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Going to a Cleveland Clinic location? This is the end of a woman's reproductive years. Perimenopause is the first stage in this process and can start eight to 10 years before menopause. Menopause is the point when a woman no longer has menstrual periods for at least 12 months. Postmenopause is the stage after menopause. The strongest symptoms of menopause happen during the largest drop in your hormone levels.

What is menopause? Menopause is a stage in life when you stop having your monthly period. Menopause typically occurs in your late 40s to early 50s. However, women who have their ovaries surgically removed undergo "sudden" surgical menopause. Natural menopause — menopause that happens in your early 50s and is not caused by surgery or another medical condition — is a normal part of aging. Menopause is defined as a complete year without menstrual bleeding, in the absence of any surgery or medical condition that may cause bleeding to artificially stop use of hormonal birth control, overactive thyroid, etc.

As you age, the reproductive cycle begins to slow down and prepares to stop. This cycle has been continuously functioning since puberty. As menopause nears, the ovaries make less of a hormone called estrogen.

When this decrease occurs, your menstrual cycle period starts to change. It can become irregular and then stop. Physical changes can also happen as your body adapts to different levels of hormones. The traditional changes we think of as "menopause" happen when the ovaries no longer produce high levels of hormones. The ovaries are the reproductive glands that store eggs and release them into the fallopian tubes.

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They also produce the female hormones estrogen and progesterone as well as testosterone. Together, estrogen and progesterone control menstruation. Estrogen also influences how the body uses calcium and maintains cholesterol levels in the blood.

Natural menopause is the permanent ending of menstruation that is not brought on by any type of medical treatment. For women undergoing natural menopause, the process is gradual and is described in three stages:. The length of each stage of the menopause transition can vary for each individual.

The average length of perimenopause is about four years. Some women may only be in this stage for a few months, while others will be in this transition phase for more than four years. If you have gone more than 12 months without having a period, you are no longer perimenopausal.

However, if there are medications or medical conditions that may affect periods, it can be more difficult to know the specific stage of the menopause transition. Menopause, when it occurs between the ages of 45 and 55, is considered "natural" and is a normal part of aging. But, some women can experience menopause early, either as a result of a surgical intervention such as removal of the ovaries or damage to the ovaries such as from chemotherapy. Menopause that occurs before the age of 45, regardless of the cause, is called early menopause.

Menopause that occurs at 40 or younger is considered premature menopause. You may be transitioning into menopause if you begin experiencing some or all of the following symptoms:. These symptoms can be a that the ovaries are producing less estrogen, or a of increased fluctuation ups and downs in hormone levels.

Not all women get all of these symptoms. However, women affected with new symptoms of racing heart, urinary changes, headaches, or other new medical problems should see a doctor to make sure there is no other cause for these symptoms. Hot flashes are one of the most frequent symptoms of menopause. It is a brief sensation of heat. Aside from the heat, hot flashes can also come with:.

Hot flashes not only feel different for each person — they also can last for various amounts of time. Some women only have hot flashes for a short period of time during menopause. Others can have some kind of hot flash for the rest of their life.

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Typically, hot flashes are less severe as time goes on. There are quite a few normal things in your daily life that could set off a hot flash. Some things to look out for include:. Heat, including hot weather, can also trigger a hot flash.

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Be careful when working out in hot weather — this could cause a hot flash. Yes, increased facial hair growth can be a change related to menopause. The hormonal change your body goes through during menopause can result in several physical changes to your body, including more facial hair than you may have had in the past. If facial hair becomes a problem for you, waxing or using other hair removers may be options. Unfortunately, concentration and minor memory problems can be a normal part of menopause.

There are several activities that have been shown to stimulate the brain and help rejuvenate your memory. These activities can include:. Keep in mind that depression and anxiety can also impact your memory. These conditions can be linked to menopause. Your body goes through a lot of changes during menopause. There are extreme shifts in your hormone levels, you may not be sleeping well because of hot flashes and you may be experiencing mood swings. Anxiety and fear could also be at play during this time. All of these factors can lead to depression.

If you are experiencing any of the symptoms of depression, talk to your healthcare provider. Thyroid problems can sometimes be the cause of depression. All of these emotional changes can happen outside of menopause. You have probably experienced some of them throughout your life. Managing emotional changes during menopause can be difficult, but it is possible. Your healthcare provider may be able to prescribe a medication to help you hormone therapy or an antidepressant.

It may also help to just know that there is a name to the feeling you are experiencing. Support groups and counseling are useful tools when dealing with these emotional changes during menopause. Unfortunately, bladder control issues also called urinary incontinence are common for women going through menopause. There are several reasons why this happens, including:. During a hysterectomyyour uterus is removed. However, if you kept your ovaries — removal of your ovaries is called an oophorectomy — you may not have symptoms of menopause right away. If your ovaries are also removed, you will have symptoms of menopause immediately.

There are several ways your healthcare provider can diagnose menopause. The first is discussing your menstrual cycle over the last year. If you have gone a full year 12 straight months without a period, you may be postmenopausal.

Another way your provider can check if you are going through menopause is a blood test that checks your follicle stimulating hormone FSH level. FSH is a hormone produced by the pituitary gland — this gland is located at the base of your brain. However, this test can be misleading during the beginning of menopause when your body is transitioning and your hormone levels are fluctuating up and down. Hormone testing always need to be interpreted in the context of what is happening with the menstrual period. For many women, a blood test is not necessary. If you are having the symptoms of menopause and your periods have been irregular, talk to your healthcare provider.

Your provider may be able to diagnose menopause after your conversation. Menopause is a natural process that your body goes through. In some cases, you may not need any treatment for menopause. There are many different types of treatments for the symptoms of menopause. The main types of treatment for menopause are:. It is important to talk to your healthcare provider while you are going through menopause to craft a treatment plan that works for you. Every person is different and has unique needs. During menopause, your body goes through major hormonal changes, decreasing the amount of hormones it makes — particularly estrogen and progesterone.

Estrogen and progesterone are produced by the ovaries. When your ovaries no longer make enough estrogen and progesterone, hormone therapy can be used as a supplement. Hormone therapy boosts your hormone levels and can help relieve some symptoms of menopause. Like most prescribed medications, there are risks for hormone therapy.

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