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The 5%: Early Menopause Causes

Menopause is a natural biological process marking the end of a woman’s reproductive years.

While the average age for menopause in most countries is around 51, approximately 5% of women experience early menopause, entering this phase before the age of 45. 

This phenomenon, often referred to as premature menopause or premature ovarian failure, can have profound implications on a woman’s health, fertility, and overall well-being.

What is Early Menopause?

Early menopause occurs when the ovaries cease to function adequately before the age of 45, leading to the cessation of menstruation and the end of the ability to naturally conceive. 

This condition can be natural or induced by certain medical treatments or surgeries. Women going through early menopause experience the same symptoms as those going through natural menopause at a later age, including hot flashes, night sweats, mood swings, and a decreased libido.

Understanding Why Menopause Might Happen Early

Sometimes, menopause starts earlier than expected. There are a few different reasons this might happen. Here’s a breakdown of some possible causes:

It Runs in the Family: If your mum or sister went through menopause early, you might have a higher chance of it happening to you too. This has to do with the genes you inherit.

When Your Body Gets a Bit Confused: Sometimes, the body’s defence system, which fights off germs, can mistakenly target healthy tissues like your ovaries.  This can lead to early menopause.  Some health conditions, like thyroid problems, are linked to this.

Strong Medical Treatments:  Cancer treatments like chemotherapy and radiation, especially around the pelvic area, can sometimes cause early menopause. Surgery to remove the ovaries will also bring on menopause right away.

Lifestyle Choices:  Things like smoking can make menopause happen a bit earlier.  Maintaining a healthy weight is important to—being significantly underweight can throw your hormones off balance and sometimes lead to early menopause.

Special Chromosome Situations: Certain genetic conditions can affect how the ovaries work, sometimes leading to early menopause.

Celebrities Opening Up About Early Menopause

When celebrities share their experiences with early menopause, it helps shed light on a topic that often feels isolating. Here are a few stars who have bravely opened up, helping others feel less alone:

Michelle Heaton: Facing Challenges with Courage

Michelle Heaton, a British singer and TV personality, underwent early menopause at 35 after a preventative double mastectomy and hysterectomy. Her decision was motivated by a high cancer risk,  and she speaks openly about the impact this transition has had on her life.

Angelina Jolie: Raising Awareness for Preventative Options

Angelina Jolie’s decision to have her ovaries and fallopian tubes removed due to her strong family history of cancer thrust early menopause into the spotlight.  Her actions highlight  the importance of genetic testing and discussions with your doctor about preventative measures if you have a heightened risk.

Kim Cattrall: Menopause Happens, Even If Unexpected

While Kim Cattrall’s menopause journey started in her early 50s (which might not be medically defined as “early”),  it was sooner than she anticipated. Sharing her story normalises the fact that everyone experiences menopause differently, and it’s essential to talk about the unexpected changes that can occur.

Others Helping Break the Silence

These are just a few examples. Other celebrities, including Naomi Watts and Lisa Snowdon, are bravely sharing their stories too. 

Their openness makes a real difference – it helps reduce stigma and encourages women to speak up and seek the support they need.

How Early Menopause Can Impact Your Mental Well-Being

Ladies, let’s talk about a topic that doesn’t get enough attention: the mental health impact of early menopause. If you’re going through menopause earlier than expected, you might be feeling like you’re on an emotional rollercoaster. Trust us, you’re not alone.

The Hormonal Culprit Behind Mood Changes

When we hit menopause, our bodies go through some major hormonal shifts. These fluctuations can leave us feeling like we’ve got a bad case of PMS that just won’t quit. You might find yourself dealing with:

– Mood swings

– Low mood or sadness

– Anxiety or irritability

– Lack of motivation

– Difficulty focusing or concentrating

– Feeling stressed or overwhelmed

If you’ve struggled with mental health issues before, menopause can be especially challenging and may even trigger a relapse or change in your condition.

Menopause Symptoms Can Make Mental Health Worse

As if the hormonal changes weren’t enough, other menopause symptoms can take a toll on your mental well-being too. Fatigue, night sweats, insomnia, hot flashes, and memory loss can all contribute to feeling stressed, anxious, or depressed. It’s a lot to deal with!

You’re Not Alone in Being Caught Off Guard

If you’re surprised to find yourself in menopause, you’re in good company. While the average age for menopause is around 52, many women start experiencing symptoms in their early 40s. This is known as early menopause. 

For women of colour, perimenopause (the transition phase before menopause) may start a couple years earlier than for white women. This can make it trickier to recognize the signs and get the support you need.

The bottom line? Menopause can be a wild ride, emotionally speaking. But by understanding the mental health impact and knowing you’re not alone, you can take steps to care for yourself during this transformative time.

Fertility Options After Early Menopause

If you’re facing early menopause (before age 45) or premature menopause (before age 40), you might be worried about your chances of having a baby. The good news is, you still have options!

While natural pregnancy isn’t possible once your periods have stopped completely, fertility treatments like IVF with donor eggs can help you conceive. In fact, studies show that women in early menopause have up to a 50% chance of achieving a live birth per embryo transfer using donor eggs. 

Those are pretty great odds!

Hormone replacement therapy (HRT) isn’t a fertility treatment, but it can help manage some of the symptoms of early menopause while you explore your family-building options.

Long-Term Health Risks: What You Need to Know

Ladies, let’s have a real talk moment about the potential long-term health risks associated with early menopause. While this info might seem scary, remember that knowledge is power. By understanding the risks, you can take steps to stay on top of your health.

Women who go through early menopause may be at increased risk for:

– Cognitive issues like dementia

– Parkinson’s disease

– Glaucoma

– Heart disease

– Osteoporosis

– Mood disorders

– Sexual dysfunction

The earlier menopause happens, the higher the risk for some of these health problems. But don’t panic – there are things you can do to protect your well-being.

Taking Control of Your Health

Hormone therapy is often recommended until at least the natural age of menopause to help counteract some of the negative effects of early menopause. Your doctor may suggest a higher dose to mimic the oestrogen levels of premenopausal women.

In addition to HT, it’s important to talk with your healthcare provider about ways to prevent heart disease, strengthen your bones, and reduce your fracture risk. And don’t forget about your mental health! 

Early menopause can be an emotional journey. Consider contacting a therapist or counsellor for additional support.

Remember, increased risks don’t mean that health issues are a done deal. By staying informed and proactive, you can take charge of your health and thrive through this transition and beyond!

Cardiovascular Diseases

Studies show that women who go through premature menopause (before age 40) have a higher risk of heart problems compared to those who don’t. 

The numbers might seem scary at first glance:

– 33% higher risk of heart failure

– 9% higher risk of atrial fibrillation (a type of irregular heartbeat)

And the earlier menopause happens, the higher the risk. For example, women who experience menopause before age 40 have a 39% greater risk of heart failure compared to those who go through it later.

But don’t let these statistics keep you up at night! By being aware of the potential risks, you can take measures to protect your heart health. Talk to your doctor about heart-healthy habits like exercise, a balanced diet, and managing stress.

Mood and Memory: What You Should Know

Menopause can also impact our moods and cognitive function. If you’ve been feeling a bit foggy or forgetful lately, you’re not imagining things!

Mild cognitive impairment (MCI) is linked to a nine-fold increase in the risk of dementia compared to the general population. Even just having subjective cognitive complaints (like feeling like your memory isn’t as sharp as it used to be) without any measurable issues on brain tests is associated with double the risk of dementia.

Now, before you start worrying, remember that increased risk doesn’t mean dementia is a sure thing. It just means it’s extra important to stay on top of your cognitive health. 

Some tips for keeping your mind sharp:

– Stay mentally active with hobbies, puzzles, or learning new skills

– Exercise regularly (it’s good for your brain too!)

– Maintain social connections

– Get enough sleep

– Eat a brain-healthy diet rich in fruits, veggies, and omega-3s

If you’re noticing persistent changes in your mood or memory, don’t brush it off. 

Talk to your doctor about early detection and intervention strategies. 

The sooner you address any concerns, the better equipped you’ll be to manage your cognitive well-being in the long run.

Osteoporosis and Fractures: Keeping Your Bones Strong

Let’s talk about your bone health. If you’ve gone through early menopause, you might be at a higher risk for osteoporosis later in life. But don’t worry – there are steps you can take to keep your bones strong and healthy!

Here’s the deal: the earlier menopause happens, the lower your bone density may be as you age. And lower bone density means a higher chance of fractures. It’s not exactly a fun topic, but it’s important to be aware of.

So, what can you do? 

First things first: if you’ve experienced early menopause, make sure to get a bone density test within 10 years. This will help your doctor diagnose osteopenia (mild bone loss) or osteoporosis (more significant bone loss) early on, so you can get the right treatment.

Some other tips for maintaining healthy bones:

– Get plenty of calcium and vitamin D through your diet or supplements

– Engage in regular weight-bearing exercise like walking, dancing, or lifting weights

– Avoid smoking and excessive alcohol consumption

– Talk to your doctor about medications that can help prevent or treat bone loss

Remember, knowledge is power! By staying proactive about your bone health, you can reduce your risk of fractures and keep your skeleton strong for years to come.

The Bottom Line: Early Menopause and Overall Health

Time to put all of this information into perspective. 

We’ve covered a lot of ground – from heart health to cognitive function to bone strength. And while it’s true that early menopause is associated with some increased health risks, it’s not a predetermined destiny.

Studies do show a slight increase in overall mortality for women who experience premature menopause. The numbers suggest a 10% higher risk when not considering follow-up intervals, and a 34% higher risk when taking follow-up into account. 

But here’s the thing: these are statistical averages, not a crystal ball. Your individual risk can vary based on a whole host of factors, like your lifestyle, your genes, and your access to quality healthcare.

So, what’s the takeaway? 

Don’t let the stats scare you – let them empower you! 

By making healthy choices, staying on top of your medical check-ups, and being proactive about managing any health concerns that crop up, you can absolutely thrive after early menopause.

Keep those lines of communication open with your healthcare teams – medical and holistic. 

They’re there to help you navigate this journey and make sure you’re feeling your best, both physically and mentally.

So, take a deep breath, give yourself a pat on the back, and keep on track. You’ve got this!

Citations:

[1] https://www.escardio.org/The-ESC/Press-Office/Press-releases/Premature-menopause-is-associated-with-increased-risk-of-heart-problems

[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394691/

[3] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987413/

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[8] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9066596/

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http://[10] https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667%2819%2930155-0/fulltext

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[13] https://www.liebertpub.com/doi/abs/10.1089/jwh.2023.0189

[14] https://www.hopkinsmedicine.org/health/conditions-and-diseases/menopause-and-the-cardiovascular-system

[15] https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2785986

[16] https://www.sciencedirect.com/science/article/abs/pii/S104727979700207X

[17] https://www.heart.org/en/news/2023/02/20/the-connection-between-menopause-and-cardiovascular-disease-risks

[18] https://www.health.com/condition/menopause/early-menopause-dementia-risk

[19] https://jamanetwork.com/journals/jamacardiology/fullarticle/2551981

[20] https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667%2819%2930184-7/fulltext

[21] https://focus.psychiatryonline.org/doi/10.1176/appi.focus.20200041

[22] https://hscweb3.hsc.usf.edu/health/publichealth/news/coph-researcher-studies-premature-menopause-and-its-profound-effects-on-health-lifespan/

[23] https://www.bhf.org.uk/informationsupport/support/women-with-a-heart-condition/menopause-and-heart-disease

[24] https://www.health.harvard.edu/blog/menopause-and-memory-know-the-facts-202111032630

[25] https://www.ahajournals.org/doi/10.1161/JAHA.123.030117

Citations:

[1] https://tfp-fertility.com/en-gb/fertility-guides/early-menopause-symptoms-and-treatment

[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581591/

[3] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8473711/

[4] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2815011/

[5] https://www.tommys.org/pregnancy-information/planning-a-pregnancy/fertility-and-causes-of-infertility/premature-ovarian-insufficiency-and-getting-pregnant

[6] https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/premature-and-early-menopause

[7] https://www.conceptfertility.co.uk/2015/04/30/early-menopause-and-ivf/

[8] https://www.nhsinform.scot/healthy-living/womens-health/later-years-around-50-years-and-over/menopause-and-post-menopause-health/early-and-premature-menopause/

[9] https://blog.scrcivf.com/what-do-i-need-to-know-about-early-menopause-and-ivf

[10] https://my.clevelandclinic.org/health/diseases/21138-premature-and-early-menopause

[11] https://www.yourfertility.org.au/everyone/health-medical/early-menopause-and-premature-ovarian-insufficiency

[12] https://www.menopause.org.au/members/ims-menopause-live/adverse-long-term-health-outcomes-associated-with-premature-or-early-menopause

[13] https://www.healthline.com/health/menopause/menopause-pregnancy

[14] https://www.sciencedirect.com/science/article/abs/pii/S0378512209002643

[15] https://www.apricityfertility.com/uk/medical-conditions/premature-menopause

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Citations:

[1] https://mentalhealth-uk.org/blog/how-can-menopause-affect-your-mental-health/

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[11] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581591/

[12] https://time.com/6565057/menopause-treatment-symptoms-mainstream/

[13] https://www.hopkinsmedicine.org/health/wellness-and-prevention/can-menopause-cause-depression

[14] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325642/

[15] https://www.acog.org/womens-health/experts-and-stories/the-latest/mood-changes-during-perimenopause-are-real-heres-what-to-know

[16] https://aslef.org.uk/news/menopause-surprise

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