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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Post menopausal â” what is post menopause? Explains post menopause and describes the joys of being post menopausal. Evaluation and treatment of post-menopausal bleeding Explains the difference between irregular periods and post-menopausal bleeding, what to do if you experience bleeding after menopause, the evaluation Post-menopause - WebMD The time of a womanâ™s life following menopause is called post menopause. During this time, many of the symptoms of menopause ease for most women. Menopause - Wikipedia, the free encyclopedia A woman who still has her uterus can be declared to be in post-menopause once she has The reason for this delay in declaring a woman post-menopausal is Guideline No. 61 Investigation of Post-Menopausal Bleeding Guideline 61. Investigation of Post-Menopausal Bleeding. SIGN Publication No. 61. ISBN 1899893 13 X Published September 2002 Post Menopause - RealAge Menopause Center Is it menopause? Learn to evaluate your menopause symptoms, and decide what stage of menopause you are experiencing at the RealAge Menopause Center. Johns Hopkins Gynecologic Oncology - Optimizing Post-menopausal Health Optimizing Post-menopausal Health in the Woman who Shouldn't or Won't take Hormone Replacement Topics:. Introduction; Estrogen The Stages of Menopause The word menopause is used in popular culture to refer to the entire process of pre-menopause through post-menopause. Your doctor may be more precise and Post Menopause - Guide to Post Menopause Stages You've reached Post Menopause. And it's not over. But, if you take your full reproductive picture into consideration you have been experiencing some kind of Symptoms, Signs and Treatment of Post Menopause It seems ironic that after menopause has firmly settled in, and tied itself to the post, you would still have symptoms to deal with. Menopause explained step by step Step three: post-menopause By this stage a woman's hormone patterns have changed significantly. The ovaries are no longer producing oestrogen or Pre- And Post-menopausal Women Equally Responsive To Most Sexual A new study published in The Journal of Sexual Medicine examines differences in sexual desire, as well as the triggers that cause them, FDA Updates Hormone Therapy Information for Post Menopausal Women FDA Updates Hormone Therapy Information for Post Menopausal Women. BBC - Health - Ask the doctor - Post-menopausal bleeding The possible causes for bleeding after the menopause. American Osteopathic Association Post-menopausal women can face a variety of health issues. Experts agree that walking is the best form of exercise for post-menopausal women. Menopause, Post-Menopause and Periodontal Disease - Women's Health Eduardo Lorenzana, DDS, MS, examines the effect that menopause has on your periodontal health, from your About.comGuide. Post Menopause Symptoms Article Post menopause symptoms are the last part of a four stage process that brings a women's reproductive cycle to a permanent end in her life. Discovery Health :: Menopause :: Post Menopause Discovery Health's Menopause Guide provides information about the stages of menopause, including post menopause. Learn more about this transition and its Post Menopause : Life After the Change Learn about Post Menopause : Life After the Change, and search for other issues and information about coping with modern menopause. |
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