is happening to the body. Hormone therapy, vaginal estrogen treatments and antidepressants can help treat perimenopausal symptoms.

    Start by identifying what’s bothering you most and then working with your doctor to address it. There are steps you can take to feel better. Lifestyle changes that can make a big impact in easing perimenopausal symptoms and improving your overall health include:

    • Yoga

    Read Also: Menopause Dizzy Spells

    How Is Premature Menopause Early Menopause And Primary Ovarian Insufficiency Diagnosed

    If you begin to have symptoms of menopause before the age of 40, your healthcare provider will do several tests and ask questions to help diagnose premature or early menopause. These tests can include:

    • Asking about the regularity of your menstrual periods.
    • Discussing your family history of menopause at an early age.
    • Testing your hormone levels .
    • Looking for other medical conditions that may be contributing to your symptoms.

    Women who have not had a menstrual period for 12 straight months, and are not on any medication that could stop menstruation, may have gone through menopause.

    When Does Menopause End

    After a women reaches menopause, she is considered postmenopausal.

    This means that she is infertile and should no longer get her period. If a woman experiences any vaginal bleeding while postmenopausal, she should consult her physician.

    Moreover, because of continuously lower levels of estrogen, postmenopausal women are at a greater risk of developing more serious health conditions, such as osteoporosis, depression, cardiovascular disease, and more.

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    Will Being Super Healthy Help Delay Menopause

    Although maintaining good overall health is important for a variety of reasons, it wont necessarily translate to later menopause, says Streicher. I have women who tell me, I have a healthy diet, Im thin, I work out all the time, and I look young. Im sure Im not going to go through menopause early, and when I do, I wont have hot flashes and other symptoms. I wish I could say that was true, but its not, she says.

    Body weight might matter, though. We do know that the extremes of weight, in someone who is very obese or someone with very low body weight, may impact the onset of menopause, but for the majority of women in the middle it doesnt seem to have a big impact, says Streicher.

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    Why Does Menopause Happen

    Average duration of perimenopause as a function of ...

    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.

    Also Check: Causes Of Hot Flashes Besides Menopause

    What Other Medications Treat Menopause Symptoms

    The classes of drugs known as selective serotonin reuptake inhibitors and selective norepinephrine reuptake inhibitors , typically used in the treatment of depression and anxiety, have been shown to be effective in reducing menopausal hot flashes. Paroxetine is an SSRI that has been approved for the treatment of moderate to severe hot flashes associated with menopause. Another SSRI that has been tested and shown to be effective is venlafaxine , although other SSRI drugs may be effective as well.

    Clonidine is a drug that decreases blood pressure. Clonidine can effectively relieve hot flashes in some women. Side effects include dry mouth, constipation, drowsiness, and difficulty sleeping.

    Gabapentin , a drug primarily used for the treatment of seizures, has also been used successfully to treat hot flashes.

    Progestin drugs have also been successfully used to treat hot flashes. Megestrol acetate is sometimes prescribed over the short term to help relieve hot flashes. Serious effects can occur if the medication is abruptly discontinued, and megestrol is not usually recommended as a first-line drug to treat hot flashes. An unpleasant side effect of Megestrol is that it may lead to weight gain.

    Several medications may be used for preventing and treating osteoporosis.

    What Is Menopausal Hormone Therapy And Is It Safe

    Main points

    • MHT covers a range of hormonal treatments that can reduce menopausal symptoms.
    • MHT is the most effective way to control menopausal symptoms while also giving other health benefits.
    • MHT is safe to use for most women in their 50s or for the first 10 years after the onset of menopause.
    • The risk for blood clots, stroke and breast cancer while taking MHT are very small.
    • Different types of MHT are associated with different risks. Your doctor can work with you to reduce your risk by using different hormonal treatment options.

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    How Women Of Color Can Advocate For Their Health

    We are on the steep part of the learning curve in appreciating how we have shortchanged women of color. We have all seen that it doesnt matter who you are, even if you are Serena Williams, you risk not being listened to, and not having your symptoms receive appropriate attention, says Santoro. She advises:

    • Bring someone with you to your doctor appointments to have a second pair of ears or who can speak up if you are momentarily flustered. That extra person in the room can reiterate and reinforce what the patient is saying. Its a pretty sorry state of affairs that a second person is needed to get medical professionals to listen to an adult Black woman, but if that is what it takes, then that is what needs to happen, says Santoro.
    • Bring your doctor a list of your symptoms in order of importance to you. List any other symptoms beyond the obvious ones that you think may be related to your menopause transition. Santoro says, Sometimes there are oddball or nontraditional symptoms that women have that respond well to hormone therapy or other treatments, and its good to get them out in the open from the start.

    A Determination Of Quality Of Life Of Women In Menopausal Period

    Health Topics: Age of Menopause

    The concept of quality of life is defined as the perception of the individual about his/her situation in life in the context of the framework of that individuals culture and value systems, goals, expectations, standards and interests. Influenced by a complex number of factors, such as an individuals physical health, psychological status, beliefs, social relations and environment, quality of life is used as an important measurement in assessing health status and the effects of therapies.

    In later adult years, the quality of life of women may be adversely affected by the physical and mental changes that may come about in the menopausal transition. Quality of life in menopause is related to the degree to which a woman is able to cope with the changes and symptoms appearing in her body with the onset of menopause and her sense of satisfaction and happiness in her life during this period of transition.

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    What Are The Effects Of Early Or Premature Menopause

    Women who go through menopause early may have symptoms or health problems similar to those of regular menopause.

    But some women with early or premature menopause may also have:

    • Higher risk of serious health problems, such as heart disease and osteoporosis, since women will live longer without the health benefits of higher estrogen levels. Talk to your doctor or nurse about steps to lower your risk for these health problems.
    • More severe menopause symptoms. Talk to your doctor or nurse about treatments to help with symptoms if they affect your daily life.
    • Sadness or depression over the early loss of fertility or the change in their bodies. Talk to your doctor if you have symptoms of depression, including less energy or a lack of interest in things you once enjoyed that lasts longer than a few weeks. Your doctor or nurse can recommend specialists who can help you deal with your feelings. Your doctor or nurse can also discuss options, such as adoption or donor egg programs, if you want to have children.

    What Conditions Can Cause Early Menopause

    Certain medical and surgical conditions can influence the timing of menopause.

    Surgical removal of the ovaries

    The surgical removal of the ovaries in an ovulating woman will result in an immediate menopause, sometimes termed a surgical menopause, or induced menopause. In this case, there is no perimenopause, and after surgery, a woman will generally experience the signs and symptoms of menopause. In cases of surgical menopause, women often report that the abrupt onset of menopausal symptoms results in particularly severe symptoms, but this is not always the case.

    The ovaries are often removed together with the removal of the uterus . If a hysterectomy is performed without removal of both ovaries in a woman who has not yet reached menopause, the remaining ovary or ovaries are still capable of normal hormone production. While a woman cannot menstruate after the uterus is removed by a hysterectomy, the ovaries themselves can continue to produce hormones up until the normal time when menopause would naturally occur. At this time, a woman could experience the other symptoms of menopause such as hot flashes and mood swings. These symptoms would then not be associated with the cessation of menstruation. Another possibility is that premature ovarian failure will occur earlier than the expected time of menopause, as early as one to two years following the hysterectomy. If this happens, a woman may or may not experience symptoms of menopause.

    Cancer chemotherapy and radiation therapy

    Recommended Reading: Dizzy Spells Menopause

    How Do You Know When Menopause Starts

    Usually, it is not possible to predict when menopause will start. However, it can be helpful to have conversations with your mother or sisters to get an indicator of when you may expect menopause to begin for you.

    While the average age of menopause if 51 years of age, it can vary from person to person.

    The symptoms of perimenopause may help to indicate that the menopause will soon start.

    Editorial Sources And Fact

    Average age of menopause by selected countries
  • Gold EB, Crawford SL, Avis NE, et al. Factors Related to Age at Natural Menopause: Longitudinal Analyses From SWAN.American Journal of Epidemiology. June 20, 2013.
  • Paramsothy P. Harlow SD, Nan B, et al. Duration of the Menopausal Transition Is Longer in Women With Young Age at Onset: The Multi-Ethnic Study of Womens Health Across the Nation. Menopause. February 24, 2017.
  • Green R, Polotsky AJ, Wildman RP, et al. Menopausal Symptoms Within a Hispanic Cohort: SWAN, the Study of Womens Health Across the Nation. Womens Health. February 2012.
  • Reed SD, Lampe JW, et al. Premenopausal vasomotor symptoms in an ethnically diverse population. Menopause. February 2014.
  • Geronimus AT, Hicken M, Keene D, Bound J. Weathering and Age Patterns of Allostatic Load Scores Among Blacks and Whites in the United States. American Journal of Public Health. May 2006.
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