The menopause is a natural process for every woman that occurs in their 40s and 50s. According to the National Institute on Aging, the average age for menopause onset in the U.S is around fifty-years-old. However, this process can occur much earlier and it might cause some issues. Menopause before the age of 40 is considered as “premature”. So, what are the signs of early menopause and are there any treatment options available?

Women with this condition have to deal with a variety of issues such as hot flashes, physical and emotional concerns. The symptoms are similar to the ones experienced by women undergoing the natural menopause period.

signs of early menopause

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What is early menopause?

We’re going to list the most common causes of the early menopause, but in certain cases, doctors find it difficult to determine the exact reason.

  • Genetics

As you might already know, the genetics of the human body determine its functions. If there aren’t any medical reasons for early menopause, then the issue is most likely genetic.

The genes are often passed down to the next generation, so knowing when your mother started menopause can reveal details about your own.

  • Lifestyle

Your daily activities can have a huge impact on your health. Smoking, for example, is also a contributor to the early menopause due to its antiestrogen effects.

According to recent studies, women who smoke on a regular basis might experience menopause a few years earlier than those who don’t.

Other factors are the lack of exercise, sun exposure and even a vegetarian diet without any additional supplements.

  • Chromosome Defects

Women, born with incomplete chromosome, have ovaries that don’t function properly and often enter menopause at an early stage. The Turner Syndrome, as doctors refer to it, is a chromosome defect that affects the reproductive system of women.

The Trisomy 13 & 18 disease is a form of the Turner’s Syndrome, in which an additional chromosome is produced.

  • Autoimmune Diseases

When an autoimmune disease occurs, our system mistakes a part of the body as a disease and attacks it to protect itself. Common autoimmune diseases that can affect the ovaries and cause early menopause include rheumatoid arthritis and thyroid disease.

  • Epilepsy

Recent studies have found evidence that menopause might happen earlier in women with epilepsy, especially those with high seizure rates. Even though that the studies are inconclusive, doctors have found a link between the seizures, hypothalamus and pituitary gland.

The hormone estrogen increases seizure activity, but progesterone reduces it. During menopause, the levels of both hormones decrease and the results are unpredictable. In case you suffer from epilepsy, there’s a higher chance that your ovaries might stop working at an earlier stage of your life.

Medical causes of early menopause:

Infections: Some diseases can cause an infection an affect the function of the ovaries, which would lead to a premature menopause.

Hysterectomy: Hormone production can be prevented by the removal of ovaries, Fallopian tubes or the uterus.

Tubal Ligation: Women who have undergone the procedure often experience symptoms similar to menopause.

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Signs of early menopause

Women younger than 40 have a hard time identifying the symptoms due to the fact that it’s uncommon. The early symptoms are largely due to the hormone fluctuations in the body. The menopause begins when you have irregular periods, whether short, long or none at all. Symptoms that require medical attention include:

  • Periods, longer than a week
  • Spotting
  • Heavy bleeding
  • Having a period after a year of pause

Contact an experienced medical individual for examinations. These symptoms can be indicative of serious diseases and health issues. Other signs that point to early menopause are:

  • vaginal dryness
  • loss of bladder control
  • mood swings
  • night sweats
  • changes in sexual desire


How is premature menopause diagnosed?

First and foremost, the body must enter the beginning stage known as perimenopause. During that process, the woman will experience irregular periods and some of the symptoms mentioned above. Doctors refer to women with menopause if they don’t have a menstrual bleeding for twelve months and there is no medical explanation for the common indications.

The main method for diagnosis are hormone tests that determine whether the symptoms are caused by perimenopause or not.

  1. Thyroid-stimulation hormone (TSH): The symptoms of menopause will increase the TSH levels, which is common if you have an underactive thyroid.
  2. Estrogen: During menopause, the estrogen levels decrease significantly and this is the most common hormone tested by doctors for this particular condition
  3. Follicle-stimulating hormone (FSH): A common sign of menopause is if you have FSH levels above 30 mIU/mL and haven’t menstruated for a year.

Note that the hormone results can’t be conclusive as they often fluctuate due to other conditions.

How is early menopause treated?

The menopause is a condition that doesn’t require any special treatment. However, there are certain options available to manage the early signs of menopause so that you can continue with your normal lifestyle.

  • Hormone Replacement Therapy (HRT): Hormone therapy is recommended to prevent most of the menopausal symptoms
  • Menopausal Hormone Therapy (MHT): Doctors often suggest estrogen and progesterone supplement to reduce the adverse effects of perimenopause.

Always consult with a professional before undergoing any of these therapies. Early menopause can’t be reversed, but treatments can delay and reduce the symptoms.

signs of early menopause

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In the end, only time can tell the exact time of your transition. Visit your doctor for frequent examinations to decrease the chances of early menopause.

For women who are interested in having children, the following options are available:

  • Surrogate mother
  • Adoption
  • Egg donation

Consult a fertility specialist to suggest the best possible procedures for having a family. The in vitro fertilisation is the most common method, that’s suitable even for women in early menopause. However, talk with your doctor before attempting the procedure as the success rates are affected by a variety of factors.