09/08/2019
is the time that marks the end of your menstrual cycles. It's diagnosed after you've gone 12 months without a menstrual period. Menopause can happen in your 40s or 50s. In the months or years leading up to menopause (Peri-menopause) you might experience these signs and symptoms:
-Vaginal dryness
-Hot flashes
-Chills
-Night sweats
-Sleep problems
-Mood changes
-Weight gain and slowed metabolism
-Thinning hair and dry skin
-Loss of breast fullness
-Irregular periods: skipping periods during Peri-menopause is common and expected. Often, menstrual periods will skip a month and return, or skip several months and then start monthly cycles again for a few months. Periods also tend to happen on shorter cycles, so they are closer together. Despite irregular periods, pregnancy is possible. If you've skipped a period but aren't sure you've started the menopausal transition, consider a pregnancy test.
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Menopause can result from:
1. Natural decline of reproductive hormones.
-as you approach your late 30s, your ovaries start making less estrogen and progesterone: the hormones that regulate menstruation and your fertility declines. In your 40s, your menstrual periods may become longer or shorter, heavier or lighter, and more or less frequent, until eventually on average, by age 51 your ovaries stop producing eggs, and you have no more periods.
2. Hysterectomy
-a hysterectomy that removes your uterus but not your ovaries usually doesn't cause immediate menopause. Although you no longer have periods, your ovaries still release eggs and produce estrogen and progesterone. But surgery that removes both your uterus and your ovaries (total hysterectomy and bilateral oophorectomy) does cause immediate menopause. Your periods stop immediately, and you're likely to have hot flashes and other menopausal signs and symptoms, which can be severe, as these hormonal changes occur abruptly rather than over several years.
3. Chemotherapy and radiation therapy.
-these cancer therapies can induce menopause, causing symptoms such as hot flashes during or shortly after the course of treatment. The halt to menstruation (and fertility) is not always permanent following chemotherapy, so birth control measures may still be desired.
4. Primary ovarian insufficiency.
-about 1 percent of women experience menopause before age 40 (premature menopause) resulting from primary ovarian insufficiency - when your ovaries fail to produce normal levels of reproductive hormones, stemming from genetic factors or autoimmune disease.
After menopause, your risk of certain medical conditions increases including:
Heart and blood vessel (cardiovascular) disease.
-when your estrogen levels decline, your risk of cardiovascular disease increases. Heart disease is the leading cause of death in women as well as in men.
Osteoporosis.
-this condition causes bones to become brittle and weak, leading to an increased risk of fractures. During the first few years after menopause, you may lose bone density at a rapid rate, increasing your risk of osteoporosis. Postmenopausal women with osteoporosis are especially susceptible to fractures of their spine, hips and wrists.
Urinary incontinence.
-as the tissues of your va**na and urethra lose elasticity, you may experience frequent, sudden, strong urges to urinate, followed by an involuntary loss of urine (urge incontinence), or the loss of urine with coughing, laughing or lifting (stress incontinence). You may have urinary tract infections more often.
Sexual function.
-va**nal dryness from decreased moisture production and loss of elasticity can cause discomfort and slight bleeding during sexual in*******se. Also, decreased sensation may reduce your desire for sexual activity (libido).
Weight gain.
-many women gain weight during the menopausal transition and after menopause because metabolism slows. You may need to eat less and exercise more, just to maintain your current weight.
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