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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womens health | women's health | menopause | One Stop Clinics Home Page for General Ultrasound at One Stop Clinics http://www.onestopclinics.com/AbnormalVaginal-Bleeding/index.htm Postmenopausal bleeding | Encyclopedia of Medicine | Find Articles Postmenopausal bleeding is bleeding that occurs after menopause has been established for Vaginal ultrasound measures the thickness of the endometrium. Blackwell Synergy - Gynaecol Endosc, Volume 9 Issue 5 Page 315-317 41 instances of women presenting with abnormal bleeding were analysed. especially before the menopause, ultrasound and hysteroscopy provide Abnormal vaginal bleeding. After menopause, bleeding ceases completely. Doppler Ultrasound. In postmenopausal women with vaginal bleeding, there is evidence to suggest that the Post Menopausal Bleeding Post menopausal bleeding, a discussion about choices for management of post menopause bleeding including vaginal ultrasound. Prevention of uterine cancer. Menopause - Fulltext: Volume 14(5) September/October 2007 p 823 Menopause:Volume 14(5)September/October 2007pp 823-825 be performed regardless of the ultrasound findings on all patients with abnormal bleeding if they Consultants Special Interests - Region: . Keyword: bleeding Margate (NHS/Private), Obstetrics & Gynaecology, Premalignant gynaecology, colposcopy, menopause, postmenopausal bleeding, gynaecological ultrasound Menopause - Fulltext: Volume 12(1) January/February 2005 p 8-11 Does ultrasound have a role in the evaluation of postmenopausal bleeding and by Eitan et al1 in this issue of Menopause and will be discussed below. IngentaConnect Management of the menopause and HRT by ultrasound Management of the menopause and HRT by ultrasound. Author: Jakab A.1 but the menopausal age from the last menstrual bleeding (LMB) and the sequence of UpToDate Patient information: Abnormal uterine bleeding Causes of abnormal bleeding during menopause include: Transvaginal ultrasound â” An ultrasound uses sound waves to measure an organ's shape and structure IngentaConnect Management of the menopause and HRT by ultrasound Management of the menopause and HRT by ultrasound. Author: Jakab A.1 is advisable in the days after the withdrawal bleeding in women taking HRT. OBGYN.net The Significance of Bleeding after the Menopause Banter The bleeding pattern most women experience as they approach menopause is one Alternatively, the Doctor might order a special ultrasound examination, Bleeding Post Menopause Learn about Bleeding Post Menopause, and search for other issues and some cases of post menopausal bleeding a transvaginal ultrasound may be required. Sexuality, Reproduction and Menopause : Contrast-enhanced Sexuality, Reproduction and Menopause .. cavity in premenopausal patients with abnormal uterine bleeding, Ultrasound Obstet Gynecol 18 (2001), pp. 54â“61. Information regarding menses and abnormal bleeding postmenopause - H01 What is not clear is whether the strategy of doing an ultrasound first is cost-effective since Treatment of Constant Vaginal Bleeding Close to Menopause Bleeding after the menopause - Gyneacology - Women's Ultrasound Centre Any bleeding after this time is always considered to be potentially abnormal. In fact only a small proportion of women who bleed after the menopause have provera for heavy bleeding - Menopause - MedHelp Pregnancy ultrasound. I took the provera as perscribed and my period finished out as normal. However, 2 days after stopping the provera I started bleeding Post Menopausal Bleeding - Menopause - MedHelp This forum is for questions and support regarding menopause issues such as: Tags: bleeding, menopause, chest, spotting, test, ultrasound, uterus, |
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