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 |
| period during menopause |
|
UpToDate Patient information: Abnormal uterine bleeding Any other bleeding that occurs during menopause is abnormal and should be investigated. Causes of abnormal bleeding during menopause include: Menopause - Signs and Symptoms - womenshealthchannel As many as 85% of women experience hot flashes during menopause. They usually last for less than a year following the last menstrual period, Bleeding After Menopause Article Bleeding after menopause is common for those that are undergoing the time associated with the permanent discontinuation of the menstruation cycle. Bleeding after Menopause - Menopause - MedHelp This is a discussion on MedHelp about Bleeding after Menopause. Community members of MedHelp provide help, support, guidance and discussion around the topic Uterine Cancer This means that a woman's uterine lining has a period of "rest" during pregnancy Of woman with new onset vaginal bleeding after menopause, 30% will have Bleeding During Menopause - Women's Health Zone Bleeding During Menopause. Changes in bleeding are normal as you near menopause. There are also other common causes of bleeding in the years after menopause Vaginal bleeding - WrongDiagnosis.com Hydatidiform mole vaginal bleeding during pregnancy Abnormal vaginal bleeding, bleeding after menopause, Post coital bleeding; Uterus conditions . Menopause - Frequently asked questions The formal definition of menopause is the last menstrual period. However, during the years building up to menopause, many women's cycles will be irregular, Perimenopausal and menopausal bleeding Perimenopause is the period immediately before and after the onset of menopause, and averages 4 years. What happens to periods during menopause? Is Bleeding after Menopause Normal? Occasionally injury may occur during sex or pelvic exam. Always call your health care provider when you experience bleeding after menopause. Menopause Bleeding, After Menopause Spotting Explained What about menopause bleeding, after menopause spotting, post menopause bleeding can mean, menopause defined, natural HRT, what causes spotting during |
| period during menopause |
|
osteoporosis menopause symptons menopause menopause las vegas menopause sexual libido |