Menopause is one of the phases of the reproductive cycle of women that began with the arrival of the first menstruation and which means the withdrawal of it. Most women go through this process between the ages of 45 and 55, however, a minority group of them go through it before the age of 40. That’s when we talk about early menopause. But are there more cases of early menopause now than before? The truth is that it does not seem like it, what is clear is that now it is being studied more, diagnosed and treated better due to medical advances that are constantly evolving. “It is a rare disorder but to which we are paying more and more attention because we can replace with drugs the hormones that the ovaries stop producing,” says Mercedes Herrero, gynecologist at Gine4 .
Precocious menopause is defined, according to Dr. Herrero, “as the cessation of the activity of the ovaries, and therefore of menstruation, before the age of 40. The ovaries produce reproductive cells (eggs), and sex hormones. This has two consequences, the woman is no longer fertile and symptoms associated with the lack of hormonal production appear.
The main cause is “the depletion of egg production,” Herrero explains, ” is born with a certain number of reproductive cells . These are spent cycle by cycle until they are finished. That is the time of menopause.
There are genetic factors that determine this number of ovules, says the gynecologist, “thus daughters of mothers with early menopause also tend to have it, but also acquired factors , either due to diseases or to lifestyle . Autoimmune diseases can be associated with antibodies that damage cells in the ovary, thus producing early depletion. Also by treatments such as chemotherapy or radiotherapy that can destroy cells in the ovary.
The care in the menopause stage, of course also in the early stage, are various. «The ideal in these cases is to reproduce the hormonal production of the ovary with drugs, something similar to the treatments of other endocrine diseases. If there is a thyroid hormone deficiency (hypothyroidism), patients take supplements to have normal activity, ”he explains.
The menopause is a very important step in the life of a woman because it marks the end of a very important part as it is reproduction but if it is early, the psychological impact on the usually women be much higher hence the importance of non – stop attend to the appearance and psychological care, “with a lot of information so that he understands the situation and can assume it and if necessary, of course, accompany the process with therapy.”
The factors that determine early menopause are, above all, genetic . If a woman has a mother who has suffered from it , the chances that the same thing happens to her increases. There are also external factors such as “smoking, obesity … but with less influence than genetics, diseases or treatments such as those received when you have cancer.”
In any case, and despite the fact that every day women are better informed about health in general and reproductive health in particular, Dr. Herrero believes that “despite the fact that there are now more information channels, we still have a lot of outreach work to do. perform. Doctors and the media must work together to offer accurate and affordable information at the same time. I consider it a fundamental part of my work, it is important that we get to know each other so that we can take care of each other