I Got My First Period Early Does That Mean Ill Go Through Menopause Early
I have many patients tell me, I know Im going to go through menopause earlier because I started my period really early, says Streicher. The reason women think that is because they think menopause occurs when you run out of eggs. This isnt going to happen were born with millions of eggs and many of those are never used. When you go through menopause is really about the aging of eggs and what causes them to age more quickly, she says.
The average age of menarche in the United States has gotten younger for a variety of reasons, but that hasnt made women go through menopause earlier, she points out.
When Do Periods Stop At Menopause
There can be gaps of up to 12 months between periods. You could go for 3-4 months without a period and the have a regular period for a few months
When having sex it is well advised to use contraception for up to 24 months after our last period. If you are having intermittent periods then you are most likely still ovulating and could become pregnant.
Changes in the monthly cycle are an indication that you are in perimenopause. There is no typical pattern of change – each woman can experience a combination of different symptoms.
Can Periods Start Again After Menopause
The other question that we often get asked is, “Can periods start again well after the menopause?” This is really not common and very often, there are other health issues involved. So if you have been without periods for two years or a lot longer, and your periods come back, then it’s really important to get this checked out by your doctor.
There can be a number of reasons. We’ve had women who’ve forgotten that they’ve had the coil in, and it’s been left in for years and years and years, and suddenly, it’s starting to irritate the womb and causes bleeding. It can be things like a prolapse where your internal organs can shift and that can cause bleeding as well. So this is one instance where it’s really important that you get things checked out by your doctor.
So hopefully this has given you a little bit more information on what exactly can happen to your periods as you start the approach to the menopause. If any of you have any questions on this then please leave your comments and I’ll get back to you. And I’ll look forward to seeing you next week on another edition of A.Vogel Talks Menopause.
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What Is Postmenopause
Postmenopause is a term to describe the time after someone has gone through menopause. When you’re in postmenopause, your menstrual period has been gone for longer than 12 consecutive months. At this stage in life, your reproductive years are behind you and you’re no longer ovulating . The menopausal symptoms youve experienced in the past may become milder or go away completely. However, some people continue to experience menopausal symptoms for a decade or longer after menopause.
There are three stages of menopause: perimenopause, menopause and postmenopause.
- Perimenopauseis the time leading up to menopause. It describes a time when hormones start to decline and menstrual cycles become erratic and irregular. You may start to experience side effects of menopause, like hot flashes or vaginal dryness.
- Menopause occurs when youve stopped producing the hormones that cause your menstrual period and have gone without a period for 12 months in a row. Once this has occurred, you enter postmenopause.
- Postmenopause is the time after menopause has occurred. Once this happens, you’re in postmenopause for the rest of your life. People in postmenopause are at an increased risk for certain health conditions like osteoporosis and heart disease.
When To See A Doctor
At the onset of perimenopause, a person may wish to schedule regular doctor visits for preventive healthcare.
Around perimenopause, doctors may recommend certain health screenings that sometimes include a colonoscopy, mammogram, and blood tests.
An individual should not hesitate to seek a doctors care and advice to deal with disruptive menopausal symptoms. If vaginal bleeding occurs after menopause, a person should also seek medical attention.
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Frequently Asked Questionsexpand All
Yes. Although its normal for periods to change as you near menopause, you should still talk with your obstetriciangynecologist about bleeding changes. Abnormal bleeding sometimes can be a sign of health problems. Its especially important to tell your ob-gyn if you have bleeding after menopause.
If you have any bleeding after menopause, or if you have any of the abnormal changes in your monthly cycle listed above, its important to see your ob-gyn to find out the cause. Many things can cause abnormal bleeding, including
Polyps are noncancerous growths that attach to the wall of the uterus. They also may develop on the endometrium . These growths may cause irregular or heavy bleeding. Polyps also can grow on the cervix or inside the cervical canal. Polyps on the cervix may cause bleeding after sex.
After menopause, the uterine lining may become too thin. This can happen when a woman has low levels of estrogen. The condition is called endometrial atrophy. As the lining thins, a woman may have abnormal bleeding.
The risk factors for endometrial cancer include
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Supplements For Perimenopause And Menopause
Plant and dietary supplements have mixed and unclear results, including Black cohosh a popular herb often prescribed for menopausal symptoms is not effective at relieving hot flashes. Phytoestrogens such as those found in soy may provide some benefit to relieving hot flashes and vaginal dryness, but no do help with night sweats . Weâll be writing more on current ânaturalâ approaches to perimenopause symptom treatment.
Using dietary supplements can also have negative side effects, and some supplements may interact with other medications, so speak with your healthcare provider before treating your perimenopausal symptoms with supplements.
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Cancer Risk And Age At Menopause
According to the American Society of Clinical Oncology, women who experience late-onset menopause have an increased risk of uterine and breast cancer. This is due to having an increased exposure to hormones such as estrogen. As women menstruate longer, they have more ovulations which also increases the risk of ovarian cancer. Women with a long reproductive life, menarche before the age of 12 years and menopause after age 55 years have an increased risk of these hormone-dependent cancers. A pooled analysis of data from more than 400,000 women found for every year older a woman was at menopause, breast cancer risk increased by approximately 3%.
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Karens Heavy Bleeding And Clotting While On Hrt Was Totally Inconvenient And Interfered With
Was it heavy bleeding?Not all the time. It was clotted at points, which I think thats when it started really getting to my brain that this was totally inconvenient. If you went anywhere you had to go prepared so it was actually interfering with my general life. It affects almost everything you do, as I say, even going shopping, youve got to go prepared. I needed to know where the nearest loo was. Even going out for meals with friends, everything like that, it does affect you and it affects how you feel. And your moods, your tempers and not wanting to go out and holidays become even more difficult, youve got small children who want to go swimming.And then I think it must have been, Im trying to think when it was, must have been after about six years it became that my periods were going on and they were forced periods because of the HRT, but they were lasting longer than the days that I had off and I was feeling generally unwell and the doctor was still quite happy that I should stay on HRT. All that he really checked was my blood pressure and my weight and they seemed to be okay. Eventually he referred me to a gynaecologist at it was quite quick and they did a scan and said that Id got quite large polyps and fibroids. And they whipped me in the hospital quite quickly.
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Are Women Who Arent Experiencing Menopausal Symptoms Still Fertile
No matter when you experience natural menopause, your chances of getting pregnant after the age of 40 are low, says Faubion. But you can still become pregnant as youre transitioning to menopause, and you still need to use birth control if you dont want to conceive, she adds.
Streicher confirms, saying, Fertility and menopause are not the same thing there are plenty of women who are pumping out estrogen and menstruating and are not fertile. If youre sexually active, its important to consult with your doctor before making any decisions about birth control to avoid unwanted pregnancy.
On the other hand, dont assume that just because you are still menstruating that you can get pregnant. Women who are concerned that they may have trouble conceiving or think they may experience menopause early and still want children should discuss options such as egg freezing with their doctor, says Streicher.
Irregular Periods In Your 40s Is It Perimenopause Or Something Else
If youre in your mid- to late 40s and your periods are becoming irregular, you may be in the menopausal transition, or perimenopause. This is the natural stage your body goes through as you approach menopause.
This stage lasts about four years on average, although some women may experience only a few months or many more years of symptoms. It is characterized by fluctuations in hormones as your ovaries are nearly out of eggs. Your estrogen levels drop and you may have markedly irregular menstrual cycles. On top of irregular periods, hormonal changes can lead to weight gain, hot flashes, trouble sleeping, vaginal dryness, mood changes, and depression.
Perimenopause ends with menopause, at which point you have not had a period for 12 months.
Are There Any Other Emotional Changes That Can Happen During Menopause
Menopause can cause a variety of emotional changes, including:
- A loss of energy and insomnia.
- A lack of motivation and difficulty concentrating.
- Anxiety, depression, mood changes and tension.
- Aggressiveness and irritability.
All of these emotional changes can happen outside of menopause. You have probably experienced some of them throughout your life. Managing emotional changes during menopause can be difficult, but it is possible. Your healthcare provider may be able to prescribe a medication to help you . It may also help to just know that there is a name to the feeling you are experiencing. Support groups and counseling are useful tools when dealing with these emotional changes during menopause.
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Missed Periods Intermittent Spotting Heavy Bleeding And Flooding
Changes in periods vary widely as hormones adjust. As mentioned in other parts of this site this is a time to really tune into your body and trust your instincts. As you can see from this list its hard to define what perimenopause periods are like:
Periods can disappear for a year and then return.
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Hot Flashes & Night Sweats
Hot flashes and night sweats are common symptoms of perimenopause and menopause, with over 85% of women reporting hot flashes. Hormone changes affect your bodys internal thermostat. A hot flash feels like a wave or sensation of heat across your face, neck, and chest. It can last for several minutes. Hot flashes can happen a few times a day, a few times a week, or less often.
Hot flashes that happen at night are called night sweats, which can cause women to wake up drenched in sweat and disturb sleep. Women are more likely to report hot flashes at night.
When Should Women Not Take Birth Control Pills For Perimenopause
While hormonal birth control can be extremely beneficial, it can increase the risk of blood clots in some individuals with a uterus. More specifically, it is recommended that those with a history of blood disorders, heart disease, and/or cancer stop taking hormonal contraceptives as they enter their late forties. This also applies to individuals who smoke.
Instead of using high-dose hormonal birth control to alleviate the symptoms of perimenopause, individuals with a uterus can try hormone therapies or low-dose birth control pills. With that said, there are pros and cons to these methods, so individuals should consult a doctor in order to determine the best path for their lifestyle.
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Maggies Periods Have Become Increasingly Irregular In The Past 16 Months
My periods were fairly regular up till September, not last year, the year before, 2007, so at that point I just stopped having periods for about a period of six months, and again I wasnt too concerned about it, I thought perhaps, I started to think then, I started to do a bit of reading about the menopause about the perimenopause, as I realised thats probably what was happening. And sorry Ive lost the train of thought now. So yes I didnt have periods for six months and then I started a relationship and I got one period in the same month that I started the relationship, and then again a gap of about eight months, and again some light bleeding for about two or three days, and that was a couple of months ago. So I think in the period of time of about sixteen months Ive had two lots of quite light bleeding.
Perimenopause: Rocky Road To Menopause
What are the signs of perimenopause? Youre in your 40s, you wake up in a sweat at night, and your periods are erratic and often accompanied by heavy bleeding: Chances are, youre going through perimenopause. Many women experience an array of symptoms as their hormones shift during the months or years leading up to menopause that is, the natural end of menstruation. Menopause is a point in time, but perimenopause is an extended transitional state. Its also sometimes referred to as the menopausal transition, although technically, the transition ends 12 months earlier than perimenopause .
When Your Periods Slow: Perimenopause
Perimenopause usually begins in a womans 40s and can last anywhere between 1 and 10 years. Perimenopause means around menopause.
This is a transitional time for the body and refers to the time your body is making a transition from fertility to menopause, which marks the end of your reproductive years. Perimenopause is sometimes called the menopausal transition.
According to the Mayo Clinic, You may notice signs of progression toward menopause, such as menstrual irregularity, sometime in your 40s. But some women notice changes as early as their mid-30s.
Perimenopause is characterized by hormonal changes, including irregular estrogen and progesterone levels. These changes to your hormone levels can cause many symptoms, which if severe, you might want to seek medical advice for. Among those symptoms are changes in your menstrual period.
Even as your menstrual cycle becomes less regular it is important to know that youre still ovulating . As long as youre ovulating and having periods, you can become pregnant.
If you want to avoid pregnancy, use birth control until you’ve entered menopause, i.e. youve had no periods for 12 months.
During perimenopause, some may notice changes to the menstrual period. Some of these changes can be extreme opposites of each other, from lighter periods to heavier periods. This is caused by the extreme fluctuation of hormone levels.
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:
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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.
How Will I Know If Im Going Through Menopause If Ive Had A Hysterectomy
If your uterus was surgically removed through a hysterectomy, you may not know youre going through menopause unless you experience hot flashes.
This can also happen if youve had an endometrial ablation and your ovaries werent removed. Endometrial ablation is the removal of the lining of your uterus as treatment for heavy menstruation.
If you arent having any symptoms, a blood test can determine if your ovaries are still functioning. This test can be used to help doctors find out your estrogen level, which may be beneficial if youre at risk of osteoporosis. Thats because knowing your estrogen status may be important in determining whether you need a bone density assessment.
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