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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Update in Gynecology from the ACOG Annual Clinical Meeting In this study, 75 women with impaired sexual function after surgical menopause were especially when it is associated with postsurgical menopause. 2007 ICD-9-CM Diagnosis V49.81 - Asymptomatic Postmenopausal menopausal and premenopausal disorders (627.0-627.9); postsurgical menopause (256.2); premature menopause (256.31); symptomatic menopause(627.0-627.9) Tribestan treatment of females wiht endocrine infertility The females with postcastration menopause were included in a separate group. . the female patients, mainly female patients with post-surgical menopause. Psychoneuroendocrinology : Effects of hormone replacement therapy Although the menopause is associated with significant changes in a number . oral HRT of natural or post-surgical menopause as well as for the prophylaxis @article {Farish:1 September 2003:1369-7137:211, author = "Farish <P></P> <I>Methods:</I> Sixteen women post surgical menopause were recruited at a hospital-based menopause clinic. Over 20 weeks, each patient had IVR Low Carb Eating (for the woman facing or going through menopause I am 47 and have been in post-surgical menopause since 1994 when I had a total hysterectomy. I definitely sleep better and I am not moody like I was prior PERSONS WITH A CONDITION INFLUENCING THEIR HEALTH STATUS postsurgical menopause (256.2) premature menopause (256.31) symptomatic menopause(627.0-627.9) V49.82 Dental sealant status Home Removal of the ovaries prior to menopause will put a woman into post-surgical menopause and she will have a dramatic decrease in estrogen production. DrErika.com: Articles: Indications for Hysterectomy ( a good doctor will go into the post surgical menopause and the suddenness of it and how to prevent it) 3. How to best prepare for the surgery. AccessMedicine - Current Medical Dx & Tx: Menopausal Syndrome hormone replacement therapy; hot flashes; menopause; menopause, premature; menstruation; osteoporosis; postsurgical menopause; sexual dysfunction, Treatment news bulletin authors believe that there may be a period after postsurgical menopause. when estrogen replacement preserves neuronal stimulation, thus slowing Oophorectomy - Wikipedia, the free encyclopedia In natural menopause the ovaries generally continue to produce low levels of . Menopause: Collected information on managing post-surgical menopause Prophylaxis of the postsurgical menopause; estradiol pellet Prophylaxis of the postsurgical menopause; estradiol pellet implantation. SOULE SD, BURSTEIN R. MeSH Terms:. Castration* · Estradiol/therapeutic use* Hormone therapy for endometriosis and surgical menopause This review aims to look at pain recurrence for women with endometriosis who used hormone therapy post surgical menopause. B A C K G R O U N D Surgical Menopause and Hysterectomy Recovery | Hystersisters Article Surgical Menopause and Hysterectomy Recovery Find this and thousands of other Loss of blood during surgery effects post-surgical energy, depression, Original Contributions Post-surgical menopause. Age at first full-term pregnancy. (years) .. Post-surgical menopause. Cigarette smoking (pack-years) Assessment & management of sexual problems in women -- Wylie 100 Other chronic medical conditions, including cardiovascular disease, anaemia and post-surgical menopause following bilateral ovarianectomy, Welcome to Clarian Arnett Health Postsurgical Menopause: Many women will have surgery including removal of the ovaries which will put their bodies into a premature menopause. Age at Natural Menopause and the Risk of Epithelial Ovarian Cancer Menopause status. Premenopausal (%), 44, 57. Post natural menopause (%), 45, 29. Post surgical menopause (%), 11, 14. Ever smoked (%), 54, 54 |
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