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Can a woman get menopause early

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All A-Z health topics. View all pages in this section. Primary ovarian insufficiency POI is a term that is often used to mean the same thing as premature menopause, but it is different. POI happens when your ovaries stop working before age 40 and sometimes as early as in your teens.

SEE VIDEO BY TOPIC: Early Menopause – Mayo Clinic Women’s Health Clinic

SEE VIDEO BY TOPIC: Mayo Clinic finds estrogen may protect younger menopausal women from strokes

Recognizing Early Menopause

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Menopause typically brings with it a host of symptoms that can be unpleasant, at best, and at worst, can increase the risks for heart disease and early death. For women who go through early menopause those symptoms and health risks can be compounded, whether the transition is natural or due to surgery. Early menopause affects a minority of women. But for women in this group, the stakes are raised when it comes to health risks. Research indicates that early menopause, which results in the loss of estrogen and other hormones, increases the risks for cardiovascular disease, osteoporosis, type 2 diabetes, sleep disturbances, dementia and all-cause mortality.

In a study, Wellons and colleagues analyzed the association between a self-reported history of early menopause and future coronary heart disease and stroke, reviewing the history of 2, women reporting natural or surgical early menopause before age 46 years who participated in the Multi-Ethnic Study of Atherosclerosis, a longitudinal, cohort study of U. The risk also increases for type 2 diabetes. In a prospective case-cohort study, Brand and colleagues analyzed data from 3, postmenopausal women with type 2 diabetes and 4, subcohort participants during a mean follow-up period of 11 years, examining the associations of menopausal age and reproductive life span with diabetes risk.

Among women who had undergone menopause from ages 40 to 44 years, the HR for type 2 diabetes was 1. Women who underwent menopause before age 40 years had an HR of 1. The risk persisted after multivariable adjustment, including BMI, waist circumference and smoking.

The HR per standard deviation younger age at menopause was 1. The early onset of menopause also affects cognitive function, according to recent research. In a population-based cohort study, Ryan and colleagues analyzed data from 4, French women aged at least 65 years to determine the association between age at menopause, type of menopause surgical or natural and the use of menopausal hormone therapy and cognitive function.

Researchers calculated the change in test scores between each of the follow-ups and the baseline score to evaluate cognitive decline. Several studies have linked a lower bone mineral density in women with early menopause and an increased risk for fracture later in life.

In a year population-based, prospective observational study evaluating the long-term effects of early menopause on the risk for osteoporosis, fracture and mortality, Svejme and colleagues analyzed data from white European women aged 48 years at the start of the study. Women were divided into early menopause occurring before age 47 years and late menopause occurring at age 47 years or later groups.

BMD was measured by single-photon absorptiometry in the distal forearm at baseline and again when women were aged 77 years; proximal femur and lumbar spine BMD were measured by DXA at age 77 years. Women who experienced early menopause had a 0. We must therefore speculate as to whether factors beyond bone mass, such as inferior muscle strength or inferior neuromuscular function, ought to be found in women with early menopause. Many women going through early menopause also experience a range of distressing symptoms, including vasomotor symptoms, more commonly known as hot flashes, difficulty sleeping, impaired concentration, mood swings and vaginal dryness.

The severity of symptoms can vary depending on the type of menopause, Manson said. For many women going through premature or early menopause, there is relief to be found in HT, according to researchers. The Endocrine Society recently released a clinical practice guideline advocating HT as an effective treatment for most women 60 years or younger or less than 10 years past the onset of menopause who experience bothersome hot flashes and other symptoms and do not have contraindications.

Many women, however, remain reluctant to use HT. The guideline, in part, was designed to address a decrease in the use of HT following the results of the WHI, which demonstrated that, in women aged 50 to 79 years mean age, 63 years , estrogen plus progestin increased the risk for CV complications, deep vein thrombosis and breast cancer.

The results led to widespread uncertainty among patients, and the use of estrogen and progestin and even estrogen alone has declined sharply since the WHI results were published. Studies have suggested that the confusion surrounding HT may have led to adverse health events and death. Sarrel and colleagues analyzed the effects of estrogen avoidance on mortality rates after the WHI study on women aged 50 to 59 years who had undergone a hysterectomy.

The researchers related excess mortality among women assigned to placebo in the WHI to the population of comparable women in the United States, incorporating the decline of estrogen use between and That benefit so far outweighs these other hazards. Estrogen is important for cardiovascular health, osteoporosis prevention and overall well-being.

She said patients considering HT often express fears of increased breast cancer risk, citing the WHI study results on estrogen-progestin therapy. Estrogen therapy alone is not associated with a higher risk for breast cancer. Debate continues about how long women should be on HT. The North American Menopause Society NAMS recommends 5 years or less of estrogen-progestin treatment in women with a uterus, but the length of time can be individualized for each woman, and younger women in particular may need to be on treatment longer.

Regardless of whether a woman going through early menopause is experiencing distressing symptoms, such as hot flashes, she should be treated with HT if it is the best option for her, Thacker said. Even with Prempro [an estrogen plus progestin indicated for women with a uterus, Wyeth Pharmaceuticals], the women who started under age 60 [years] still had a reduced death rate. Any hormone, too much or too little, is not good.

In a study, researchers sent a Web-based survey to all American obstetrics and gynecology residency directors to assess current menopause teaching.

Similar responses were reported for knowledge of menopause and risks related to bone health, CVD and metabolic syndrome. Manson agrees that clinicians must stress the benefits vs. So, for women who have early surgical menopause and do not have contraindications to estrogen therapy, the benefits are likely to outweigh the risks.

The distinction is tremendously important, and hopefully, women will understand that, and their health care providers will help to clarify this distinction for them. Minkin said she suggests that women going through early menopause look for a menopause clinician who can go over the risks and benefits of treatment options. The key question is how women with early menopause and hot flashes should be advised about symptom relief.

The Endocrine Society recently published guidelines that recommended hormonal therapies for appropriate women but largely agreed with the NAMS position statement on nonhormonal methods for others. The Endocrine Society stated that women with mild or less bothersome vasomotor symptoms should consider a series of steps not involving medication, including turning down the thermostat, dressing in layers, avoiding alcohol and spicy foods and reducing obesity and stress.

For those with moderate or severe vasomotor symptoms, hormonal therapies with estrogen alone if no uterus or estrogen plus a progestogen are most effective based on a large body of data and can be recommended unless the risks for cardiovascular disease, breast cancer or deep venous thrombosis are increased.

An option available in the U. For women with moderate or severe vasomotor symptoms [who are] unwilling to take hormone therapy or have contraindications, several options are effective. Notably, most experts consider the efficacy of the selective serotonin reuptake inhibitor SSRI and serotonin-norepinephrine reuptake inhibitor SNRI agents to be the difference between placebo and drug.

However, a woman being treated does not care if the effect is due to placebo or due to the drug, but appreciates an improvement in symptoms. Endocrine Society guidelines suggest that paroxetine, venlafaxine, desvenlafaxine citralopram, escitaloram, gabapentin and pregabalin are all equally effective.

For those bothered mostly by nighttime vasomotor symptoms, gabapentin may be preferable as it also has welcome soporific properties. Recent studies suggest efficacy of cognitive behavior modification and hypnosis, but these therapies require trained practitioners and may not be practical to utilize. The Endocrine Society guideline classified genestein, S-equo, nonpurified isoflavones, red clover, high-dose or synthesized phytoestrogens, dietary soy and vitamin E as agents with inconsistent reports of benefit.

Agents classified as having predominantly no benefit included black cohash, omega-3 fatty acids, acupuncture, exercise and a range of other complementary approaches, such as ginseng and wild yam.

Modalities requiring further study included stellate ganglion block and guided relaxation. To summarize, mild and less bothersome vasomotor symptoms are best treated with lifestyle modifications, and moderate to severe with hormonal therapy, depending on underlying risks and patient willingness.

Disclosure: Santen reports no relevant financial disclosures. Hot flashes on average last 7. Hormone therapy remains the gold standard for relief of hot flashes and may have health benefits when started near menopause, particularly for women with early menopause.

However, for those women who either cannot or choose not to take available hormonal therapies, nonhormonal options are needed. The NAMS panel reviewed the literature and provides evidence-based recommendations on these nonhormonal options, including herbal products in their position statement on nonhormonal management of menopause-associated vasomotor symptoms. Weight loss, stress reduction, a soy derivative S-equol , and stellate ganglion block nerve block showed potential, but caution is recommended.

For prescription therapies improvements are seen, although in general they do not offer as much relief as HT. Although not approved by the FDA, the serotonin-norepinephrine reuptake inhibitors SNRIs, such as venlafaxine , the gabapentinoids gabapentin and pregabalin and clonidine have been found effective over placebo but less effective than HT.

For safety, the panel recommended use of the lowest dose with adjustment in dose as tolerated. Benefits and risks for individual patients need to be balanced, including lack of long-term safety and efficacy data. For most lifestyle approaches, herbs and supplements the evidence was lacking or negative. Techniques unlikely to work include exercise, yoga, paced respiration and acupuncture.

Similar lack of efficacy was seen with black cohosh, dong quai, evening primrose, flaxseed, maca, omega-3s, pollen extract, vitamins, relaxation, calibration of neural oscillations a brain-training technique , homeopathy and chiropractic interventions. JoAnn V. Pinkerton, MD, is medical director of the Midlife Health Center, professor of obstetrics and gynecology and vice chair of academic affairs at the University of Virginia, Charlottesville.

Disclosure: Pinkerton reports no relevant financial disclosures. Tell us what you think about Healio. Login Register My Saved. Cover Story Publication Exclusive. Endocrine Today, November Please provide your email address to receive an email when new articles are posted on this topic. Receive an email when new articles are posted on this topic.

You have already added this topic to your email alerts. Click here to manage your alerts. Treatment and controversy For many women going through premature or early menopause, there is relief to be found in HT, according to researchers.

Diabetes Care. Christianson MS, et al. Ryan J, et al. Sarrel PM, et al. Am J Public Health. Stuenkel CA, et al. J Clin Endocrinol Metab. Svejme O, et al. Wellons M, et al. Holly L. Thacker, MD, can be reached at E. Erica T. Disclosures: Manson, Minkin, Thacker and Wang report no relevant financial disclosures.

5 Reasons Why Some Women Go Through Early Menopause

If you buy something through a link on this page, we may earn a small commission. How this works. Menopause is a transition into a new phase of life. It begins when the menstrual cycle finishes. Menopause is not a health problem, and some experience it as a time of liberation.

Hot flushes, night sweats, an aching sense of loss. Nia Fisher explains how it feels to go through early menopause. Yes, I knew that night sweats were a symptom of menopause, but I thought that only happened to women in their fifties.

Most women begin menopause between the ages of 45 and The average age for menopause onset in the United States is 51 years old. Early menopause usually refers to onset before age Premature menopause or premature ovarian insufficiency occurs before age

Women’s Wellness: 5 Things To Know About Early Menopause

Could you be at risk for premature menopause? Here's how to find out if you are, and how it could affect your fertility. Hot flashes , vaginal dryness, mood swings, insomnia : You might expect these annoyances when you hit the half-century mark, but not in your mid-thirties, the prime of your life. And yet, 1 percent of women go through menopause before age 40, which medically qualifies as premature, or early, menopause — and that number is on the rise, according to a recent review out of the United Kingdom. More accurately known as premature ovarian failure POF , early menopause can strike at any age. It is also increasingly seen in women who have undergone chemotherapy or radiation treatments for cancer at any point in their lives, says Geoffrey Redmond, MD, director of the Hormone Center of New York and author of It's Your Hormones. In fact, the U. What follows is a brief overview of key facts about premature menopause, its symptoms, and its ramifications. If you're going through menopause at age 38, chances are you're just navigating the change a little earlier than most women.

Premature & early menopause

Victorian government portal for older people, with information about government and community services and programs. Type a minimum of three characters then press UP or DOWN on the keyboard to navigate the autocompleted search results. Menopause occurs when a woman stops ovulating and her monthly period menstruation ceases. Most women reach menopause between the ages of 45 and 55, with the average age being around

Back to Health A to Z. Early menopause happens when a woman's periods stop before the age of

The Menopause Guidebook. Member Log In. Are We There Yet? Ahh, the menopause journey.

What it feels like to go through early menopause at 35

Not necessarily. Early menopause , between the ages of 40 and 45, affects about 5 percent of women. Premature menopause, before age 40, affects about 1 percent of women. You are said to be in menopause if you have gone a full 12 months with no menstrual period.

SEE VIDEO BY TOPIC: Women's Wellness: Perimenopause - What the Heck is Happening to My Body?

Menopause in women younger than 40 years of age is called premature menopause. If this happens spontaneously it is called premature ovarian failure. Premature ovarian failure affects about 1 in a women. Around 8 per women have premature menopause due to other causes such as chemotherapy or surgery. Menopause can occur spontaneously or can be a result of chemotherapy See AMS information sheet:- Early Menopause Due to Chemotherapy or ovarian surgery.

What to expect during menopause

Menopause that occurs earlier than 40 years of age is called premature menopause. This may be due to:. The impact on physical health — including increased risks of earlier onset of osteoporosis and cardiovascular disease — emotions, mood, body image and relationships can be significant, but there are treatment options and ways to manage premature and early menopause, which help. The number of women reaching menopause by this time may be increased in relation to treatment after cancer, or removal of the ovaries. When periods stop spontaneously, either prematurely or early, this is referred to as 'primary ovarian insufficiency' POI. POI is not the same as menopause at the expected age because there is a small possibility that ovarian function may spontaneously resume, whereas this does not happen after expected menopause. Spontaneous pregnancy may occur, especially after the diagnosis has been made, in up to one in 50 women.

Jump to Where to get help - Your GP (doctor) · Gynaecologist · Jean Hailes for Women's Weight gain at menopause can be managed using healthy.

One in women will start to experience the frustrating symptoms of early menopause before they turn Maybe you wake up at night drenched in sweat. 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 But when these symptoms begin in your 30s, they can be downright scary.

Experts dispel myths surrounding early menopause and risks of hormone therapy

But for some women, menopause happens much earlier than they would have expected, completely taking them by surprise and derailing plans for a growing family. Copperman, M. Yet for women who were planning to have children toward the end of their reproductive years, it can be devastating. The average age a woman hits menopause is

Early or premature menopause

Menopause typically brings with it a host of symptoms that can be unpleasant, at best, and at worst, can increase the risks for heart disease and early death. For women who go through early menopause those symptoms and health risks can be compounded, whether the transition is natural or due to surgery. Early menopause affects a minority of women.

Premature menopause and early menopause are conditions where a woman goes through menopause at an earlier age than is typically expected. Both conditions can result in women being unable to become pregnant.

Червь, - недовольно сказал Джабба.  - Никакой усложненной структуры, один лишь инстинкт: жри, опорожняйся и ползи. Вот что это. Простота.

Early menopause

Приемный покой представлял собой бесконечный узкий коридор с выстроившимися в ряд во всю его длину складными стульями. Установленная на треноге картонная табличка с надписью OFICINA стрелкой указывала направление.

Беккер двинулся по едва освещенному коридору. Все здесь напоминало зловещую декорацию к голливудскому фильму ужасов. В воздухе стоял тяжелый запах мочи. Лампочки в конце коридора не горели, и на протяжении последних двадцати метров можно было различать только смутные силуэты.

Внезапно кто-то начал колотить кулаком по стеклянной стене. Оба они - Хейл и Сьюзан - даже подпрыгнули от неожиданности. Это был Чатрукьян.

Comments: 1
  1. Shaktikora

    Completely I share your opinion. In it something is and it is good idea. It is ready to support you.

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