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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How to Prepare for a Partial Hysterectomy | eHow.com You child-bearing ability will cease but, in almost all cases, menopause will not ensue as with a total hysterectomy. Since a partial hysterectomy leaves Menopause Partial hysterectomy -how to know Well with not having any periods to go by I still don't know if i have even started menopause. Are There Any Side Effects of a Hysterectomy? There are two types of hysterectomy, the partial hysterectomy and the total a hysterectomy, she goes into surgically induced menopause that results in Do women who have had a partial hysterectomy start menopause I had a partial hysterectomy when I was 30 yrs old. I am now 45 and have begun to get hot flashes. Does this mean I am starting menopause early? Menopause Forum - Pregnancy After Partial Hysterectomy Menopause Forum - Pregnancy After Partial Hysterectomy, Menopause information, health forums, medical questions, medical information, medical symptoms, Menopause Forum - Partial Hysterectomy With Menopause Symptoms Menopause Forum - Partial Hysterectomy With Menopause Symptoms, Menopause information, health forums, medical questions, medical information, Menopause: Ask An Expert Partial Hysterectomy And Menopause - AOL Body I had a partial hysterectomy more than 17 years ago. How does a woman like me know when menopause has ended when she has not had a period in so many years? Partial hysterectomy 10 yrs ago Archive - HealthBoards.com Archive Partial hysterectomy 10 yrs ago Menopause. I would love to find more women who have had a partial hysterectomy and compare notes, Here Are Side Effects of a Hysterectomy Learn side effects of partial hysterectomy, side effects after a hysterectomy, In a total hysterectomy "surgical menopause" and bilateral Partial hysterectomy,my daughter - Menopause - MedHelp Partial hysterectomy,my daughter. Answered by. Machelle Seibel, MD - Women's Health, Menopause, ReproductiveMedicine. University of Massachusetts Medical If you have had a partial hysterectomy, does menopause still i have had my uterus removed but still have ovarie Power Surge Forums > Premature / Early Menopause / Surgical (9 replies); Partial Hysterectomy And Menopause (12 replies); abalation altenative to hyterectomy (1 reply); hormone levels (23 replies); Surgical Menopause Menopause Message Boards and Menopause Forums -- Power Surge Menopause after partial hysterectomy. Options V know the answer to your question, but you might check on the Hysterectomy / Premature Menopause Board. Questions Regarding Menopause Hysterectomy And HRT How rare is it for a women that is 37 to be going through menopause. That is what is happening to me. I had a partial hysterectomy a few years back, Your Menopause Type - Hysterectomy & Cycling Hormones If a woman has gone through a "partial hysterectomy" - and still has her ovaries - she may not have the abrupt symptoms of surgical menopause. Frequently asked questions on hysterectomy and hormonal balance in Principal Authors: Marcelle Pick, OB/GYN NP & Marcy Holmes, Certified Menopause Clinician. Articles on Hysterectomy and Alternatives Hysterectomy and partial hysterectomy options and alternatives Before committing to hysterectomy or partial hysterectomy, consider all your Marcy Holmes, Certified Menopause Clinician on alternatives to hysterectomy Diagnosing Menopause After A Hysterectomy - Menopause: Menopausal I have had a partial hysterectomy (I still have both ovaries), thus no longer have a period. My question is, now would I know if I am in menopause as I no Hysterectomy Sub-total or partial hysterectomy involves the removal of Fallopian tubes and during a hysterectomy experience the menopause up to two years earlier. |
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