What is the average age for menopause to begin. How can you tell if you’re entering menopause. What are the main differences between perimenopause and menopause. What factors might influence the onset of menopause.

Understanding Menopause: Definition and Stages

Menopause is a natural biological process marking the end of a woman’s reproductive years. It officially occurs when there has been a complete cessation of menstrual periods for 12 consecutive months. This transition typically happens gradually and is preceded by a phase known as perimenopause.

What Happens During Menopause?

During menopause, the ovaries gradually produce less estrogen and progesterone, leading to various physiological changes. These hormonal shifts can cause a range of symptoms and long-term health effects, including:

• Hot flashes and night sweats
• Vaginal dryness
• Mood changes
• Sleep disturbances
• Changes in bone density
• Increased risk of cardiovascular disease

The Average Age of Menopause Onset

While the timing of menopause can vary widely among individuals, there is an average age range when most women experience this transition. The average age for the onset of menopause in the United States is 51 years old. However, it’s important to note that menopause can occur anywhere between the ages of 40 and 58 for most women.

Factors Influencing Menopause Timing

Several factors can influence when a woman experiences menopause:

1. Genetics: Family history often plays a role in determining when menopause begins.
2. Smoking: Women who smoke tend to reach menopause about two years earlier than non-smokers.
3. Body Mass Index (BMI): Being underweight or overweight can affect the timing of menopause.
4. Ethnicity: Some studies suggest that ethnicity may influence the age of menopause onset.
5. Medical conditions: Certain autoimmune diseases or cancer treatments can trigger early menopause.

Perimenopause: The Transition Phase

Perimenopause is the transitional period leading up to menopause. It typically begins in a woman’s 40s but can start as early as the mid-30s. During this time, the body starts to produce less estrogen, leading to various symptoms and changes in menstrual cycles.

Duration of Perimenopause

The length of perimenopause can vary significantly among women. On average, this transition lasts about four years, but it can range from a few months to up to a decade. During this time, women may experience irregular periods, hot flashes, and other menopausal symptoms.

Recognizing the Signs of Menopause

Identifying the onset of menopause can be challenging, as symptoms can be subtle at first and may be attributed to other factors. However, there are several key signs that may indicate the beginning of the menopausal transition:

• Irregular periods: Menstrual cycles may become longer, shorter, or more unpredictable.
• Hot flashes and night sweats: Sudden feelings of heat, often accompanied by sweating and flushing.
• Mood changes: Increased irritability, anxiety, or mood swings.
• Vaginal dryness: Decreased vaginal lubrication, which can lead to discomfort during intercourse.
• Sleep disturbances: Difficulty falling asleep or staying asleep throughout the night.
• Weight gain and slowed metabolism: Changes in body composition and metabolism can occur.
• Thinning hair and dry skin: Hormonal changes can affect hair and skin quality.

Early Menopause: Causes and Implications

Early menopause, also known as premature menopause, occurs when a woman experiences menopause before the age of 40. This can happen naturally or be induced by medical interventions. Understanding the causes and implications of early menopause is crucial for women’s health.

Causes of Early Menopause

Several factors can contribute to the onset of early menopause:

• Genetic predisposition
• Autoimmune disorders
• Surgical removal of ovaries (oophorectomy)
• Chemotherapy or radiation therapy
• Certain infections or viral diseases
• Excessive alcohol consumption
• Smoking

Health Implications of Early Menopause

Women who experience early menopause may face increased health risks, including:

1. Increased risk of osteoporosis and bone fractures
2. Higher risk of cardiovascular disease
3. Potential cognitive decline
4. Increased risk of certain cancers
5. Psychological impact, including depression and anxiety

Managing Menopausal Symptoms

While menopause is a natural process, its symptoms can significantly impact a woman’s quality of life. Fortunately, there are various strategies and treatments available to manage menopausal symptoms effectively.

Lifestyle Modifications

Making certain lifestyle changes can help alleviate some menopausal symptoms:

• Regular exercise: Engaging in physical activity can help manage weight, improve mood, and reduce hot flashes.
• Balanced diet: Consuming a diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health during menopause.
• Stress reduction techniques: Practices such as yoga, meditation, or deep breathing exercises can help manage stress and improve sleep quality.
• Avoiding triggers: Identifying and avoiding triggers for hot flashes, such as spicy foods, alcohol, or caffeine, can help reduce their frequency and intensity.

Medical Treatments

For women experiencing severe menopausal symptoms, medical interventions may be necessary:

1. Hormone Replacement Therapy (HRT): This involves supplementing the body with estrogen and sometimes progesterone to alleviate symptoms.
2. Non-hormonal medications: Certain antidepressants, anti-seizure drugs, or blood pressure medications may help manage specific symptoms like hot flashes or mood changes.
3. Vaginal estrogen: Topical estrogen creams or rings can help alleviate vaginal dryness and discomfort.
4. Osteoporosis medications: Drugs to prevent or treat bone loss may be prescribed to reduce the risk of fractures.

Long-term Health Considerations in Menopause

As women transition through menopause, it’s important to be aware of potential long-term health implications and take proactive steps to maintain overall well-being.

Bone Health

The decrease in estrogen levels during menopause can lead to accelerated bone loss, increasing the risk of osteoporosis. To maintain bone health:

• Ensure adequate calcium and vitamin D intake
• Engage in weight-bearing exercises regularly
• Consider bone density screenings
• Discuss the need for osteoporosis medications with a healthcare provider

Cardiovascular Health

The risk of heart disease increases after menopause. To protect cardiovascular health:

1. Maintain a healthy diet low in saturated fats and rich in fruits, vegetables, and whole grains
2. Exercise regularly, aiming for at least 150 minutes of moderate-intensity activity per week
3. Manage stress through relaxation techniques or mindfulness practices
4. Monitor blood pressure, cholesterol levels, and blood sugar regularly
5. Quit smoking and limit alcohol consumption

Emotional and Psychological Aspects of Menopause

The hormonal changes associated with menopause can have significant emotional and psychological impacts. Understanding and addressing these aspects is crucial for overall well-being during this transition.

Common Emotional Challenges

Many women experience various emotional changes during menopause, including:

• Mood swings
• Irritability
• Anxiety
• Depression
• Loss of confidence
• Changes in body image

Coping Strategies

To manage the emotional aspects of menopause effectively:

1. Seek support from friends, family, or support groups
2. Consider cognitive-behavioral therapy or counseling
3. Practice self-care and stress-reduction techniques
4. Maintain social connections and engage in enjoyable activities
5. Explore mindfulness and relaxation practices

Understanding the average age of menopause onset and recognizing its symptoms can help women navigate this significant life transition more effectively. While the experience of menopause varies from person to person, being informed about the physical and emotional changes that may occur can empower women to take proactive steps in managing their health and well-being. By adopting healthy lifestyle habits, seeking appropriate medical care when needed, and addressing both the physical and emotional aspects of menopause, women can embrace this new phase of life with confidence and vitality.

When Does Menopause Start? – Forbes Health

Table of Contents

• What Is Menopause?

• What Age Does Menopause Start?

• How to Know if Menopause Has Started

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If you’re wondering at what age you may start experiencing menopause, you’re not alone. Many have this question in the back of their minds, especially as they move toward and beyond middle age. While menopause is a completely normal part of the aging process, all of the changes it can bring may feel intimidating. Having an idea of when to expect it can offer some relief.

While there is an average age for menopause to begin, everyone’s experiences are unique to them. There are some factors that can determine the onset of menopause, and not everyone will have the same symptoms.

Read on to get a better idea of when you can expect menopause to start.

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What Is Menopause?

Menopause officially occurs when there is a cessation of ovarian hormonal production, typically resulting in the absence of a menstrual period for one full calendar year. Once an individual has officially entered menopause, they will no longer get their menstrual period and will no longer be able to get pregnant.

As hormones like estrogen, progesterone and testosterone start to decrease, a lot of physiologic, behavioral and psychosocial changes can take place, explains Emily Anderson, a gerontology clinical nurse specialist based in Minnesota. This transition period, known as perimenopause, typically results in “urogenital changes like vaginal dryness and urinary incontinence, reduced bone density, vasomotor changes like hot flashes and night sweats, cognitive decline and increased risk of ischemic heart disease,” says Andereson.

Perimenopause and Menopause: What’s the Difference?

Think of the years before menopause as a transition period, where a person may experience some changes in their body. This is the perimenopause period, and it can last anywhere between four to eight years ^{tippy-popover-container-bg-white’ }”>[1]}Menopause 101. The North American Menopause Society. Accessed 1/24/2023. . Perimenopause generally begins with changes in the length of a person’s menstrual period and ends after 12 months of a person not getting their period, signaling the start of menopause.

“During this period of time, the ovaries begin producing fewer hormones, which may result in irregular menstrual cycles and symptoms of lower estrogen,” explains Anderson.

While perimenopause and menopause may cause similar symptoms, the presence of a menstrual period, even one that is late, during perimenopause is the main difference between them. “During perimenopause, fertility and conception are still possible, as the potential for ovulation still remains,” says Anderson. “However, after a woman’s final menses occurs (signaling menopause) natural fertility and conception are no longer achievable.”

Perimenopause vs Early Menopause: What’s the Difference?

Early menopause is menopause that happens between the ages of 40 and 45. About 5% of people naturally go through early menopause, and there are some factors that can cause this to happen, such as smoking or certain medicines or treatments, like the removal of the ovaries.

In the case of early menopause, “menstrual cycles end prematurely due to ovarian or follicular dysfunction,” says Anderson. She notes that perimenopause might happen before early menopause, but it might not. Some factors that may cause early menopause include:

• Certain autoimmune diseases, such as thyroid disease or rheumatoid arthritis
• Certain genetic disorders, such as Turner’s syndrome
• Chronic fatigue syndrome
• Surgery to remove the ovaries
• Chemotherapy or pelvic radiation
• Smoking
• A family history of early menopause

While perimenopause can be the body’s way of preparing for menopause, early menopause is when menopause begins before the average starting age.

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What Age Does Menopause Start?

The average age that menopause begins is 51, and most will experience menopause between the ages of 40 and 58^[1]Menopause 101. The North American Menopause Society. Accessed 1/24/2023. . As Anderson notes, there is no way to predict exactly what age menopause will start since there are so many different contributing factors.

“Genetics play a strong role,” she says, and a person may be able to get a general idea of when menopause will begin by noting what age their mother experienced it.

A 2021 research letter in the Journal of the American Medical Association exemplifies just how many factors can play into the age that menopause. The letter highlights a study analyzing 60-year trends in age for natural menopause and reproductive life span. Researchers found that Black women or women of Hispanic ethnicity had an earlier age of natural menopause. Lower socioeconomic status, current and former smoking status and hormone therapy use were also associated with an earlier age of natural menopause. Researchers also found that more education and oral contraceptive use were associated with a later age of natural menopause ^{tippy-popover-container-bg-white’ }”>[2]}Appiah D, Nwabuo C, Ebony I, et al. Trends in Age at Natural Menopause and Reproductive Life Span Among US Women, 1959-2018. JAMA. 2021;325(13):1328-1330. .

Diet may also play a role in menopause onset. A 2018 U.K. study in the Journal of Epidemiology and Community Health linked an earlier onset of menopause with a diet that included a higher amount of refined pasta and rice, while later onset of menopause occurred with a diet of higher amounts of oily fish and fresh legumes^[3]Dunneram Y, Greenwood DC, Burley VJ, et al. Dietary intake and age at natural menopause: results from the UK Women’s Cohort Study. J Epidemiol Community Health 2018;72:733-740. .

Because the age a person reaches menopause is dependent on so many factors, it’s important to reach out to your doctor if you believe you may be dealing with perimenopause, early menopause or menopause itself.

How to Know if Menopause Has Started

The definitive way of knowing menopause has begun is if your menstrual period is absent for 12 consecutive months. “I recommend that women track their menstrual cycles each month, which will serve as an alert to irregular or absent menstrual cycles,” explains Anderson.

Even though menopause is a completely normal part of life,it may still feel overwhelming to some. Thankfully, there are ways to make the transition easier. “Both hormonal and non-hormonal therapies can be utilized to help alleviate the symptoms of menopause,” says Anderson.

For those transitioning into menopause, Anderson recommends 150 minutes of exercise each week, using a combination of walking and strength training. “This may improve blood sugar stabilization, enhance sleep, reduce risk of cardiovascular disease, aid in bone health and improve mood,” she says. She also recommends non-hormonal therapies such as herbs like maca, chaste tree, schisandra and red clover to reduce symptoms including hot flashes, night sweats and insomnia. “Vitamins and minerals like magnesium, vitamins B6, C and D can offer mood support as well as protection against loss of bone density,” adds Anderson.

Hormonal treatments are available as well, and usually involve the use of bio-identical hormones including estrogen, progesterone and testosterone. “During perimenopause, often the only hormone needed is progesterone to help balance estrogen and enhance the brain’s ability to cope with stress,” says Anderson. “Progesterone converts to a neurosteroid called allopregnanolone which can cross the blood-brain-barrier and act on GABA receptors to help calm the brain. This can help to reduce symptoms of anxiety and poor sleep.”

Those interested in trying either a non-hormonal or hormonal treatment during menopause or during the transition into menopause should speak with their doctor to come up with a plan that works for them.

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Menopause | NHS inform

Menopause is when a woman stops having periods. Menopause means ‘the last menstrual period’. It’s not only those who identify as women who will experience menopause. Some transgender men, non-binary people and intersex people or people with variations in sex characteristics may also experience menopause.

Menopause is a natural event and transition that women experience, however, the timing and symptoms are different for everyone. You can look at your family history to get an idea of when you might go through it. It’s likely to be a similar age to when your mother or older sisters started theirs.

Menopause can also occur due to certain surgeries or cancer treatments. This can sometimes cause symptoms to be more sudden and in some cases more severe.

Perimenopause is the time from the start of menopausal symptoms until after a woman has experienced her last period. Periods will usually start to become less frequent over a few months or years before they stop altogether. They might be more irregular and become heavier or lighter. For some women, they can stop suddenly.

Postmenopause is the time after a woman experiences her last period. A woman is said to be postmenopausal when she has not had a period for 12 months.

Perimenopause and menopause are a natural part of a woman’s life course and usually occur between the ages 45 and 55 years of age, as a woman’s oestrogen levels drop (although it can start earlier). In the UK, the average age for a woman to reach menopause is 51.

Life doesn’t have to be put on hold because of menopause. There’s a lot that can be done to help manage symptoms, including making healthy lifestyle choices, trying different treatments and seeking support from healthcare professionals.

Menopause myths
(https://www.youtube.com/watch?v=uol9wrUZwHM)

Symptoms of menopause

Most women will experience menopausal symptoms. Some women will experience few, or no, symptoms. But for some, they can be quite severe and have a significant impact on everyday life.

The first sign of menopause is usually a change in the normal pattern of your periods. You may start having either unusually light or heavy periods.

The frequency of periods may also be affected. They may occur every two or three weeks, or they might not occur for months at a time. Eventually, periods will stop altogether, although for some women other menopause symptoms may continue.

Some women can start experiencing symptoms such as migraines, irritability and low mood especially around the period time, without seeing irregularity in periods.

There are many menopausal symptoms and symptoms can differ between individuals. Some of the most common symptoms include:

• ‘brain fog’ and memory issues
• difficulty sleeping
• fatigue
• hot flushes
• joint aches
• loss of sex drive (libido)
• low mood or anxiety
• migraine
• night sweats
• vaginal dryness or pain

Further information about the symptoms of menopause

Causes of menopause

Menopause is caused by a change in the balance of the body’s hormones, which occurs as you get older. Premature or early menopause can occur at any age and, in many cases, there’s no clear cause.

Menopause happens when the ovaries stop producing as much of the hormone oestrogen and no longer release an egg each month.

Menopause can also occur when a woman’s ovaries are affected by certain treatments such as chemotherapy or radiotherapy, or when the ovaries are removed, often at the time of a hysterectomy.

Further information about early and premature menopause

Treatments for menopausal symptoms

It’s important to get healthcare advice around menopause treatments so that you can make the decisions that are best for you.

If you or someone you know does need help to manage symptoms, support can be accessed through your GP practice.

Your healthcare professional can talk to you about treatments and work with you to explore lifestyle changes if you have menopausal symptoms that you feel are interfering with your day-to-day life. These include:

• hormone replacement therapy (HRT)
• vaginal oestrogen preparations, lubricants or moisturisers for vaginal dryness
• cognitive behavioural therapy (CBT)
• eating a healthy, balanced diet and exercising regularly
• taking supplements such as vitamin B6 and vitamin D

Further information about treating the symptoms of menopause

Menopause is nothing to fear
(https://www.

youtube.com/watch?v=wXxdbWEjX68)

Menopause and day-to-day life

Menopausal symptoms can sometimes be severe and they could impact day-to-day life. There is help available if you need it.

Living with the menopause
(https://www.youtube.com/watch?v=BbP8Eel5Uu0)

Mental wellbeing

Menopause can have an effect on your mental health and wellbeing. Some of the symptoms might include irritability, depression and anxiety. Lack of sleep caused by menopause can also have an impact on a person’s mood and how they feel.

If you or someone you know is suffering from any of these symptoms and it’s having an impact on day-to-day life, discuss it with someone from your local GP practice and they can help you get the support you need.

Further information about mental wellbeing during the menopause

Workplace

Some people find it hard to manage menopause symptoms at work. It’s important to remember that the menopause is a normal time in women’s lives and that support should be available to help you feel comfortable at work.

Further information about menopause in the workplace

Sex and relationships

Menopause symptoms such as vaginal dryness or pain, reduced sex drive or discomfort during penetrative sex might have an impact on your sex life and relationships.

There are treatment options available that might help ease or manage some of these symptoms. It might also be helpful to discuss how menopause is affecting you with your partner. By helping them have an understanding of what you’re experiencing, they’ll be more aware of how they can support you.

Further information about sex and intimacy during menopause

Supporting someone through menopause

If you know someone around you is going through menopause, you can let them know that you’re there to support them. Ask them what you can do to help, or just ask them how they’re feeling. People might not always feel comfortable discussing all of their symptoms, but it’s still important to let them know you’re there for them. 

Further information about how to support someone through menopause

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29 November 2022

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Named the average age of menopause in Russian women – Newspaper.Ru

Named the average age of menopause in Russian women – Gazeta.Ru | News

July 10, 2023, 10:05 am

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Menopause is part of the menopause. It involves the final cessation of menstrual cycles in women, after which they can no longer bear children. The average age of menopause in Russia is 49-51 years old, an obstetrician-gynecologist at the Clinical Center of the Moscow State Medical University named after M.V. Sechenova Kristina Grigorieva.

Menopause occurs on average at the age of 40-50 years. At this time, female sex hormones are gradually produced in smaller and smaller quantities, ovarian function is lost, and menstruation becomes irregular until it stops completely.

“Climax cannot be delayed, the number of follicles is genetically determined, and as soon as they end, this period begins. Modern women want to have an active sex life, but against the background of the fading of ovarian function and other processes, this becomes problematic. They develop the so-called climacteric syndrome, which includes many different symptoms, ”said the obstetrician-gynecologist of the Clinical Center of the Moscow State Medical University. Sechenova Kristina Grigorieva.

Among the troubles experienced by menopausal women are hot flashes (hot flashes), sweating, sleep disturbances, emotional instability, decreased libido, and vaginal dryness and itching.

“For an easy menopause, it is important to lead a healthy lifestyle. I would recommend doing sports – about 150 minutes of moderate-intensity aerobic exercise or 75 minutes of high-intensity exercise per week, eat enough vegetables and fruits, limit salt intake. Constant sex can also help relieve the symptoms of menopause, since hormones of happiness are produced during sexual intercourse, ”Grigorieva noted.

For more information about how compatible the concepts of “menopause” and “sex”, how to cope with changes and learn to have fun – in material “Gazeta. Ru”.

Previously, sexologists found out how often sexual deviations occur in women.

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Climax.

What is important to know? | Blog

Climacteric syndrome (aka menopause) is a period in a woman’s life during which the work of the ovaries decreases and the amount of hormones they produce decreases. The main result of these physiological processes is the cessation of female reproductive function.

The period of menopause in most women occurs after 48-52 years. Its symptoms include hot flashes or sweating, as well as risks of developing serious illnesses. That is why menopause must be kept under control, visit a doctor regularly, and perform prescribed diagnostic procedures.

Stages and types of menopause

Menopause in women does not occur immediately. The climacteric period includes three main stages:

premenopause or premenopause. Menstruation does not stop, but ovarian function decreases. The stage lasts up to 2 years;

menopause. Caused by the cessation of menstruation. The beginning of the period is the absence of menstruation for 12 months. Usually occurs at 50-52 years;

postmenopausal. This stage is characterized by a further decrease in female sex hormones until the complete cessation of the functioning of the ovaries.

The duration and timing of these stages are individual and depend on various factors, including the woman’s lifestyle and health status.

Menopause is also distinguished by the severity of manifestations:

first or mild degree. It is characterized by infrequent (up to 10 times a day) hot flashes, which are the main manifestation of menopausal syndrome;

second degree or medium. Symptoms are more pronounced, and hot flashes are not the only manifestation of this condition;

severe or third degree. Signs of menopause are strongly pronounced, not limited to hot flashes, the number and frequency of which is quite large (more than 20 times a day). Working capacity decreases, the general state of health worsens significantly.

Symptoms of menopause

The preliminary stage (before menopause) often occurs without obvious signs. But it also happens vice versa, when a woman is worried about not one, but several symptoms at once. In addition, manifestations can differ significantly in different periods of time.

Early signs of climacteric syndrome include:

hot flashes, goosebumps, sweating;

rapid pulse;

headaches;

pressure surges;

sudden changes in mood;

sleep problems;

memory impairment;

decreased sexual desire.

When menopause occurs, menstruation stops in women. Other signs during this period of the development of the syndrome include the following:

dry skin, as well as mucous membranes of the genital and urinary tract;

pain during sex;

urinary incontinence;

muscle and joint pain;

hair loss.

In the future, after menopause, various complications of menopause are possible:

hypertension;

atherosclerosis;

osteoporosis.

Also increases the risk of developing diabetes, hearing, vision and mental abilities are reduced.

In order to prevent these diseases and problems, during menopause, women are advised to regularly visit their doctor in Kyiv, monitor their health and adhere to the prescribed treatment.

Diagnostics of menopause

Diagnostic examinations of menopausal syndrome are carried out by gynecologists of our clinic. They examine and interview the patient, establish the relationship between menopause and various manifestations of menopause. An important diagnostic task is also the identification of concomitant diseases, such as hypertension, diabetes mellitus, etc.

During menopause, women may be prescribed various tests, including:

laboratory tests for hormones, lipid spectrum, coagulation;

cytological and microscopic: their aim is to exclude the presence of atypical cells in the cervix.

To exclude the development of complications of menopause, such types of studies as ultrasound of the pelvic organs, mammography, radiography of bone tissues, ECG are used.

Treatment of menopause

Menopause is a physiological process that occurs with age in any woman. Therefore, the therapeutic effect, as a rule, is aimed at minimizing negative manifestations, that is, facilitating the course of menopause. So with a mild degree of the syndrome, special treatment may not be required at all. In the presence of minor complaints about the general state of health appoint:

hormone replacement therapy;

vitamins, especially A, C and group B;

physiotherapy, including massage, exercise therapy, etc.

A balanced diet is also recommended during menopause.

With a large number of unpleasant manifestations (moderate severity of menopause), antidepressants and medications that allow normalization of blood pressure may be indicated.

If you are concerned about menopausal syndrome, please contact our clinic in Kyiv. Specialists will help women reduce symptoms during menopause, prescribe the necessary tests and offer preventive measures that will reduce the risk of various complications.