Ovulation & Anovulation Booklet
Understand your condition
Assess your symptoms
Female Progesterone Deficiency Self Assessment
This test will help with the diagnosis and management of progesterone deficiency in women. It will assess your symptoms and provide you with a series of action steps to assist you in managing these.
Conditions & treatment options.
- Breast disorders (non-cancerous)
- Breast cancer
- Depression & anxiety attacks
- Dyspareunia (painful intercourse)
- Early menopause
- Endometrial hyperplasia
- Estrogen dominance
- Fibrocystic breast disease
- Hot flashes
- Low libido in women
- Menorrhagia (heavy periods)
- Night sweats
- Oophorectomy (removal of the ovaries)
- Ovarian cysts
- Polycystic ovarian syndrome
- Post partum depression
- Premenstrual syndrome
- Turner's syndrome
- Uterine fibroids
- Vaginal dryness
Before the age of 40 is premature menopause, between the age of 40 and 45 is termed 'early menopause'. It may occur spontaneously as a result of early failure of the ovaries, be caused surgically when a woman has her ovaries removed or be caused chemically by chemotherapy for the treatment of cancer.
Also known as Premature Ovarian Failure, Premature Menopause
About the Condition
Symptoms start in women less than 45 years. Occurs in 1% of women at less than 40 years.
A loss of reproductive function of the ovaries, can cause a number of distressing physical and psychological symptoms that can significantly affect a woman's sense of health and wellbeing.
Symptoms of Early Menopause
- Symptoms are essentially the same as for natural menopause; however they can be more severe in younger women.
- Hot flushes and night sweats
- Aches and pains
- Crawling or itching sensations under the skin
- Vaginal dryness
- Reduced sex drive (libido)
- Urinary frequency
- Sleeping difficulty
- Lack of self esteem
- Menopause symptoms experienced are unique to each woman and may vary from very mild to severe symptoms that interfere with the quality of a woman’s life.
Due to long-term effects of lack of oestrogen and progesterone and testosterone however, the risks of developing osteoporosis or heart disease and diabetes are higher than for women reaching menopause at the expected age (45-50 years of age).
- Familial tendency
- Ovarian or other pelvic surgery
- Diabetes mellitus poorly controlled
- Autoimmune diseases (e.g. SLE, Sjögren syn.)
- Addison's disease (pigmentation, fatigue, nausea)
- Hypothyroidism (fatigue, cold intolerance, dry skin)
- Pituitary tumor
- Chromosomal abnormality
- Generalized infection (e.g. mumps)
- Pelvic infections (e.g. gonorrhoea, Chlamydia)
- Drugs (e.g. prolonged steroid use
Causes of Early Menopause
Premature menopause or early menopause is considered the end of childbearing ability before age 40. You may experience premature ovarian failure (POF) due to one of these conditions:
- Diabetes mellitus
- End-stage renal (kidney) failure (ESRD)
- Autoimmune disease (e.g., lupus)
- Thyroid disease
- Cancer chemotherapy
- Radiation therapy
- Anorexia nervosa
- Being a fraternal or identical twin
Treatment for Early Menopause
Treatment is usually long-term hormone replacement therapy, with the possible risks, including breast cancer, though not expected to increase until after the age of expected normal menopause.
Management is crucial in these younger women who experience early menopause. Supplementation with the three sex hormones estrogen, progesterone and testosterone is vitally important to maintain metabolic balance, bone density and quality of life.
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Topics discussed in the Understanding Ovulation and Anovulation booklet include:
- What is ovulation?
- What is anovulation?
- What is a normal menstrual cycle?
- What causes anovulation?
- Why is anovulation a problem?
- Ovulatory changes with age
- Perimenopause (mid 30's onwards)
- More serious medical conditions
- What is the role of progesterone in humans?
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