By far the most frequent question I get about menopause is "WHEN does it start?" Women between the ages of 36 and 55 ask the same thing: "I've missed X number of periods. Is it menopause?"
I can tell you that technically, menopause begins after you have missed periods for 12 months, but of course that technical answer doesn't help much because by the time you've missed 12 periods, you KNOW you're in menopause. What women really want to know is whether they are starting menopause.
Missed periods can be caused by a lot of things, the two most frequent being pregnancy and menopause. To even see those two words together strikes fear in many women's hearts. I have a good friend who started missing her periods and hoped it was because she was pregnant, but alas, it was menopause. Only your hormones know for sure.
So a 47-year-old who is asking me about two missed periods (and even in her email I can sense the panic in her question) could be facing two very differe...
____________ Resources Depression is difficult enough, but for pregnant women, it can present additional problems. Most antidepressant medications are classified to be FDA pregnancy category C or D. Category C means that animal studies have shown an adverse effect and there are no adequate and well-controlled studies in pregnant women or that animal studies have been conducted and there are no adequate and well-controlled studies in pregnant women. Category D means that studies, adequate well-controlled or observational, in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy may outweigh the potential risk. Neither of these are attractive to pregnant women; they're very worrisome. Things are no less worrisome and confusing after the baby is born. Nobody can really say whether it's safe for the baby to breast feed while the mother is taking antidepressants. Most antidepressants are labeled as "safety unknown" or "pro...
Bleeding between periods; Intermenstrual bleeding; Spotting; Metrorrhagia
Immediately contact a health care provider if bleeding is very heavy.
Keep track of the number of pads or tampons used over time so that the amount of bleeding can be determined. Uterine blood loss can be estimated by keeping track of how frequently a pad or tampon is soaked and how often one needs to be changed.
Because aspirin may prolong bleeding, it should be avoided, if possible.
Call your health care provider if
Call your health care provider if:
You are pregnant
There is any unexplained bleeding between periods
There is any bleeding after menopause
There is heavy bleeding with periods
Abnormal bleeding is accompanied by other symptoms, such as pain, fatigue, dizziness
What to expect at your health care provider's office
The doctor will peform a physical exam and ask questions about your medical history....
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