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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UpToDate Patient information: Abdominal hysterectomy Chronic pelvic pain â” Chronic pelvic pain can be due to the effects of . Early menopause â” Women who have undergone hysterectomy may experience menopause WOMENS-HEALTH Messages for March, 2003: Re: pelvic pain in post >>As of today, I have no more bleeding, but I do have the pelvic pain only >>on one side >>Just for records, I have been managing fine with my menopause and Auricular Acupuncture | Gynecology, Dysmenorrhea, PMS, Menopause 7.8 Gynecology, Dysmenorrhea, PMS, Menopause, Pelvic Pain. Bondi N, Albo R. Dysmenorrhea. Acupuncture treatment of 40 cases coming to our attention. GynSurgery - Koninckx Philippe R. - Menopause the Biberoglu-Behrman scale scoring dysmenorrhoea, chronic pelvic pain, which pain starts again. Publications by Koninckx Philippe R. cfr. 'Menopause' The Center For Reproductive Medicine Pelvic pain is a common complaint. Its nature and intensity may fluctuate, Menopause is the medical term for the end of a woman's menstrual periods. Ovarian Cyst, Pelvic Pain, Swollen Stomach after Menopause This is a discussion on MedHelp about Ovarian Cyst, Pelvic Pain, Swollen Stomach after Menopause. Community members of MedHelp provide help, support, Pelvic Pain -Worry Tumor or Cystitis? - Menopause - MedHelp Tags: pelvic, pain, tumor, cystitis, menopause, abdomen, bentyl, bladder, bone, crying, diarrhea, interstitial, intestinal, Interstitial Cystitis Symptoms, Their Causes & Cures Pelvic Pain You've had loss of appetite and are now experiencing pelvic pain. by shutting down the menstrual cycle and producing a temporary "chemical menopause. Mount Sinai - Department of Obstetrics, Gynecology and Pelvic pain may originate from common sites such as the uterus, tubes, and ovaries, To diagnose the causes of and prescribe treatment for pelvic pain, Causes of Pelvic Pain Facts about possible causes of acute or chronic pelvic pain or lower Herbal Remedies for MenopauseCervical Cancer FAQsTreatments for High Blood Pelvic Pain Clear details about chronic and acute pelvic pain or lower abdominal pain in If pelvic pain is severe enough to disrupt your daily life for either a few Pelvic Pain | Dr. Cook Menopausal symptoms are not a cause of pelvic pain, but may be an issue in women who have undergone surgical menopause (removal of the uterus and ovaries). Chronic Female Pelvic Pain - Medications - Yahoo! Health Chronic pelvic pain symptoms sometimes stop naturally when menopause occurs. If you are close to menopausal age (usually around age 50) and your symptoms Endometriosis - CNN.com Endometriosis isn't the only cause of pelvic pain. When menstruation ends permanently with menopause or temporarily with pregnancy, the signs and Ovarian cysts - CNN.com Menstrual irregularities; Pelvic pain â” a constant or intermittent dull Cystic ovarian masses that develop after menopause may be cancerous (malignant). Pelvic Pain - Menopause This article discusses the possible causes and evaluation process for pelvic pain. - Pelvic Pain - Menopause is a personally written site at BellaOnline. Pelvic Pain - Menopause Pelvic Pain at Menopause : Pelvic pain diagnosis and management. Symptoms: Symptoms and Diagnosis of Gynecologic Disorders: Merck Causes: Pelvic pain may be caused by disorders related to any of the . Hormonal changes at menopause can cause vaginal dryness, which leads to itching. Woman's Diagnostic Cyber - Pelvic Pain Problems - G01 An informative article on pelvic pain problems and on whether pelvic pain is a symptom of a This is especially true after women go through menopause. |
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