At what age woman get menopause
The Menopause Guidebook. Member Log In. Are We There Yet? Ahh, the menopause journey. No clear starting or ending point, odd diversions, and an estimated time of arrival that could span years.
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Premature and early menopause
Menopause , also known as the climacteric , is the time in most women's lives when menstrual periods stop permanently, and they are no longer able to bear children. In the years before menopause, a woman's periods typically become irregular,   which means that periods may be longer or shorter in duration or be lighter or heavier in the amount of flow. Menopause is usually a natural change. Specific treatment is not usually needed.
During early menopause transition, the menstrual cycles remain regular but the interval between cycles begins to lengthen. Hormone levels begin to fluctuate.
Ovulation may not occur with each cycle. The term menopause refers to a point in time that follows one year after the last menstruation. During the transition to menopause, menstrual patterns can show shorter cycling by 2—7 days ;  longer cycles remain possible. Spotting or bleeding may simply be related to vaginal atrophy, a benign sore polyp or lesion , or may be a functional endometrial response. The European Menopause and Andropause Society has released guidelines for assessment of the endometrium , which is usually the main source of spotting or bleeding.
In post-menopausal women, however, any genital bleeding is an alarming symptom that requires an appropriate study to rule out the possibility of malignant diseases. Other physical symptoms of menopause include lack of energy , joint soreness , stiffness ,  back pain ,  breast enlargement,  breast pain ,  heart palpitations ,  headache ,  dizziness ,  dry , itchy skin,  thinning, tingling skin, weight gain ,  urinary incontinence ,   urinary urgency ,  interrupted sleeping patterns,     heavy night sweats ,  and hot flashes.
Psychological symptoms include anxiety , poor memory, inability to concentrate, depressive mood, irritability , mood swings , and less interest in sexual activity. Menopause-related cognitive impairment can be confused with the mild cognitive impairment that precedes dementia. Women who experience menopause before 45 years of age have an increased risk of heart disease ,  death,  and impaired lung function.
Menopause can be induced or occur naturally. Induced menopause occurs as a result of medical treatment such as chemotherapy , radiotherapy , oophorectomy , or complications of tubal ligation , hysterectomy , unilateral or bilateral salpingo-oophorectomy or leuprorelin usage.
Menopause typically occurs between 49 and 52 years of age. In India and the Philippines , the median age of natural menopause is considerably earlier, at 44 years. In rare cases, a woman's ovaries stop working at a very early age, ranging anywhere from the age of puberty to age Undiagnosed and untreated coeliac disease is a risk factor for early menopause. Coeliac disease can present with several non-gastrointestinal symptoms, in the absence of gastrointestinal symptoms, and most cases escape timely recognition and go undiagnosed, leading to a risk of long-term complications.
A strict gluten-free diet reduces the risk. Women with early diagnosis and treatment of coeliac disease present a normal duration of fertile life span. Women who have undergone hysterectomy with ovary conservation go through menopause on average 3. Other factors that can promote an earlier onset of menopause usually 1 to 3 years early are smoking cigarettes or being extremely thin. Premature ovarian failure POF is when the ovaries stop functioning before the age of 40 years.
Known causes of premature ovarian failure include autoimmune disorders , thyroid disease, diabetes mellitus , chemotherapy , being a carrier of the fragile X syndrome gene, and radiotherapy. Women who have a functional disorder affecting the reproductive system e. The functional disorders often significantly speed up the menopausal process.
An early menopause can be related to cigarette smoking, higher body mass index , racial and ethnic factors, illnesses, and the surgical removal of the ovaries , with or without the removal of the uterus.
The reasons for this are not completely understood. Transplants of ovarian tissue between identical twins have been successful in restoring fertility. Menopause can be surgically induced by bilateral oophorectomy removal of ovaries , which is often, but not always, done in conjunction with removal of the Fallopian tubes salpingo-oophorectomy and uterus hysterectomy.
Surgical treatments, such as the removal of ovaries, might cause periods to stop altogether. The symptoms of early menopause may be more severe. Removal of the uterus without removal of the ovaries does not directly cause menopause, although pelvic surgery of this type can often precipitate a somewhat earlier menopause, perhaps because of a compromised blood supply to the ovaries.
The time between surgery and possible early menopause is due to the fact that ovaries are still producing hormones.
The menopausal transition, and postmenopause itself, is a natural change, not usually a disease state or a disorder. The main cause of this transition is the natural depletion and aging of the finite amount of oocytes ovarian reserve.
This process is sometimes accelerated by other conditions and is known to occur earlier after a wide range of gynecologic procedures such as hysterectomy with and without ovariectomy , endometrial ablation and uterine artery embolisation.
The depletion of the ovarian reserve causes an increase in circulating follicle-stimulating hormone FSH and luteinizing hormone LH levels because there are fewer oocytes and follicles responding to these hormones and producing estrogen. The transition has a variable degree of effects. The stages of the menopause transition have been classified according to a woman's reported bleeding pattern, supported by changes in the pituitary follicle-stimulating hormone FSH levels.
In younger women, during a normal menstrual cycle the ovaries produce estradiol , testosterone and progesterone in a cyclical pattern under the control of FSH and luteinizing hormone LH , which are both produced by the pituitary gland.
During perimenopause approaching menopause , estradiol levels and patterns of production remain relatively unchanged or may increase compared to young women, but the cycles become frequently shorter or irregular. The menopausal transition is characterized by marked, and often dramatic, variations in FSH and estradiol levels. Because of this, measurements of these hormones are not considered to be reliable guides to a woman's exact menopausal status. Menopause occurs because of the sharp decrease of estradiol and progesterone production by the ovaries.
After menopause, estrogen continues to be produced mostly by aromatase in fat tissues and is produced in small amounts in many other tissues such as ovaries, bone, blood vessels, and the brain where it acts locally. In contrast to the sudden fall in estradiol during menopause, the levels of total and free testosterone, as well as dehydroepiandrosterone sulfate DHEAS and androstenedione appear to decline more or less steadily with age.
An effect of natural menopause on circulating androgen levels has not been observed. Hot flashes and other vasomotor symptoms accompany the menopausal transition. While many sources continue to claim that hot flashes during the menopausal transition are caused by low estrogen levels, this assertion was shown incorrect in , and, in most cases, hot flashes are observed despite elevated estrogen levels.
The exact cause of these symptoms is not yet understood, possible factors considered are higher and erratic variation of estradiol level during the cycle, elevated FSH levels which may indicate hypothalamic dysregulation perhaps caused by missing feedback by inhibin. It has been also observed that the vasomotor symptoms differ during early perimenopause and late menopausal transition and it is possible that they are caused by a different mechanism.
Long-term effects of menopause may include osteoporosis , vaginal atrophy as well as changed metabolic profile resulting in cardiac risks. Decreased inhibin feedback after hysterectomy is hypothesized to contribute to increased ovarian stimulation and earlier menopause.
Hastened ovarian aging has been observed after endometrial ablation. While it is difficult to prove that these surgeries are causative, it has been hypothesized that the endometrium may be producing endocrine factors contributing to the endocrine feedback and regulation of the ovarian stimulation. Elimination of these factors contributes to faster depletion of the ovarian reserve.
Reduced blood supply to the ovaries that may occur as a consequence of hysterectomy and uterine artery embolisation has been hypothesized to contribute to this effect. Impaired DNA repair mechanisms may contribute to earlier depletion of the ovarian reserve during aging. Primordial follicles are immature primary oocytes surrounded by a single layer of granulosa cells.
An enzyme system is present in oocytes that ordinarily accurately repairs DNA double-strand breaks. This repair system is called " homologous recombinational repair", and it is especially effective during meiosis.
Meiosis is the general process by which germ cells are formed in all sexual eukaryotes; it appears to be an adaptation for efficiently removing damages in germ line DNA. Human primary oocytes are present at an intermediate stage of meiosis, termed prophase I see Oogenesis. Ways of assessing the impact on women of some of these menopause effects, include the Greene climacteric scale questionnaire,  the Cervantes scale  and the Menopause rating scale.
Premenopause is a term used to mean the years leading up to the last period, when the levels of reproductive hormones are becoming more variable and lower, and the effects of hormone withdrawal are present. The term "perimenopause", which literally means "around the menopause", refers to the menopause transition years before the date of the final episode of flow. The official date is determined retroactively, once 12 months have passed after the last appearance of menstrual blood.
The menopause transition typically begins between 40 and 50 years of age average In some women, menopause may bring about a sense of loss related to the end of fertility. In addition, this change often occurs when other stressors may be present in a woman's life:. Some research appears to show that melatonin supplementation in perimenopausal women can improve thyroid function and gonadotropin levels, as well as restoring fertility and menstruation and preventing depression associated with menopause.
The term "postmenopausal" describes women who have not experienced any menstrual flow for a minimum of 12 months, assuming that they have a uterus and are not pregnant or lactating.
Thus postmenopause is the time in a woman's life that takes place after her last period or, more accurately, after the point when her ovaries become inactive. The reason for this delay in declaring postmenopause is because periods are usually erratic at this time of life.
Therefore, a reasonably long stretch of time is necessary to be sure that the cycling has ceased. At this point a woman is considered infertile; however, the possibility of becoming pregnant has usually been very low but not quite zero for a number of years before this point is reached.
A woman's reproductive hormone levels continue to drop and fluctuate for some time into post-menopause, so hormone withdrawal effects such as hot flashes may take several years to disappear.
A period-like flow during postmenopause, even spotting, may be a sign of endometrial cancer. Perimenopause is a natural stage of life. It is not a disease or a disorder. Therefore, it does not automatically require any kind of medical treatment. However, in those cases where the physical, mental, and emotional effects of perimenopause are strong enough that they significantly disrupt the life of the woman experiencing them, palliative medical therapy may sometimes be appropriate.
In the context of the menopause, hormone replacement therapy HRT is the use of estrogen in women without a uterus and estrogen plus progestin in women who have an intact uterus. HRT may be reasonable for the treatment of menopausal symptoms, such as hot flashes. It also appears effective for preventing bone loss and osteoporotic fracture,  but it is generally recommended only for women at significant risk for whom other therapies are unsuitable.
HRT may be unsuitable for some women, including those at increased risk of cardiovascular disease, increased risk of thromboembolic disease such as those with obesity or a history of venous thrombosis or increased risk of some types of cancer. Adding testosterone to hormone therapy has a positive effect on sexual function in postmenopausal women, although it may be accompanied by hair growth, acne and a reduction in high-density lipoprotein HDL cholesterol. SERMs are a category of drugs, either synthetically produced or derived from a botanical source, that act selectively as agonists or antagonists on the estrogen receptors throughout the body.
The most commonly prescribed SERMs are raloxifene and tamoxifen. Raloxifene exhibits oestrogen agonist activity on bone and lipids, and antagonist activity on breast and the endometrium. Raloxifene prevents vertebral fractures in postmenopausal, osteoporotic women and reduces the risk of invasive breast cancer. Gabapentin or clonidine may help but do not work as well as hormone therapy.
Side effects associated with its use include drowsiness and headaches.
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
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.
Early or premature menopause
The average age for menopause in the United States is 51 , according to the Mayo Clinic. But menopause can happen to women throughout their 40s and 50s, too. Examining your family history may be the most accurate way to help you predict when you might experience the change. On average, most women experience perimenopause for about four years before their periods stop completely. Your hormone levels change during perimenopause. Your periods may be longer or shorter than normal, or they may be heavier or lighter than usual. Additionally, you might skip a month or two between cycles. Symptoms vary from woman to woman. Menopause that occurs before age 40 is called premature menopause. About 5 percent of women go through early menopause naturally.
Menopause, Perimenopause and Postmenopause
In the lead-up to menopause, your ovaries may not produce an egg each month. This can lead to changes in the hormones circulating in your body. Specifically, oestrogen levels may be increased and progesterone levels may be lower. After menopause, oestrogen levels also fall considerably.
It officially marks the time when she is no longer fertile following 30 to 40 years of fertility. Menopause occurs in every female at a different time. The average age for a woman to start menopause is 51, though the process can start from mids to mids.
Menopause - signs, symptoms, treatment
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.
Menopause , also known as the climacteric , is the time in most women's lives when menstrual periods stop permanently, and they are no longer able to bear children. In the years before menopause, a woman's periods typically become irregular,   which means that periods may be longer or shorter in duration or be lighter or heavier in the amount of flow. Menopause is usually a natural change. Specific treatment is not usually needed. During early menopause transition, the menstrual cycles remain regular but the interval between cycles begins to lengthen. Hormone levels begin to fluctuate.
At What Age Will You Enter Menopause?
Back to Health A to Z. The menopause is when a woman stops having periods and is no longer able to get pregnant naturally. Periods usually start to become less frequent over a few months or years before they stop altogether. Sometimes they can stop suddenly. The menopause is a natural part of ageing that usually occurs between 45 and 55 years of age, as a woman's oestrogen levels decline. In the UK, the average age for a woman to reach the menopause is
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What’s the Average Age of Menopause? Plus What to Expect When It Starts
While the average age of menopause is 51, there's a year range in which you might start to feel symptoms. Certain factors can affect when this change of life will happen to you. There is no set age at which all women will start to go through menopause. The average age of menopause in the United States is 51, but it is considered perfectly normal for a woman to go through it at any time between the ages of 35 and 59, says Lila Schmidt, MD, a reproductive endocrinologist in private practice in San Diego.
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Posted 2 years ago by Andreas Obermair. At what age do you expect menopause to occur? How does it affect your health and cancer risk?