Entering menopause is without a doubt something that happens to all of us. However, the way we enter this stage is unique to each woman. That is the way, the moment and why it enters our lives.
Experts distinguish four types of menopause:
· Natural menopause: It occurs when our ovaries stop working slowly and therefore stop menstruation. For most of us, this happens between the ages of 45 and 55.
· Induction of menopause: Sometimes menopause itself does not occur, but is caused by surgery or medications that affect the ovaries.
For example, when oophorectomy (resection of the eye) is necessary due to diseases such as ovarian cysts or cancer; as a preventive measure to reduce the chance of developing ovarian or breast cancer. Elimination will cause a sudden increase in menopause.
Chemotherapy or radiation therapy used to treat cancer can also affect the ovaries, which can lead to menopause. In some cases it is temporary. Nobody else. Especially when the tumor is estrogen dependent.
· Precocious puberty, menopause or earlier: these are the names we use when we stop menstruation before 45 years of age.
· Late menopause: Yes, there is! When menopause occurs after age 55, menopause is considered late.
What is the reason for menopause?1- Spontaneous or natural: ovarian function gradually stops producing physiologically around the age of 50. Due to the natural deterioration of reproductive hormones. As you near the end of the 1930s, your ovaries begin to produce less estrogen and progesterone, hormones that regulate menstruation, so fertility declines. Between the ages of 40 and 50, the menstrual period may lengthen or shorten, become more or less intense, and appear more or less frequently, until the ovaries stop laying eggs at the average age of 51 years. And you no longer have periods.
Therefore, natural menopause occurs when the ovaries slowly stop working and as a result, we stop menstruation.
2- Artificial or induced: produced by the interruption of ovarian function through surgery, radiotherapy or medication. Sometimes menopause does not occur by itself, but is caused by deliberate actions, such as surgery or medications that affect the ovaries. For example, hysterectomy or other surgery to remove or destroy the ovaries will cause sudden changes in menopause. In general, this type of menopause is predictable, allowing us to plan ahead for treatment of possible sudden symptoms.
A hysterectomy that only removes the uterus does not damage the ovaries and therefore does not cause menopause. But if the ovaries are also removed, it is "surgical menopause." Chemotherapy or radiation as cancer treatments will cause the ovaries to close and can also cause at least temporary menopause.
*Hysterectomy: The uterus can be removed, but it cannot remove the ovaries and usually does not immediately lead to menopause. Even if you no longer have menstrual periods, the ovaries will still release eggs and produce both estrogen and progesterone. However, simultaneous removal of the uterus and ovaries (total hysterectomy and bilateral oophorectomy) can lead to menopause. Your menstrual period may stop immediately, and you may experience hot flashes and other signs and symptoms of menopause. This is serious because these hormonal changes happen suddenly, rather than taking years.
* Chemotherapy and radiation therapy: These cancer therapies can induce menopause, causing symptoms such as hot flashes during or shortly after treatment. Cessation of menstruation (and fertility) is not always permanent after chemotherapy, so it is recommended to continue using birth control measures.
* Precocious puberty: It is caused by primary ovarian failure within the 5 years prior to the age generally considered in each country. According to the WHO and FIGO surveys, they are under 45 years old. About one percent of women will experience this type of menopause, which is caused by premature ovarian failure (when the ovaries cannot produce normal levels of reproductive hormones) caused by genetic factors or autoimmune diseases. However, the reason is usually not found. In general, it is recommended that these women have hormone therapy at least before menopause until a normal age to protect the brain, heart, and bones.
Why does menopause come early?
A woman can go through menopause prematurely, for many reasons, including (if any of these conditions affect her, she may be sadder than other women):
* As a smoker.
* By drinking excessively.
* Endocrine disorders.
* Chromosomal defects
* Thyroid disease.