Menopause: Is It Normal for Periods to Return?

Q: Menopause: Is It Normal for Periods to Return?

Hello： Menopause before the age of 35 is referred to as premature ovarian failure, and the causes may be unknown. <br>Possible factors include genetics, radiation or chemotherapy, surgery, ovarian inflammation, and autoimmune disorders. <br>If natural menstruation has not occurre

Menopause issues

Hello, I would like to ask a question.
My mother is 47 years old and experienced premature menopause before the age of 40.
She went to the hospital for examination at that time, but no cause was found.
However, two months ago, my mother discovered that her menstrual period has returned.
I would like to ask the doctor if it is abnormal for her to have a menstrual cycle after so many years of menopause, and whether she needs to go to the hospital for an examination?

gasky, 20~29 year old female. Ask Date: 2004/01/08

Dr. Lin Manying reply Obstetrics and Gynecology

Hello: Menopause before the age of 35 is referred to as premature ovarian failure, and the causes may be unknown.
Possible factors include genetics, radiation or chemotherapy, surgery, ovarian inflammation, and autoimmune disorders.
If natural menstruation has not occurred for over a year, it is classified as menopause.
Subsequently, if there is any bleeding issue, certain benign causes (such as medications, inflammation, etc.) should be considered, and there are even rare malignant causes (such as cervical cancer, vaginal cancer, endometrial cancer, ovarian cancer, etc.) that necessitate prompt examination at a hospital to clarify the underlying cause.
Wishing you health and happiness.
Miaoli Hospital, Department of Obstetrics and Gynecology, Lin Man-Ying.

Reply Date: 2004/01/08

More Info

Menopause is a significant transition in a woman's life, typically occurring between the ages of 45 and 55, marking the end of menstrual cycles and fertility. However, the situation you described regarding your mother experiencing a return of menstrual periods after having gone through menopause at an early age (before 40) is indeed unusual and warrants further investigation.

When a woman has not had a menstrual period for 12 consecutive months, she is considered to be in menopause. Early menopause, also known as premature ovarian insufficiency, can occur due to various factors, including genetics, autoimmune disorders, certain medical treatments (like chemotherapy), or other health conditions. In your mother's case, since she experienced menopause at an early age, it is essential to understand the underlying reasons for this early transition.

The reappearance of menstrual periods after a significant period of amenorrhea (absence of menstruation) can be indicative of several possibilities:
1. Hormonal Fluctuations: Sometimes, women may experience irregular bleeding or spotting due to hormonal fluctuations even after menopause. This can occur if there are changes in hormone levels, possibly related to stress, weight changes, or other health factors.

2. Endometrial Hyperplasia: This condition involves the thickening of the uterine lining and can lead to abnormal bleeding. It is often associated with hormonal imbalances and can occur in women who have had irregular menstrual cycles.

3. Uterine Polyps or Fibroids: These benign growths in the uterus can cause abnormal bleeding and may develop or become symptomatic after menopause.

4. Other Health Conditions: Conditions such as thyroid disorders, bleeding disorders, or even certain cancers can lead to unexpected menstrual bleeding.

Given that your mother has not had a period for several years, the return of menstruation should be evaluated by a healthcare professional. It is advisable for her to schedule an appointment with her gynecologist or primary care physician. The doctor may recommend a pelvic examination, ultrasound, or other diagnostic tests to determine the cause of the bleeding and to rule out any serious conditions.

In summary, while menopause typically signifies the end of menstrual cycles, the return of periods after a long absence, especially following early menopause, is not considered normal and should be investigated. It is essential for your mother to seek medical advice to ensure her health and well-being. Early detection and intervention can be crucial in managing any underlying issues effectively.

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