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What is the relationship between early menopause and pregnancy? It's possible getting pregnant with early menopause? Before we get down to business, let's talk a little about what menopause is and what it means to suffer from early menopause.
The menopause it is a process that marks a before and after in a woman's reproductive life. The age range in which we speak of menopause ranges from 45 to 55 years, the average being 51 years. This natural process it involves the cessation of estrogen and progesterone production. A woman is considered to have entered menopause when you do not have a menstrual cycle for a year. The question arises when menopause appears earlier than expected, specifically, before the woman has reached the age of 40; when that happens, we consider that the menopause is early.
Although the most obvious symptom of early menopause is the absence of menstruation, other associated symptoms may appear:
- Irregular menstrual periods.
- Periods lasting more than a week.
- More or less abundance of bleeding during menstruation (compared to usual).
- Vaginal dryness.
- Irritability in the bladder.
- Urinary incontinence.
- Humor changes.
- Dry Skin.
- Decreased sexual desire.
- Changes in weight.
It is complex to identify the specific causes for which the early menopause in each case, although there are common factors in several women.
Genetic inheritance is one of them. For a woman with early menopause It is interesting to know the age at which your mother entered menopause to identify if it is hereditary factors. Normally if the mother had early menopause, it is likely that her daughter will also.
But, without place to place, the one that most influences is lifestyle. Our habits influence many aspects of life. Some factors that can accelerate entry into menopause are:
A 2012 study showed that tobacco has anti-estrogenic effects, which facilitates and stimulates early menopause.
- A BMI, very high or very low muscle mass index
If you are very thin, your estrogen stores run out quickly; And if you are overweight or obese, these are stored in fatty tissue.
- Defects in some chromosome
Some chromosomal defects can lead to early menopause. For example, Turner syndrome (also called monosomy X and gonadal dysgenesis) involves being born with an incomplete chromosome. Women with Turner syndrome have ovaries that don't work properly. This often causes them to enter menopause prematurely.
- Autoimmune diseases
Premature menopause can be a symptom of an autoimmune disease such as thyroid disease and rheumatoid arthritis. In autoimmune diseases, the immune system mistakes certain cells for an invader and attacks it, causing inflammation in some areas, including the ovaries. Menopause begins when the ovaries stop working following their normal cycle.
- Fragile X syndrome
A genetic and inherited disorder related to the X chromosome, which is the cause of premature ovarian failure.
Epilepsy is a seizure disorder that originates in the brain. Women with epilepsy are more likely to experience premature ovarian failure, leading to menopause. A 2001 study of a group of women with epilepsy found that about 14% experienced early menopause, compared with 1–4% of the general population.
Many women assume that they have entered menopause when symptoms begin, however, there are two distinct stages: the perimenopause and the postmenopause.
Perimenopause is a transition stage towards menopause, it occurs just before menopause, when the first hormonal changes begin. Postmenopause, on the other hand, occurs when a woman has not had a period in 12 months, that is, menopause is consolidated.
The possibility of conceiving is directly related to the number of follicles and eggs that remain in the ovaries. Women in the relatively early stages of the process toward early menopause have fewer follicles and eggs than the average for their age, but generally, the ovarian reserve it is usually sufficient for optimistic pregnancy expectation.
In contrast, in women in the postmenopausal stage (that is, women already in menopause) ovarian reserve is often reduced to such a small group of follicles and eggs that they no longer have a real chance of pregnancy with the use of their own eggs.
However, there are specific techniques for this situation, such as egg donation, a system with which, after fertilizing a donor egg, we carry out in vitro fertilization. Insemination with donor eggs (egg donation) is a system with high success rates.
As we have seen, the possibility of a successful pregnancy in women with early menopause It always depends on when it is, based on which one treatment or another may be recommended in order to achieve pregnancy.
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