Can I Get Pregnant If I Am Perimenopausal
Yes. Despite a decline in fertility during the perimenopause stage, you can still become pregnant. If you do not want to become pregnant, you should use some form of birth control until you reach menopause .
For some women, getting pregnant can be difficult once they are in their late 30s to early 40s due to a drop in fertility. If becoming pregnant is the goal, there are treatments that can help you get pregnant.
Which Of The Following Are Proven Alternative Therapies For Menopause Symptoms:
There are no proven alternative remedies for menopause symptoms, although some small studies have suggested a benefit for certain preparations. These studies in general are not considered to be extensive or thorough enough to prove a benefit for any alternative therapies. Black cohosh is an herbal supplement that is believed to help reduce hot flashes. Black cohosh is not regulated by the U.S. Food and Drug Administration, so it is important to be careful about the safety and purity of this and other herbal preparations. Plant estrogens such as soy protein are another popular remedy for hot flashes even though data to show their effectiveness are limited. Inconclusive and conflicting studies indicate that other herbal preparations and supplements including, such as dong quai, red clover , chasteberry , yam cream, Chinese medicinal herbs, and evening primrose oil, should be avoided or if tried at all, taken with care under the supervision of a health care professional.
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.
Don’t Miss: What Antidepressant Is Best For Menopause
Southern Cross Medical Library
The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to the Medical Library index page.
Keeping An Active Sex Life
Menopause can reduce a persons sex drive and lead to vaginal dryness, but it also removes the need for birth control. For some, this can make sex more enjoyable.
Having sex often can increase vaginal blood flow and help keep the tissues healthy.
Some tips for maintaining sexual health and activity during menopause include:
- staying physically active
- avoiding tobacco products, recreational drugs, and alcohol
- taking the time to become aroused, which will improve lubrication
- doing Kegel exercises to strengthen the pelvic floor
- not using any strong soaps around the vagina, as these can worsen irritation
Also, menopause symptoms lead some people to find satisfying forms of sex that do not involve the vagina as much or at all.
It is worth remembering that, while a woman cannot become pregnant once menopause starts, it is still important to use barrier protection during penetrative sex to protect against sexually transmitted infections.
Often, sexual partners will be getting older and may be experiencing menopause at the same time. They, too, may be feeling a drop in sex drive. Opening up about any concerns can help both partners feel better and explore new forms of intimacy.
Menopause is a stage in life, not an illness. Most women experience natural menopause during midlife. However, surgery and other factors can cause menopause to start earlier.
Read Also: Relactation After Menopause
Supporting Your Partner Through Perimenopause
During perimenopause, your partner goes through hormonal changes that can have a significant impact on her body, health, energy levels and mood. Coming to the end of her reproductive years may also affect how she feels about herself. Knowing about perimenopause and menopause can help you, your partner and your relationship. Tips that can help both of you include:
- reading up about menopause. Ask her which symptoms are affecting her the most and show her more understanding
- engaging in non-sexual no strings attached physical contact, such as hugs and back rubs. Hormonal changes can make a womans vagina dry and sex uncomfortable, which may mean she does not feel like having sex as much, or at all. If engaging in penetrative sex, make sure you use a good-quality lubricant designed for women
- sleeping alone when necessary some women prefer this due to the hot flushes and associated discomfort that can accompany menopause, so that both she and her partner can sleep more comfortably
- listening and asking questions. Instead of suggesting how to fix things, listen and ask her how she is feeling
- making comments that show empathy and support
- not making jokes about her symptoms
- reminding your partner you find her attractive and how much you love and value her.
For more information go to jeanhailes.org.au/health-a-z/menopause
You may also be interested in …
Selected Sources & Further Reading
Farhi, J., Homburg, R., Ferber, A. Non-response to ovarian stimulation A clinical sign of impending onset of ovarian failure pre-empting the rise in basal follicle stimulating hormone levels.Human Reproduction 1997 12 241-243.
Okeke et al. Premature Menopause.Ann Med Health Sci2013.
Gold, E. The Timing of the Age at Which Natural Menopause Occurs.Obstet Gynecol Clin North Am. 2011.
Don’t Miss: Will My Marriage Survive Menopause
When To See A Doctor For Perimenopause
Some women experience very few symptoms during perimenopause. While you should still see your doctor for regular physical checkups, it may not be necessary to seek specific care for perimenopause unless the symptoms cause significant discomfort.
If you begin noticing these symptoms before the age of 40, or if they are disrupting your daily life, you should also contact your doctor to see what options you have to ease your symptoms.
If you notice abnormal reproductive or menstrual symptoms like the following, see a doctor, since they might indicate a more serious condition:
- Having periods that repeatedly occur fewer than three weeks apart
- Experiencing menstrual bleeding for more than seven days at a time
- Swelling or discomfort in your abdomen coupled with missed periods
- Frequent bleeding in between periods
- Excessive menstrual bleeding
Perimenopause lasts several years and may bring on new health concerns. You and your doctor can discuss strategies for managing perimenopause.
Dignity Health cares for women from adolescence through perimenopause and beyond. Were here for you.
The information contained in this article is meant for educational purposes only and should not replace advice from your healthcare provider.
Menopause Increases A Woman’s Risk For Depression
Changing hormone levels during menopause and midlife can increase the risk for depression in women. Emotional symptoms related to menopause can include anxiety, fears, and mood swings. Depression during perimenopause and menopause is treated similarly to depression that occurs at other times in life.
Also Check: Intrarosa Pros And Cons
What Happens At Perimenopause
At perimenopause, your ovaries are starting to run out of eggs and wind down. This causes fluctuations in the female hormones oestrogen and progesterone, which in turn can affect your periods. They can become irregular, heavier, lighter, shorter or longer, or some months may not come at all. This also means that somemonths you may ovulate, other months you may not, and sometimes you may ovulate twice in a cycle. Changes to your periods are often the first sign of perimenopause, but other common symptoms include hot flushes and mood swings. Symptoms may come in waves and often get worse before your period, when oestrogen levels drop.
The Creation Of Balance
Dr Louise Newson decided to flip the balance of power and place the knowledge and expertise in the hands of the people that needed it you! This innovative and ground-breaking app allows people in every corner of the globe to educate themselves, join a community of like-minded individuals and ultimately, feel empowered to get the treatment thats right for their bodies.
Don’t Miss: Menopause Dizzy Spells
Vaginal Dryness And Discomfort
Vaginal dryness, itching, and discomfort may start during perimenopause and continue into menopause. A person with any of these symptoms may experience chafing and discomfort during vaginal sex. Also, if the skin breaks, this can increase the risk of infection.
Various moisturizers, lubricants, and medications can relieve vaginal dryness and associated issues.
Learn more about atrophic vaginitis here.
What Are The Symptoms Of Perimenopause
No two women will experience perimenopause in the same way. These are the most common symptoms:
- Mood changes
Perimenopause does not need to be treated unless symptoms are bothersome. Treatments may include:
- Hormone therapy using estrogen or estrogen and progestins to level out hormone levels
- Antidepressants to stabilize moods
Your healthcare provider may suggest other lifestyle changes:
- Eat a healthy diet with fruits and vegetables and whole grains.
- Get at least 1,000-1,200 mg of calcium each day through your diet or supplements.
- Exercise regularly.
- Find what triggers your hot flashes by keeping a record.
Discuss the use of other treatments in relieving symptoms with your healthcare provider.
You may hear about herbal supplements that claim to help manage hot flashes. It’s important to remember that the FDA does not regulate these supplements. They are not tested like traditional medicines to prove their effectiveness and safety.
Talk to your healthcare provider before using any herbal supplements.
Recommended Reading: Is Dizziness A Symptom Of Perimenopause
What Are The Symptoms Of Menopause
Every womans menopause experience is unique. Symptoms are usually more severe when menopause occurs suddenly or over a shorter period of time.
Aside from menstruation changes, the symptoms of perimenopause, menopause, and postmenopause are generally the same. The most common early signs of perimenopause are:
An estimated 75 percent of women experience hot flashes with menopause.
Other common symptoms of menopause include:
- follicle-stimulating hormone
- luteinizing hormone
One of the most notable changes is the loss of active ovarian follicles. Ovarian follicles are the structures that produce and release eggs from the ovary wall, allowing menstruation and fertility.
Most women first notice the frequency of their period becoming less consistent, as the flow becomes heavier and longer. This usually occurs at some point in the mid-to-late 40s. By the age of 52, most U.S. women have undergone menopause.
In some cases, menopause is induced, or caused by injury or surgical removal of the ovaries and related pelvic structures.
Common causes of induced menopause include:
Additional blood tests commonly used to help confirm menopause include:
- vaginal atrophy
Symptom Assessment And Diagnosis
The time when most women are trying to understand what is happening to them is during the peri- menopause. During this time of hormonal fluctuation women may experience some, but not all of the symptoms listed in the table. For instance, she may come with severe joint aches and tiredness, which may be suggestive of a rheumatological disease. Checking a symptom score will often reveal many more unreported menopausal symptoms.
In most cases, recording a symptom score helps to make the diagnosis, at the same time educates the woman and is a basis for assessing efficacy of treatment. Checking FSH or AMH levels or serum oestradiol and progesterone are unnecessary tests in diagnosing menopause for most women. AMH may in the future become a useful test to predict the age of menopause but at this stage routine use is not recommended . Checking an androgen profile as a routine on all peri-menopausal women is also unnecessary and costly. Many women come to the consultation expecting a blood test to diagnose menopause, and it is important to explain to them why we use the symptom score rather than a blood test in establishing a diagnosis. It is important to explain to women that the blood tests of FSH/oestradiol can fluctuate on a daily basis and therefore are not useful or necessary. It is especially unhelpful to do hormone blood tests while women are on MHT/OCP symptoms, not blood levels, guide your therapy. Respond to the symptoms, not the biochemistry.
Increased Risk Of Some Health Conditions
After menopause, the risk of certain health issues appears to increase. Menopause does not cause these conditions, but the hormonal changes involved may play some role.
Osteoporosis: This is a long-term condition in which bone strength and density decrease. A doctor may recommend taking vitamin D supplements and eating more calcium-rich foods to maintain bone strength.
Cardiovascular disease: The American Heart Association note that, while a decline in estrogen due to menopause may increase the risk of cardiovascular disease, taking hormone therapy will not reduce this risk.
Breast cancer: Some types of breast cancer are more likely to develop after menopause. Menopause breast cancer, but hormonal changes involved appear to increase the risk.
Skin changes can also occur around the time of menopause. Find out more.
Whats Your Menopause Type
Do you like quizzes? I used to love taking those magazine quizzes as a teenager to determine my true self, or what the color of my eyes said about my personality or future spouse. Now, I lean more toward figuring out the right paint color for a room in my house based on what function it serves. Really important stuff, right?
Well, this week I found a pretty useful quiz: The Menopause Type Questionnaire. So, technically, its more than a quiz, but it does not take but a minute or two to complete and the online version does the analysis for you, so you get your answer almost immediately. Talk about instant gratification.
Who should or might want to take the quiz? Reasonable question. My answer: to see whether I agree with the authors, Dr. Joseph Collins, assessment and recommended treatment plan for me. I would recommend it to anyone who is new to menopause, or who thinks they may be in perimenopause, and cannot figure out where to begin to address the seemingly random symptoms they may be experiencing. The questions ask about your mood, energy levels, sleep patterns, and overall well-being.
So, whether youre new to menopause or an old hand, remember: knowledge is power. Pass it on.
Also Check: Early Menopause After Tubal Ligation
Tests To Determine Menopausal Status
In the midst and even in the aftermath of treatment for breast cancer, it can be difficult to tell whether youve gone into menopause for good. For instance, maybe your periods stopped during chemotherapy but still havent returned a few months after finishing treatment. The younger you are, the better the odds are that they will return.
Knowing for sure whether or not youre permanently in menopause is likely to matter most to you if you still want to have biological children. However, you may simply be curious about where you stand.
Your doctor may use the following blood tests to help you gauge this:
These blood tests are not the final answer to whether or not you are in menopause, however. Even if you have postmenopausal levels of FSH and estradiol, these levels can change over time. The longer you go without a menstrual period, and the longer that repeat testing suggests you are menopausal, the more likely it is that you are in this stage of life for good.
You may encounter other menopause tests that you can do at home, on your own, using urine or saliva. However, these tests arent considered reliable. If youre interested in testing, be sure to discuss it with your doctor.
What Is Menopause
Menopause, also known as the change of life, is the end of menstruation in a womans life. It is a natural occurrence at the end of the reproductive years, just as the first period during puberty was the start.You will know that menopause has taken place if you have not had any menstrual bleeding for 12 months. Most women reach menopause between the ages of 45 and 55, the average being around 51. Menopause before the age of 40 is called premature menopause and before the age of 45 it is called early menopause.
What Can Be Done
A healthy lifestyle can minimize the effects of the menopause, helping to keep the heart and bones strong. Many women feel that this is a good time to review the way they treat their body. Here are some tips to consider:
Complementary & alternative therapies
These have become a popular choice and many women use them, although limited scientific research has been done to support their effect or indeed their safety. They may sometimes help with troublesome symptoms, but they are unlikely to have a significant impact on bone strength, the heart or blood vessels.
Choosing a complementary or alternative therapy can be a challenge so many different ones exist. Acupuncture, aromatherapy, herbal treatments, homeopathy, hypnotherapy, yoga and reflexology have all been reported as being helpful in the menopause.
To find out more about available therapies, please consult the WHC fact sheet Complementary/alternative therapies for menopausal women.
Hormone Replacement Therapy
Hormone replacement therapy is the most effective and widely used treatment for menopausal symptoms. As its name suggests, it is simply a way of replacing the hormone oestrogen that is lost during the menopause.