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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Urinary Incontinence Is Not Associated with Menopause - Journal Menopause & Incontinence - The need for more awareness of management strategies. There has been a strong push towards more active screening for urinary Menopause & Incontinence - GrownUps New Zealand Incontinence and the Menopause. DS Kapoor and RM Freeman. 19.1 Introduction. While it is believed that menopause increases the Incontinence and the Menopause How do you combat bladder incontinence during menopause? I do not want to have to resort to Depends :( - posted in Reproductive health - Menopause. Anteverted uterus, urinary incontinence, perimenopause Urinary incontinence increases in midlife in women, which suggests menopause as a cause. Investigators used cross-sectional and longitudinal data from a stress incontinence - Menopause - MedHelp Tags: anteverted, uterus, urinary, incontinence, menopause, Urinary Incontinence, Arthritis, endometrium, menstrual, palpitations Urinary incontinence in women - causes and treatment Tags: stress, incontinence, menopause, Stress incontinence, bladder, cough, laughing, muscles, Running, urologist, years, Kegel exercises, Urinary incontinence in women - help for female bladder problems The experience of menopause varies widely from woman to woman and from culture Stress incontinence is characterised by the leaking of a small amount of Menopause - Women's Health Queensland Wide There are a number of causes of stress and urge incontinence - stress incontinence & urge incontinence. The loss of estrogen during perimenopause/menopause Gillespie2 - You Don't Have to Live With Cystitis Stress incontinence is much more common in women than men and can be triggered by childbirth, hysterectomy and the menopause. Menopause Symptoms: Incontinence Symptom 14(incontinence) reflects a general loss of smooth muscle tone Premature, or instant, menopause is brought on by surgical intervention. 35 Symptoms of Menopause Also called urinary incontinence, bladder control problems are a common complication of menopause. But there are many options available to treat bladder Urinary Incontinence & OAB Health Center Physical changes resulting from pregnancy, childbirth, and menopause often cause stress incontinence. This type of incontinence is common in women and, Urinary Incontinence in Women Menopause can bring uncomfortable symptoms such as incontinence in several different forms. Even younger women experience occasional bouts of urinary Menopause and Incontinence Menopause, many women report symptoms of both urge and stress incontinence. Incontinence is leakage of urine when you do not mean it to happen. Managing Menopause - Incontinence The relationship between menopause and urinary incontinence is unknown. Many experts quote menopause as a major risk factor for both stress and urge Urinary Incontinence and Menopause: Update on Evidence-Based Treatment Return to: Urinary Incontinence and Menopause: Update on Evidence-Based Treatment · Email to a Colleague · Print this Activity for Offline Reference Urinary Incontinence and Menopause: Update on Evidence-Based Treatment As if the hot flashes and mood swings weren't enough, many of us going through menopause start experiencing more episodes of urinary incontinence. Ask an Expert: Menopause and Incontinence Explains whhat causes incontinence, why menopausal women are more likely to be affected by it and what a woman can do about it. |
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