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 |
| bleeding post menopause |
|
Post Menopausal Bleeding - Patient UK Post Menopausal Bleeding - Patient UK. A directory of UK health, disease, illness and related medical websites that provide patient information. Bleeding Post Menopause Learn about Bleeding Post Menopause, and search for other issues and information about coping with modern menopause. vaginal bleeding (post-menopausal) - General Practice Notebook This is defined as bleeding from the vagina 6 months after the last period. Any post-menopausal bleeding should be assumed to be to endometrial carcinoma post menopause bleeding of the vagina >> Medical Questions, Weight I am 54 years old and have not had a period for fourteen months this week end i have started to bleed again so far for four days like a period have alot of Bleeding after menopause Does bleeding after the menopause always mean cancer?No, but cancer needs to be ruled out as a possible cause.Post menopausal bleeding is quite common. Managing women with post-menopausal bleeding. Transvaginal ultrasound examination can reliably distinguish women with post-menopausal bleeding (PMB) who are at low risk of endometrial pathology Post Menopause Causing Vaginal Bleeding Article There are many side effects of menopause and these symptoms can bring great discomforts to a woman as her body experiences changes due to decreasing post menopausal bleeding post menopausal bleeding a neglected File Format: Shockwave Flash POST MENOPAUSAL BLEEDING POST MENOPAUSAL BLEEDING A Neglected Problem ? Post graduate seminar PMB PMB Defination Perimenopause Endocrinology Causes of PMB Investigation of post-menopausal bleeding. A national clinical D: Hysteroscopy with biopsy is preferable as the first line of investigation in women taking tamoxifen who experience post-menopausal bleeding. Cancer Information, Research, and Treatment for all Types of When post-menopausal women experience vaginal bleeding, they are often worried enough to see their physicians who can then use more invasive tests to look Post-Menopausal Bleeding (PMB): Investigation of Post-menopausal bleeding (PMB) is a common presentation at the Royal Women's Hospital. Endometrial cancer is present in approximately 10% of patients Postmenopausal Bleeding and Its Significance The most common cause of post-menopausal bleeding is hormone replacement In women who are experiencing post-menopausal bleeding (PMB) and who are NOT on Post-Menopausal Bleeding on MedicineNet.com If you're past menopause and haven't had a period for several months -- then start having minor bleeding once a month or so -- you should probably see a Guideline No. 61 Investigation of Post-Menopausal Bleeding Guideline 61. Investigation of Post-Menopausal Bleeding. SIGN Publication No. 61. ISBN 1899893 13 X Published September 2002 OBGYN.net The Significance of Bleeding after the Menopause Banter Bleeding after the menopause or "post-menopausal bleeding" ("PMB") can be defined as In conclusion, women who are experiencing post-menopausal bleeding Symptoms, Their Causes & Cures Post-Menopausal Bleeding Bleeding after menopause can have several causes. Lowered estrogen levels may cause thinning of the vaginal walls, which are then more likely to bleed, BBC - Health - Ask the doctor - Post-menopausal bleeding The possible causes for bleeding after the menopause. Vaginal bleeding: What's normal, what's not? - MayoClinic.com If you're menopausal or postmenopausal and aren't on hormone therapy, any vaginal bleeding means you need to see your doctor. In girls who haven't gone Evaluation and treatment of post-menopausal bleeding Explains the difference between irregular periods and post-menopausal bleeding, what to do if you experience bleeding after menopause, the evaluation |
| bleeding post menopause |
|
menopause and constipation human growth hormone and menopause isoflavones menopause acne menopause |