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Special Concerns of Menopause

 
  Source: Dr Wee Horng Yen, Consultant and Director, Women Wellness Centre, KK Women's and Children's Hospital  
     
 

Does menopause ever happen early (with the typical age around 51)? If yes, why?

white-hair-womanMenopause occurring before the age of 40years is considered premature. This could be idiopathic (cause unknown) or due to conditions like Turner’s syndrome, autoimmune diseases (e.g. Grave’s disease), or radiation or chemotherapy for cancer treatment. This happens due to very fast depletion of ovarian follicles as in cases of Turner’s syndrome or due to destruction of ovarian tissue as a result of radiation or chemotherapy drugs.

How does menopause affect a woman mentally?

Psychological symptoms are frequently reported around the time of the menopause. Symptoms include depression, loss of memory, irritability, poor concentration, tiredness and loss of confidence.

Women also experience sleep disturbances and insomnia, which could partly be due to the night sweats and hot flushes. Menopause can be a difficult time for a woman as it not only marks the end of her reproductive capacity, but can also be associated with changes in the domestic arrangements and feelings of loss of youth and femininity. Therefore, the symptoms experienced may not be entirely due to a lack of oestrogen.

A combination of physical and psychological influences can result in a complete loss of libido, decreased sexual satisfaction and avoidance of intercourse.

In some cases, women seem to turn white-haired “overnight.” What causes this?

This phenomenon is actually due to a medical condition termed "diffuse alopecia areata" which can result in sudden hair loss. In women who have a mix of dark and gray or white hair, the uncolored hair is less likely to fall out whereas the dark hair falls out . As a result of this a woman can appear to go gray overnight.

Related articles:

What is Menopause?
Why Does Menopause Happen?
Perimenopause
What Are The Symptoms of Menopause?
Menopause: What Should You Do
Menopause and Your Diet
Menopause and Your Mind

 
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