Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Medical Author: Melissa Stoppler, M.D.
Medical Editor:
Dennis Lee, MD
Some of the symptoms of menopause can actually begin years before
menstrual periods stop
occurring. Doctors generally use the term "perimenopause" to refer
to the time period beginning prior to the menopause (when some of the signs and
symptoms of menopause begin to occur) up through the first year following
menopause. Menopause itself is defined as having had 12 consecutive months
without a menstrual period.
Menopause symptoms begin gradually while the ovaries are still functioning
and a woman is still having menstrual periods. These symptoms can begin as early
as the 4th decade of life (when a woman is in her 30s) and may persist for years
until menopause has occurred. The symptoms occur early because the levels of
hormones produced by the ovaries (estrogen and progesterone) decline slowly over
time as a
woman reaches her forties. The severity and duration of symptoms vary widely
among individuals - some women may experience only minimal symptoms for a year
or two, while others may experience at least some of the symptoms for several
years.
Women frequently ask what symptoms they can anticipate
during menopause. In reality, each woman experiences menopause
differently.
While one woman is certain that insomnia is a symptom of menopause for her,
another is certain that joint aches are her primary symptom of menopause.
Doctors are not even able to tell women what to expect because research into the
symptoms of menopause has not yet established just how menopause causes many of
its symptoms. For example, medical science cannot explain how the declining
hormone levels of menopause
could cause joint aches.
Menopause is not a disease but a natural transition, yet
many of the symptoms of menopause also may be caused by diseases. We are not
always certain which symptoms are due to menopause, and women differ in their
symptoms. How, then, do we decide when women undergoing menopause need treatment
in the first place? The same pattern of hot flashes in two different women can
have a very different psychological impact. For one woman, they can disturb her
daily functioning greatly, but for another, they may hardly be bothersome.
What are hot flashes?
Hot flashes are experienced by many women, but not all women
undergoing menopause experience hot flashes. A hot flash is a feeling of warmth that spreads over the
body, but is often most strongly felt in the head and neck regions. Hot flashes may be accompanied by
perspiration or flushing. Hot flashes usually last from 30 seconds to several
minutes. Although the exact cause of hot flashes is not fully understood, hot
flashes are thought to be due to a combination of hormonal and biochemical
fluctuations brought on by declining estrogen levels.
Hot flashes occur in up to 40% of regularly menstruating women in their
forties, so they often begin before the
menstrual irregularities characteristic
of menopause even begin. About 80% of women will be finished having hot flashes
after five years. Sometimes (in about 10% of women), hot flashes can last as long
as 10 years.
Sometimes hot flashes are accompanied by night sweats (episodes
of drenching sweats at nighttime). This may lead to awakening and difficulty
falling asleep again, resulting in unrefreshing sleep and daytime tiredness.
Alternative Treatments For Hot Flashes Of Menopause - Describe Your ExperienceQuestion: Please describe your experience with alternative treatments for hot flashes of menopause.
Night sweats are severe hot flashes that occur at night and result in a drenching sweat. In order to distinguish night sweats that arise from medical causes from those that occur because one's surroundings are too warm, doctors generally refer to true night sweats as severe hot flashes occurring at night that can drench sleepwear and sheets, which are not related to an overheated environment.
Menopause is the time in a woman's life when menstrual periods permanently stop, also called the “change of life." Menopause symptoms include hot flashes, night sweats, irregular vaginal bleeding, vaginal dryness, painful intercourse, urinary incontinence, weight gain, and emotional symptoms such as mood swings. Treatment of menopausal symptoms varies, and should be discussed with your physician.
Normal vaginal bleeding (menorrhea) occurs through the process of menstruation. Abnormal vaginal bleeding in women who are ovulating regularly most commonly involves excessive, frequent, irregular, or decreased bleeding. Causes of abnormal may arise from a variety of conditions.
Hot flashes (or flushing) is the most common symptom experienced by a woman prior to and during the early stages of menopause. Hot flashes can be caused by other conditions. Diagnosis is made by taking a patient history and at times, blood tests. Treatment options include hormone therapy, bioidentical hormone therapy, and medications. There are non-FDA approved natural remedies.
Menstruation (menstrual cycle) is also referred to as a "period." When a woman menstruates, the lining of the uterus is shed. This shedding of the uterine linking is the menstrual blood flow. The average menstrual cycle is 28 days. There can be problems with a woman's period, including heavy bleeding, pain, or skipped periods. Causes of these problems may be amenorrhea (lack fo a period), menstrual cramps (dysmenorrhea), or abnormal vaginal or uterine bleeding. There are a variety of situations in which a girl or woman should see a doctor about her menstrual cycle.
Women's health is an important topic area to guide a woman through the stages of her life, as well as knowing the conditions and diseases that may occur. Educating yourself so that the transitions into different phases of life is key to a healthy, happy, and productive life.
Sexual health information including birth control, impotence, herpes, sexually transmitted diseases, staying healthy, women's sexual health concerns, and men's sexual health concerns. Learn about the most common sexual conditions affecting men and women.
Normal vaginal bleeding is the periodic blood that flows
as a discharge from
the woman's uterus. Normal vaginal bleeding is also called menorrhea. The
process by which menorrhea occurs is called
menstruation.
Normal vaginal bleeding occurs as a result of cyclic
hormonal changes. The ovaries are the main source of female hormones, which
control the development of
female body characteristics such as the
breasts, body shape, and body hair. The
hormones also regulate the menstrual cycle. The ovary, or female gonad, is one of
a pair of reproductive glands in women. They are located in the pelvis, one on
each side of the uterus. Each ovary is about the size and shape of an almond.
The ovaries produce eggs (ova) and female hormones. During each monthly
menstrual cycle, an egg is released from one ovary. The egg travels from the
ovary through a Fallopian tube to the
uterus.
