Study Finds Menopause Symptoms Can Be PredictedThe number of eggs left in a woman's ovaries are like the grains of sand in an hourglass, ticking away the hours on her biological clock.Researchers now say they may be able to predict when that clock will wind down. And while doctors can't actually count the number of eggs in an ovary, they can measure ovarian volume. British researchers say there's a direct correlation between the two, and by measuring ovarian volume with transvaginal ultrasound, doctors should be able to predict when menopause will set in and how many fertile years a woman has left. According to the study authors, this information will revolutionize the care of women looking for assisted reproductive technologies, including those who were treated for childhood cancers as well as women who want to put off starting a family for whatever reason. Although information still needs to be validated in clinical studies, its benefit is most likely to start with women who are being treated for cancer and women attending fertility clinics, said Tom Kelsey, co-author of the study appearing June 17 in the journal Human Reproduction. "If women looking for some sort of assisted conception and their physicians know that they've got a long time till menopause, then you could plan for a range of treatments," said Kelsey, who is a senior research fellow at the University of St. Andrews in Scotland. "If you knew menopause was likely in four to five years, you'd plan a different set of IVF [in vitro fertilization] treatments." Others reiterate, however, that the findings should be treated with caution. "Should a young woman who is 30 years old go for a test to figure out whether she's got three, five or 10 years left on her fertility? Should she make career decisions and life decisions? Are these data good enough to make those determinations?" asked Dr. Alan Copperman, director of reproductive medicine at Mount Sinai Medical Center in New York City. "The answer is obviously no to all of those questions. The predictive value of this test is not good enough to go and tell someone to change their life." According to the article, eggs form in a female's ovary while she is still in the womb, peaking at several million about halfway through gestation and then starting a continuous decline. At birth, there are several hundred thousand and, when menstruation begins, about 300,000. At about age 37, a woman has about 25,000 eggs left, and at menopause only about 1,000. The time at which menopause sets in is widely believed to be based on the number of eggs reaching a critically low threshold. The authors of this study measured ovarian volume with transvaginal ultrasound, then looked at the relationship between ovarian volume -- ovaries shrink as a woman ages -- and number of eggs. They then applied mathematical and computer models to predict menopause. The study authors are negotiating with a medical school to set up clinical trials. The idea would be to follow women to see if their predictions were indeed correct. While these authors have come up with a tool to potentially help women plan their lives, a second study in the same issue of Human Reproduction warned that women might not want to leave it too late. Assisted reproductive technology (ART) could not be relied upon to fully compensate for lack of natural fertility after the age of 35, the article stated. The authors used a computer simulation model to determine that the overall success rate of assisted reproductive technology would be 30 percent for those attempting to get pregnant from age 30, 24 percent for those trying from age 35, and 17 percent from age 40. SOURCES: Tom Kelsey, Ph.D., senior research fellow, University of St. Andrews, St. Andrews, Scotland; Alan Copperman, M.D., director, reproductive medicine, Mount Sinai Medical Center, New York; June 17, 2004, Human Reproduction |
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Symptoms of Menopause - Menopausal Signs and Treatment The symptoms and signs of menopause are not cut and dry, do not appear in logical order and are not experienced by all women the same way all of the time. Menopause - Information About Menopause Stages and Signs Menopause is preceded by perimenopause and followed by post menopause. All three stages come with their own telltale signs with considerable overlap from Menopause Symptoms The symptoms of menopause that many women experience and some that are less frequent. Don't feel isolated, we have a complete library of menopause InteliHealth: Some women don't have any symptoms during menopause or only have a few symptoms. Others develop disturbing and even severe, disabling symptoms. Menopause Symptoms, Perimenopause, Hot Flashes | Menopause Time MenopauseTime is a menopause site here to assist and educate woman on menopause. Lets face it just like your period, woman experience menopause at some 34 Menopause Symptoms - all about each menopausal symptom. 34 menopause symptoms. Learn how to identify menopause and perimenopause symptoms. Early Menopause Symptoms and Alternative Menopause Treatments Menopause symptoms are something everywoman will experience at some point - but what are the best natural and alternative treatments for menopause and do Home > > Women's Health > Menopause Symptoms Relief > Exercise The symptoms of menopause are reduced particularly in African-American women, who reap the greatest benefits with moderate physical activity. Menopause, Menopause Symptoms: hot flashes, night sweats, itching This list of the signs of peri-menopause and menopause was developed by women on the Internet 'Menopaus' mailing list, based at St. John's University. PRE Menopause Signs and Symptoms perimenopause All about the signs and symptoms of menopause and changes experienced during perimenopause. Menopause, health, signs, treatment -- RealAge Health Quiz Learn more about menopause and your treatment options, including hormone replacement therapy (HRT). Take the free RealAge Menopause Health Assessment for 35 Symptoms of Menopause This list of common symptoms that occur during perimenopause and menopause was developed from the real-life experiences of hundreds of women. Menopause symptoms in women and female hormonal imbalance Learn about the variety of menopause symptoms in women and help for female hormonal imbalance from WomentoWomen. Menopause symptoms, diagnosis, and treatment on MedicineNet.com After six years, many of the women were experiencing hot flashes and irregular menstrual periods, two signs of approaching menopause. Menopause Symptoms by MedicineNet.com Some women may experience early menopause symptoms that are immediate; while other women may experience a gradual transition to menopause with a slow onset Menopause Symptoms & Safe Menopause Solutions Learn more about early signs of menopause symptoms, perimenopause and menopause symptoms, physician-recommended prevention and natural treatments for Menopause Symptoms - Leading Symptoms of Menopause Menopause symptoms - do you know the menopause symptoms, premenopause and perimenopause symptoms and how to eliminate symptoms of menopause? Symptoms of Menopause Must know information on menopause .Find out the signs, causes, complications, symptoms of menopause and many more. Menopause: Signs and Symptoms of Menopause A look at when menopause starts, the common signs and symptoms and what women can expect during this time. |
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