Monday 11 March 2013

Menarche and menopause related problem


Menopause links to the expiring menstrual period that signifies the ending stage of the reproductive cycle. The effect of menopause in women is usually seen in late forties or early fifties, with the average age being 51 years old. It occurs one year after the last menstrual period and thereafter the release of ova or eggs comes to an end due to the fact that ovaries are not able to manufacture them anymore and thus lead to end fertility process. It first undergoes an intermediate period called perimenopause stage wherein the variations in hormonal levels are taking place. The women during this phase needs to understand and better comprehend with their behavioral changes during this phase.

Oestrogens and progesterone are the two main female hormones occurring at different phases of the menstrual cycle. Male hormones, namely testosterone is also present in females and is released by the ovaries and adrenal glands. The blood level of oestrogens in females at the beginning of their 40’s shows natural changes due to the ageing process of ovaries follicles. The variations in the hormones affects both progesterone and testosterone levels.

In one of the research study of females from southeastern China, early menopause was found to be associated with the dangerous events of developing cardiovascular disease. Women facing menopause at the age of 46 or less are into the higher risk of catching osteoporosis. There have been several studies relating to the relationship with age group and health risks at the beginning of menarche and menopause. This study included 3304 females in the age group ranging from 37 to 92. They filled up a 19-item questionnaire before undergoing diagnostic tests. They were checked for osteoporosis and diabetes. The females in this group had their first menstrual period at their sixteen and were found to have menopause at 50 years old.

When the comparison was checked with first menstrual period at 16 with those at 18 with first menstrual period, the result showed that the later i.e females with first menstrual period at 18 had significant lesser chances of falling victim to cardiovascular disease. The risk of catching cardiovascular disease is much higher in 12 years old females with menarche all over the world. The recent study also found that the menopause at the earlier onset was linked with significant development of osteoporosis. Moreover it also concluded that the risk of developing osteoporosis has significantly lower chances in females older than 50 years. This finding is of great help to identify the females more prone to osteoporosis or heart disease.

The commonly faced symptoms with menopause are nocturnal sweats and hot flashes that are found in females over 45 years of age. Both these symptoms are associated with sleep disorder and other non-common symptoms being irritability and mood changes. Lower level of progesterone is associated with irregular menstruation that can be more abundant and lasts longer as a result of thick uterine mucosa. This kind of problem in association with erratic bleeding needs medical attention as these group females between 40 to 50 years old are more prone to the risk of developing uterine tumors.  

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