You may encounter other menopause tests that you can do at home, on your own, using urine or saliva. That said, your periods can return after a long break. Create a profile for better recommendations. Breast implant illness BII is a term that some women and doctors use to refer to a wide range Sign up for emails about breast cancer news, virtual events, and more. Subscribe to our podcast for conversations on the issues that matter most. Several large studies of women from across the United States have suggested the following "stages" for the menopause transition.
Many women wonder what is happening to their hormones during the menopause. Each month from the time of puberty to menopause, a woman's ovaries are stimulated by a hormone made in the brain called follicular stimulating hormone FSH.
FSH causes ovarian follicles to enlarge and produce estrogen. Over time, fewer and fewer follicles remain to be stimulated and thus estrogen levels decline as a woman ages. This decline in estrogen leads to an increase in FSH as there is not enough estrogen being produced to "turn off" the brain's production of FSH. The information below is meant only as a guide about what you may experience, and does not cover all possible symptoms.
Change in menstrual bleeding patterns: As women age, menstrual periods change. They may be more or less frequent, shorter or longer, and heavier or lighter. It is important to know that ovulation can still occur, and women in perimenopause can sometimes get pregnant.
Women who do not wish to get pregnant should continue to use birth control until they have not had a menstrual period for 12 months. However, worsening bleeding or irregular bleeding should be discussed with a health-care provider. Abnormal bleeding may be the result of other problems with the uterus, such as polyps, fibroids, hyperplasia overgrowth of the lining of the uterus , or even cancer. Hot flashes and vaginal symptoms for example, dryness, itching, and painful sex : These symptoms are usually caused by low estrogen levels, and may start months to years before the menopause transition.
Although approximately two out of three women will have hot flashes at some point, the timing, amount, and length of these symptoms can vary.
Hot flashes can last from months to a few years. For most women, these symptoms gradually get better. Vaginal symptoms can increase over time. Vaginal dryness may be especially noticeable during sex. It is important to tell your doctor about bothersome changes so that they can be properly managed. Decrease in sex drive libido is also quite common.
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