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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Sex after the menopause So late pregnancy can and does happen, so it is important to think about contraception - even after the menopause. The recommended advice is: Hysteroscopic endometrial ablation: Patient's Guide After an ablation you will have much less chance of becoming pregnant, but it can still occur. You must still use contraception. menopause ression associated with oral contraception and menopause . . Full article >>> Prophylactic Oophorectomy or Ovarian Ablation - Benefits Based . Health >> Medical Questions, Weight Loss, Pregnancy, Drugs, Health UNPROTECTED SEX AFTER BIRTH CONTROL · thermal ablation Birth Control (Contraception) Menopause is the permanent cessation of menstrual cycles. Read More (Health Topics) - Paul Larson OB/GYN Clinic, P.A. This procedure does not induce an early onset of menopause or provide permanent contraception. For that reason, a woman needs to continue to utilize NHS24 Health Library - Periods, heavy - Introduction - puberty or the start of the menopause,; intrauterine contraceptive device (IUD) - the coil . NICE Impedence-controlled bipolar radiofrequency ablation Endometrial Ablation Normal Menstruation Heavy Bleeding after ablation, you should keep using some form of birth control until after menopause. You also. may want to think about sterilization as an option to Problems with your Period - A Gynecologist's Second Opinion Despite this, it is best to use some form of contraception after the procedure. If some cells remain following endometrial ablation, there exists the rare Contraception Online Slides - hormonal+therapy, oral contraceptive As women approach menopause, anovulatory uterine bleeding is common because Endometrial ablation should be reserved for cases in which medical therapy OBGYN.net The Significance of Bleeding after the Menopause Banter Bleeding after the menopause or "post-menopausal bleeding" ("PMB") can be defined as of conception from the uterine cavity at the time of a miscarriage. Hsterectomy & Alternatives: Ask The Expert The downside is that you would have the symptoms of menopause for 2-3 months. . Reliable contraception must be used after an ablation-like hysterectomy; But this may be the way her acne whiteheads itself before it comes Endometrial ablation after carcinoma cryo expect renal surgery ablation after contraception menopause ablation after endometrial ablation after endometrial Hot flashes and endometrial ablation - Menopause - MedHelp Tags: endometrial, Ablation, menopause, bleeding, depressed, estrogen, heat, hormones, After a hot flash it takes about 1 1/2 hours to cool down. Archives of Menopause General from the The Menopause Forum Total Hyster and Bowel Prep Questions · menopause and thickening of the uterus lining · What happens to excess Estrogen after Endometrial Ablation? BoomerGirl.com: Pill required even after birth control isn't It does kind of bite that just when you think youre out of the contraceptive woods, you get sucked back in by the forces of menopause. Sigh. Treatment of Constant Vaginal Bleeding Close to Menopause - I01 Prior to menopause I think it is better to use a low dose oral contraceptive such as Alesse^, Levlite^,Loestrin 1/20^ Fe, or Mircette^ since they tend to Menopause and Edometrial Ablation, Hysterectomy The consistency of your breasts will often change throughout the menstrual cycle, and during/after menopause, becoming more lumpy just before menstruation, Endometrial ablation - Yahoo! Health After an endometrial ablation, younger women are more likely to continue to have if you have not completed menopause and do not wish to become pregnant. ACOG Education Pamphlet AP134 -- Endometrial Ablation Although pregnancy is not likely after ablation, you should keep using some form of birth control until after menopause. You also may want to think about |
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