Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: SueEC on July 19, 2017, 08:10:38 PM

Title: Menopause symptoms duration
Post by: SueEC on July 19, 2017, 08:10:38 PM
Can anyone offer advice or information - have a few questions?

I started menopause proper nearly 3 years ago (timed from a year after last period). All the peri-menopause symptoms - hot flashes etc had subsided and I was toddling along by the book until almost two years in, when I had an episode of post-menopausal bleed last year. Went for a scan and had endometrial biopsy which turned out to be a 'last hurrah' bleed episode, given advice for expectant management.

The last week or so I have noticed that the mini-flashes - the hot flush in the chest - has reared its head again, and the vague feelings of depression have returned (this was another of my symptoms pre-menopause). What I'm wondering are the following:

Do I start counting in again from the post-menopausal bleed episode i.e. back in menopause after 1 year?

Might this explain the re-emergence of the symptoms, or is it just a case that the symptoms will be a constant ad infinitim? I've been told that the symptoms can come and go for years...

Any advice or wisdom appreciated.

   
Title: Re: Menopause symptoms duration
Post by: CLKD on July 19, 2017, 08:24:00 PM
Hi!  think that our hormones can continue to fluctuate for a few years  >:(  ::).  My periods waxed and waned for about 3 years all told, then disappeared but I didn't stop carrying protection for 5 years: in case  ::).

How is your diet?  Eating every 3 hours may be enough to ease those anxiety surges as keeping blood sugar levels even can help.  Gentle exercise.  Rest.  'me time' ..........
Title: Re: Menopause symptoms duration
Post by: Hurdity on July 20, 2017, 09:52:16 PM
Hi SueEC

I don't know whether doctors (gynaes) start the recount again following a post-menopausal bleed which turns out on investigation to be due to late ovulation. Strictly speaking they should, otherwise eg if you then had another bleed after a further 6 months this should be investigated ( if they still counted the first menopause date as the real one) when in fact, if investigation following the first bleed showed that all was OK, another 12 months should really elapse before actual menopause??

If it was another ovulation then this shows your hormone cycle was sufficiently strong and therefore yes you will experience the hormonal decline again (or maybe even obviods cycling?). On average oestrogen levels drop to an all-time low approx two years following menopause but there can be some mild cycling until and beyond then as the ovaries bubble away producing a bit of oestrogen and follicles may start to develop.

Yes symptoms can come and go for years - or rather once you are definitely post-menopause they can stay for years. On the other hand you might be one of the lucky ones whose symptoms may tail off - let's hope so!

If not - no need to suffer - and perhaps think about HRT? New onset depression and anxiety around the time of menopause is usually has a hormonal cause, if no life events to explain it, and the guidelines say that HRT should be the first line of treatment - if you decide you want treatment that is!

Hurdity x