Early Menopause: Symptoms, Concerns, and Solutions

Early onset menopause

Isn't menopause typically after the age of 50? I had endometriosis and an ovarian chocolate cyst at the age of 34, and I underwent traditional surgery at Chang Gung Memorial Hospital.
Afterward, I experienced a recurrence of abdominal pain, and medication for three months was ineffective.
I received monthly injections for six consecutive months, resulting in a complete absence of menstruation for a year.
Later, my menstrual cycle returned to normal last year, but it became irregular again, with two periods each month for three consecutive months.
Recently, I've had only one period every two months, with decreased flow, accompanied by palpitations and hot flashes.
My doctor informed me that I might be in menopause! What should I do? At 37, some people haven't even gotten married yet; am I experiencing menopause? After menopause, will I age, gain weight, and become less attractive? Will hormone replacement therapy cause a recurrence of my symptoms? Please, doctor, tell me what I should do!

Qi, 30~39 year old female. Ask Date: 2002/12/05

Dr. Zhan Deqin reply Obstetrics and Gynecology

1.
The average age of menopause for women in Taiwan is around 49-50 years old.
2.
Medications used to treat endometriosis that have anti-estrogen effects may lead to menopausal-like symptoms, and estrogen supplementation may be necessary.
3.
Based on what you described, it is possible that the medication for endometriosis is the cause; please discuss this with your primary care physician and try not to worry too much.

Reply Date: 2002/12/05

More Info

Understanding early menopause is crucial, especially for those experiencing symptoms at a younger age. While menopause typically occurs around the age of 50, some women may experience it much earlier due to various factors, including medical conditions like endometriosis and ovarian cysts, which you mentioned in your case.
In your situation, it seems that you have undergone significant hormonal changes due to your medical history, particularly with endometriosis and the treatment you received. Endometriosis can lead to hormonal imbalances, and the treatments, including hormonal injections, can also affect your menstrual cycle and overall hormonal health. The absence of menstruation for a year followed by irregular cycles is indicative of potential hormonal fluctuations that can lead to early menopause, also known as premature ovarian insufficiency (POI).

The symptoms you are experiencing, such as heart palpitations, hot flashes, and irregular menstrual cycles, are common indicators of menopause. It’s important to recognize that menopause is a natural biological process, but it can be challenging, especially when it occurs earlier than expected.
Regarding your concerns about aging, weight gain, and appearance post-menopause, it’s essential to understand that hormonal changes can indeed affect your body. Many women report changes in metabolism, skin elasticity, and body composition during and after menopause. However, these changes can vary significantly from person to person. Lifestyle factors such as diet, exercise, and mental health play a crucial role in how one experiences menopause.
Hormone replacement therapy (HRT) is often considered to alleviate menopausal symptoms and can help maintain hormonal balance. However, given your history of endometriosis, it’s vital to discuss the risks and benefits of HRT with your healthcare provider. In some cases, HRT may not be recommended due to the potential for endometriosis recurrence or other health concerns.
Here are some steps you can take to manage your symptoms and concerns:
1. Consult a Specialist: It’s crucial to work with a gynecologist or an endocrinologist who specializes in menopause and hormonal health. They can provide personalized advice based on your medical history and current symptoms.

2. Lifestyle Modifications: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Regular physical activity can help manage weight, improve mood, and reduce menopausal symptoms. Practices such as yoga and meditation can also help alleviate stress and anxiety.

3. Monitor Symptoms: Keep a diary of your symptoms, menstrual cycles, and any changes in your body. This information can be helpful for your healthcare provider to tailor a treatment plan that suits your needs.

4. Consider Alternative Therapies: Some women find relief from menopausal symptoms through alternative therapies such as acupuncture, herbal supplements, or mindfulness practices. However, always consult your doctor before starting any new treatment.

5. Support Groups: Connecting with others who are experiencing similar challenges can provide emotional support and practical advice. Look for local or online support groups for women going through early menopause.

6. Regular Check-ups: Stay proactive with your health by scheduling regular check-ups. This will help monitor any changes in your condition and allow for timely interventions if necessary.

In conclusion, while early menopause can be daunting, understanding your body and seeking appropriate care can help you navigate this transition more smoothly. It’s essential to prioritize your health and well-being during this time, and with the right support and strategies, you can manage your symptoms effectively.

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