Menopause: Key Q&A
Reviewed By:
Marc Kaufman, M.D., ACOG
When does menopause usually occur?
Menopause occurs when a woman's body no longer releases eggs, and
her ovaries substantially reduce production of the hormones
estrogen and progesterone.
A woman is considered to have entered menopause when she goes
without a menstrual cycle for 12 consecutive months. In most cases,
this happens between the ages of 45 and 55, although sometimes it
occurs much earlier or later.
How can I tell if I am in menopause?
If you have not had a period for a year and no other biological or
physiological cause can be determined, you are in menopause.
To find out if there is another cause, a physician can take several
steps such as performing a physical examination, taking a medical
history and conducting tests for levels of certain hormones.
What causes early menopause?
Menopause most often occurs as a part of the aging process.
Sometimes, however, it may take place prematurely, as with surgical
menopause. This occurs when a woman has a hysterectomy (removal of
the uterus) and oophorectomy (removal of the ovaries). The symptoms
in this case most often occur soon after the surgery and are often
more severe than with natural menopause.
Other, less common, causes of premature menopause are genetic
predisposition, cancer treatments, smoking, chromosome defects and
autoimmune diseases.
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