Menopause: Is Ongoing Menstruation a Health Concern?

Perimenopause without menopause

Hello, Doctor: I am 53 years old.
Normally, this would be the time for menopause, but my menstrual periods have been regular so far.
Does this increase my risk of developing breast cancer? I am not supplementing with hormones or consuming foods containing soy isoflavones.
However, I have recently been taking vitamin E occasionally, about 180 mg, approximately twice a week, one capsule each time.
Will this have any impact? If I continue to have regular periods, is this abnormal? What should I do? Thank you.

Niming, 50~59 year old female. Ask Date: 2019/05/19

Dr. Cai Yonglong reply Obstetrics and Gynecology

In general, Taiwanese women experience menopause around the age of 50.
If you are still menstruating normally and wish to assess ovarian function, you can visit a gynecology clinic for a blood test to check vitamin E levels.
The carcinogenic factors for breast cancer include radiation exposure, breastfeeding history, family history, and more.
Regular screenings are essential.

Reply Date: 2019/05/19

More Info

Hello! Thank you for your question regarding menopause and ongoing menstruation at the age of 53. It's understandable to have concerns about your health during this transitional phase of life, especially when it comes to the potential risks associated with prolonged menstruation.

Menopause is typically defined as the cessation of menstruation for 12 consecutive months, marking the end of a woman's reproductive years. The average age for menopause is around 51, but it can vary widely among individuals. Some women may experience perimenopause, a transitional phase leading up to menopause, which can last several years and is characterized by irregular menstrual cycles, hot flashes, and other symptoms.

Regarding your concern about ongoing menstruation and its potential link to breast cancer, it's important to note that while prolonged exposure to estrogen (which occurs when menstruation continues into later years) can be associated with an increased risk of certain conditions, including breast cancer, the relationship is complex. Factors such as family history, genetics, lifestyle, and overall health play significant roles in determining individual risk.

In your case, since you mentioned that you are not supplementing with hormones or consuming foods high in phytoestrogens (like soy), and your vitamin E intake is minimal, these factors may not significantly influence your risk. Vitamin E is often taken for its antioxidant properties and may help with menopausal symptoms, but its direct impact on breast cancer risk is still a subject of research.

If you continue to have regular menstrual cycles at this age, it may be worth discussing with your healthcare provider. They can evaluate your overall health, perform necessary tests, and determine if any underlying conditions may be contributing to your ongoing menstruation. Conditions such as uterine fibroids, polyps, or hormonal imbalances could be responsible for prolonged menstrual bleeding.

It's also essential to monitor any changes in your menstrual cycle, such as the frequency, duration, and intensity of bleeding. If you experience heavy bleeding, significant changes, or other concerning symptoms, it is advisable to seek medical attention promptly.

In summary, while ongoing menstruation at 53 can be concerning, it does not automatically indicate a higher risk of breast cancer. It is crucial to have open communication with your healthcare provider, who can guide you through this phase of life and address any health concerns you may have. Regular check-ups, breast screenings, and maintaining a healthy lifestyle can also contribute to your overall well-being during menopause.

If you have further questions or concerns, please feel free to reach out. Your health and peace of mind are important, and seeking professional guidance is always a wise choice. Thank you for your inquiry!

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