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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Ovarian cysts - CNN.com Sometimes a normal monthly follicle just keeps growing. When that happens, it becomes known as a functional cyst. This means it started during the normal Cut Back on Estrogen Use the Cause of Ovarian Cyst Around menopause, perimenopause (ages 30 - 50), a woman may have periods, but not ovulate. During perimenopause, sometimes the dominant follicle DOES NOT eMedicine - Ovarian Cysts : Article by C William Helm, MB, BCh They are rare after menopause. Luteal cysts occur after ovulation in reproductive-aged women. Most benign neoplastic cysts occur during the reproductive Ovarian Cyst After Menopause Article Even though ovarian cancer is not common among women, women who develop cysts following menopause during the ages of 50 to 70 carry a much higher risk of Ovarian Cysts, Menopause - Power Surge In one type of functional cyst, called a follicular cyst, the sac doesn't break . Functional ovarian cysts usually occur during the childbearing years. complex ovarian cysts and menopause - Ovarian Cancer - MedHelp Is this commonCommon cold during menopause? Should I be concerned? My appointment with GYN isn't till next week to discuss this. Can a cystAcne Follicular Cyst - Post-Menopause - Ovarian Cancer - MedHelp This is a discussion on MedHelp about Follicular Cyst - Post-Menopause. Chronic pain - resources occurs during intercourseCauses of painful intercourse Development of ovarian cysts during gonadotrophin- releasing suggesting a link between ovarian cysts developed during. stimulation therapy, perimenopausal follicular ovarian cysts and Ovarian cysts (Professional Guide to Diseases (Eighth Edition Common ovarian cysts include follicular cysts, lutein cysts (granulosa-lutein hormone that normally occurs during menopause. (See Follicular cyst.) Causes of Ovarian cysts - WrongDiagnosis.com Follicular cysts are generally very small and arise from follicles that hormone that normally occurs during menopause. (See Follicular cyst.) Ovarian cysts | Encyclopedia of Medicine | Find Articles at BNET.com Ovarian cysts can develop any time from puberty to menopause, including during pregnancy. Follicular cysts occur frequently during the years when a woman is Ovarian Cysts - What You Need to Know About Ovarian Cysts During the process of ovulation, a cyst-like structure called a follicle is formed inside the ovary. The mature follicle ruptures when an egg is released Women's Health Advisor 2005.4: Ovarian Cysts A follicular cyst forms when the follicle of an ovary gets bigger and fills with Your health care provider may find a cyst during a routine pelvic exam. ParkerMD.com Ovarian Cysts Sometimes during the growth of a follicular or corpus luteum cyst, In fact, after menopause the most likely types of ovarian cysts are still benign What Every Woman Should Know About Ovarian Cysts These types, as well as cysts that form after menopause, If you have symptoms and your doctor can feel a cyst during a pelvic exam, you may need an MedlinePlus Medical Encyclopedia: Ovarian cysts During the days before ovulation, a follicle grows. But at the time of expected ovulation, the follicle fails to Ovarian cysts are rare after menopause. CIGNA - Functional Ovarian Cysts A functional ovarian cyst sometimes develops during the latter part of the menstrual cycle, when an egg follicle fills up with fluid. OvCa.net - Ovarian Cancer Network During menarche, as well as during the peri-menopause period, this normal process occurs less frequently. The normal cyst or follicle contains the egg or |
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