ORspite a Very true, Taylor Mega brought back into the spotlight a topic that many women only discover when they start thinking about pregnancy: the possibility that fertility is reduced earlier than expected. Taylor Mega said he discovered he was risking it early menopausea condition that can appear at a young age. And which is often diagnosed precisely during controls linked to the desire for motherhood. Here’s what it is, what the symptoms are and what the causes of this problem are.
What is early menopause
There menopause it is defined as the absence of menstruation for at least twelve consecutive months, due to the definitive loss of ovarian function. The average age is around 50-51 years, but when the period stops occurs before the age of 40 we talk about early menopause or primary ovarian failure. According to the Italian Society of Gynecology and Obstetricsthis condition it affects approximately 1% of women of reproductive agewhile forms of early menopause between the ages of 40 and 45 are more frequent. From a biological point of view, early menopause is linked to the depletion of the oocyte reserve and the decline in estrogen. In some cases, underlines the Sigosome dysfunctional follicles may remain, which can still produce estradiol and lead to ovulation and sometimes even pregnancy, but «unpredictably and absolutely irregular even for years.”
Symptoms of early menopause
The signals of early menopause they can be the same as the natural one, but appearing at a young age makes it more difficult to recognize them immediately. The first alarm bell is often the irregularity of the cycle or its prolonged disappearance, but second a sheet dedicated to early menopause on the website ofAuxologico they may also appear symptoms related to estrogen deficiencysuch as hot flashes, sweating, sleep disturbances, irritability, difficulty concentrating and mood changes. In some women the diagnosis comes only when trying to get pregnant and discovering a reduction in ovarian reserve or difficulty ovulating, because the loss of ovarian function can be gradual and initially not very evident.
Possible causes
The causes of early menopause can be different and not always identifiable. Among the most frequent ones, underlines theAuxologicothey return genetic factors or familial, autoimmune diseases, endocrine alterations, surgical interventions involving the ovaries and uterus. Or oncological treatments such as chemotherapy and radiotherapy, which can permanently damage ovarian follicles. In some cases, however, it is not possible to identify a precise cause. In these cases we speak of primary idiopathic ovarian failure, that is, without known origin, even if for these one of the possible causes is smoking.
How the diagnosis is made
There diagnosis of early menopause it is not based only on the absence of the period, but on a complete clinical evaluation. Specialists start from the medical history and symptoms, and continue with hormonal tests to evaluate estrogen and gonadotropin levels, along with other endocrinological or genetic tests when necessary. An early diagnosis is important not only to clarify the cause, but also to plan any therapies and to evaluate, when desired, the possibility of preserving fertility (for example through egg freezing).
The health consequences
Early menopause doesn’t just affect your ability to have children. Estrogen deficiency at a young age can increase the risk of osteoporosiscardiovascular diseases and metabolic disorders. These hormones play a protective role on the bones, heart and nervous system. For this reason the guidelines underline the importance of a medical classification and, when indicated, of a hormone replacement therapy to reduce long-term complications.
Therapy
When menopause appears before the age of 40, the goal of therapy is not just to reduce symptoms. It is also that of compensate for estrogen deficiency and prevent long-term health consequences. According to the clinical indicationsthe reference treatment is the hormone replacement therapythat is, the administration of estrogens associated with progestins, which replace the hormones that the ovary no longer produces. This therapy is generally recommended until the average age of physiological menopause, around 50-51 years.
Alongside hormone therapy, management may also include interventions aimed at lifestyle, such as adequate nutrition, physical activity and calcium and vitamin D supplementation. These are useful for reduce the risk of bone and metabolic complications. For this reason, specialists emphasize that early menopause should not be approached only as a fertility problem. It is a medical problem that requires follow-up over time and personalized therapy. And, how he did it Taylor Megait is important to talk about it to raise awareness of this problem among women.
