What Affects The Age You Start Menopause
Certain factors may affect when you begin menopause. Your family history, medical conditions, and hormones all play a role in when menopause is likely to occur for you.
Smoking may influence the age of menopause onset. Studies have found that smoking during the reproductive years was significantly associated with earlier menopause.
Hormone Treatment And Therapy
Estrogen and progesterone therapy
Hormone therapy , or menopausal hormone therapy , consists of estrogens or a combination of estrogens and progesterone . This was formerly referred to as hormone replacement therapy . Hormone therapy controls the symptoms of menopause-related to declining estrogen levels , and HT is still the most effective way to treat these symptoms. But long-term studies of women receiving combined hormone therapy with both estrogen and progesterone were halted when it was discovered that these women had an increased risk for heart attack, stroke, and breast cancer when compared with women who did not receive HT. These risks were most pronounced in women over 60 taking hormone therapy. Later studies of women taking estrogen therapy alone showed that estrogen was associated with an increased risk for stroke, but not for heart attack or breast cancer. Estrogen therapy alone, however, is associated with an increased risk of developing endometrial cancer in postmenopausal women who have not had their uterus surgically removed.
Hormone therapy is available in oral , transdermal forms . Transdermal hormone products are already in their active form without the need for “first pass” metabolism in the liver to be converted to an active form. Since transdermal hormone products do not have effects on the liver, this route of administration has become the preferred form for most women.
What Age Does Perimenopause Start
The average age of perimenopause can range anywhere from 40 upwards.
Lets define perimenopause.
Perimenopauseis defined as around menopause and refers to the period during which your body starts experiencing changes associated with the natural transition to menopause.
In other words, your body has started producing fewer female hormones, such as estrogen and progesterone. Your estrogen and progesterone levels may begin to fluctuate which can lead to a number of signs and symptoms in the body.
Some of the signs and symptoms that you may experience could include:
- Your period has become unpredictable or heavy
- Your period could become lighter, or you may just experience spotting
- Your period has become irregular, i.e. longer or shorter
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What Age Does Menopause Start
There are a few different factors that influence when you may enter menopause, including:
- Smoking. People who smoke are more likely to go through menopause sooner and experience more severe symptoms. In fact, a 2012 analysis found a 43% increased risk of menopause occurring before age 50 in women who smoked compared to nonsmokers.
- Family history. If you have a family history of early menopause, you are more likely to experience an early onset too.
- Certain medical conditions, like Turner Syndrome. Turner syndrome is a genetic disorder that affects the X chromosome and can cause ovarian dysfunction, leading to early menopause.
- Surgical removal of your ovaries will lead to menopause but this can be treated with estrogen and/or progesterone replacement or non-hormonal medications. If you have a hysterectomy but your ovaries are not removed, you will continue to produce estrogen so will not likely experience menopausal symptoms like hot flashes. Much of the treatment plan will depend on the age at which you have your ovaries removed.
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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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.
Measure Of Reproductive Life Span
We calculated the maximum potential number of reproductive years by subtracting a woman’s age at menarche from her age at natural menopause. Final models were restricted to naturally menopausal women aged 60 or more years who had never used postmenopausal hormones and were adjusted for enrollment state, current cigarette smoking, education, parity, age at last birth, height, and body mass index. After all the exclusions, 4,657 women aged 6080 years at interview remained for analysis.
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Will Hormone Therapy Help Prevent Long
The benefits and risks of hormone therapy vary depending on a womans age and her individual history. In general, younger people in their 50s tend to get more benefits from hormone therapy as compared to those who are postmenopausal in their 60s. People who undergo premature menopause are often treated with hormone therapy until age 50 to avoid the increased risk that comes from the extra years of estrogen loss.
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.
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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
An Interesting Study But Not Conclusive
This study does have limitations. For one, it relied on women to accurately remember what they ate in the past, and didnt prove that the dietary differences actually caused the shifts in menopausal age.
In addition, it included only 900 women the ones who began menopause in its final analysis, and used a relatively short four-year follow-up period, says Dr. Ley. That said, the findings are still worth noting, she says. They add to the ongoing discussion about the role of diet in menopause. They also seem to back up data from the Nurses Health Study II, which suggested that dietary factors specifically lower levels of calcium and vitamin D in the diet may be linked to an earlier menopause.
Regardless of whether research ultimately proves that diet influences age at menopause, theres already ample evidence that adopting a healthy eating pattern including plenty of oily fish and legumes is a good idea, whether youre looking for better health or a later menopause.
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How Do I Know If I’m In Menopause
You will know you have reached menopause when you have gone 12 consecutive months without a menstrual period. Contact your healthcare provider if you have any type of vaginal bleeding after menopause. Vaginal bleeding after menopause could be a sign of a more serious health issue like endometrial cancer.
What Are The Complications Of Menopause
Menopause occurs alongside a range of lifestyle and metabolic changes in women. These include:
- Heart disease Menopause has a significant impact on a womans risk of getting heart disease.
- Osteoporosis during menopause, your body starts to break down bone tissue more quickly than it replaces it.
- Sex drive Women often find their sexual feelings and desires change around the time of menopause.
These changes are common, and it may help to discuss them with your partner, your doctor or a trusted friend.
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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.
Do Men Go Through Menopause
Andropause, or male menopause, is a term given to describe decreasing testosterone levels in men. Testosterone production in men declines much more gradually than estrogen production in women at about 1% per year. Healthcare providers often debate calling this slow decline in testosterone menopause since its not as drastic of a hormone shift and doesn’t carry the same intensity of side effects as menopause in women. Some men will not even notice the change because it happens over many years or decades. Other names for the male version of menopause are age-related low testosterone, male hypogonadism or androgen deficiency.
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The Stages Of Menopause: When Does It End
It is possible to divide the menopausal period into three distinct stages:
- Perimenopause: the months or years leading up to the final menstrual period
- Menopause: officially defined as 12 months after the final menstrual period
- Post-menopause: from 12 months after the final menstrual period onward
Perimenopause usually begins in a womans mid-40s. However, it can happen much earlier or later in some women. The exact duration of the perimenopause can also differ greatly.
Some women experience symptoms for several years before their final period. Others might not notice any significant changes until their periods stop altogether.
This makes it very difficult to predict precisely when menopause will end. However, some factors that might play a role include:
- Age of puberty
Surgical menopause is triggered by an oophorectomy, which is the removal of the ovaries. This article goes over what to expect and treatment options.
What Age Do Women Go Through Menopause At
There’s a lot of confusion out there, I find a lot of women, myself included, wonder ‘what age do you expect menopause?’ For most of us, the menopause will happen between the ages of 48 and 55. The average age for women to experience menopause in Ireland is 50 years. We can start to experience symptoms up to eight years before that time, during a phase called perimenopause. For some of us, menopause could commence in our 30s and for others in our 50s. You will also find that most information available concerning menopause will give you slightly different average ages or age ranges. This can lead to confusion, but it is because we are all different.
For most of us, our last period will be preceded by the phase of menopausal changes and transition known as the perimenopause. During this phase, we may experience a wide variety of symptoms of the menopause including hot flushes, mood swings, insomnia and anxiety. Some symptoms will be barely perceptible. Others will be intense. Some of us may experience these symptoms but may not associate them directly with the menopause as they can be quite commonplace, such as a lack of confidence, anxiety, a loss of interest in sex and difficulty sleeping.
Menopause age can be related to the age at which our mothers experienced menopause.
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Can Menopause Cause Facial Hair Growth
Yes, increased facial hair growth can be a change related to menopause. The hormonal change your body goes through during menopause can result in several physical changes to your body, including more facial hair than you may have had in the past. This is caused by testosterone being relatively higher than estrogen. If facial hair becomes a problem for you, waxing or using other hair removers may be options.
What Age Do You Expect Menopause
It is true that the age at which we reach menopause is related to the age at which our mothers reached menopause. Women who have had babies late in their childbearing years tend to have a later menopause. Some women may go through early or premature menopause before the age of 40, and again this may be hereditary. There is not necessarily a link between the onset of puberty and menopause. For example, if your periods started late you will not always have late menopause.
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Home Remedies: Vitamin E Black Cohosh And Herbs
Some women report that vitamin Esupplements can provide relief from mild hot flashes, but scientific studies are lacking to prove the effectiveness of vitamin E in relieving symptoms of menopause. Taking a dosage greater than 400 international units of vitamin E may not be safe, since some studies have suggested that greater dosages may be associated with cardiovascular disease risk.
Other alternative therapies for menopause symptoms
There are many supplements and substances that have been advertised as “natural” treatments for symptoms of menopause, including licorice, dong Quai, chaste berry, and wild yam. Scientific studies have not proven the safety or effectiveness of these products.
Can Menopause Be Treated
Menopause is a natural process that your body goes through. In some cases, you may not need any treatment for menopause. When discussing treatment for menopause with your provider, its about treating the symptoms of menopause that disrupt your life. There are many different types of treatments for the symptoms of menopause. The main types of treatment for menopause are:
It’s important to talk to your healthcare provider while you are going through menopause to craft a treatment plan that works for you. Every person is different and has unique needs.
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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.