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Healthcare

Menopause

About

About

Menopause is the time in a woman's life when her periods (menstruation) stop. Most often, it is a natural, normal body change that most often occurs between ages 45 to 55. After menopause, a woman can no longer become pregnant.

Causes

Causes

During menopause, a woman's ovaries stop releasing eggs. The body produces less of the female hormones estrogen and progesterone. Lower levels of these hormones cause menopause symptoms.

Periods occur less often and eventually stop. Sometimes this happens suddenly. But most of the time, periods slowly stop over time.

Menopause is complete when you have not had a period for 1 year. This is called post menopause. Surgical menopause takes place when surgical treatments cause a drop in estrogen. This can happen if both of your ovaries are removed.

Menopause can also sometimes be caused by drugs used for chemotherapy or hormone therapy (HT) for breast cancer.

Symptoms

Symptoms

Symptoms vary from woman to woman. They may last 5 or more years. Symptoms may be worse for some women than others. Symptoms of surgical menopause can be more severe and start more suddenly.

The first thing you may notice is that periods start to change. They might occur more often or less often. Some women might get their period every 3 weeks before starting to skip periods You may have irregular periods for 1 to 3 years before they stop completely.

Common symptoms of menopause include:

  • Menstrual periods that occur less often and eventually stop
  • Heart pounding or racing
  • Hot flashes, usually worst during the first 1 to 2 years
  • Night sweats
  • Skin flushing
  • Sleeping problems (insomnia)

Other symptoms of menopause may include:

  • Decreased interest in sex or changes in sexual response
  • Forgetfulness (in some women)
  • Headaches
  • Mood swings, including irritability, depression, and anxiety
  • Urine leakage
  • Vaginal dryness and painful sexual intercourse
  • Vaginal infections
  • Joint aches and pains
  • Irregular heartbeat (palpitations)
Complications

Possible Complications

Some women have vaginal bleeding after menopause. This is often nothing to worry about. However, you should tell your provider if this occurs. It may be an early sign of other health problems, including cancer.

Decreased estrogen level has been linked to some long-term effects, including:

  • Bone loss and osteoporosis in some women
  • Changes in cholesterol levels and greater risk of heart disease
Doctor

When to Contact a Medical Professional

Call your provider if:

  • You are spotting blood between periods
  • You have had 12 consecutive months with no period and vaginal bleeding or spotting begins again suddenly (even a small amount of bleeding)
Prevention

Prevention

Menopause is a natural part of a woman's development. It does not need to be prevented. You can reduce your risk of long-term problems such as osteoporosis and heart disease by taking the following steps:

  • Control your blood pressure, cholesterol, and other risk factors for heart disease.
  • DO NOT smoke. Cigarette use can cause early menopause.
  • Get regular exercise. Resistance exercises help strengthen your bones and improve your balance.
  • Talk to your provider about medicines that can help stop further bone weakening if you show early signs of bone loss or have a strong family history of osteoporosis.
  • Take calcium and vitamin D.

Alternative Names

Perimenopause; Postmenopause