You know the drill:
It’s close to 3:00 a.m and you have woken in a damp sweat. You can’t rip the sheets off of you fast enough only to find yourself moments later with the chills. And the cycle continues. Next day, you are cranky, edgy, and no one in their right mind would use the word “fun” to describe you! If only I could get some rest, you think. Then you know you can beat the cycle. But the problem seems to only happen when you are indeed resting.
Several years ago this happened to me. It was especially aggravating as I am one of those people who requires more than average amounts of sleep to function. I had a hysterectomy some years earlier due to complications with birthing my child, so periods had stopped some time ago. My step-mom who is a nurse, told me much to my shock that it wasn’t menopause I was going through, but rather a reaction to a supplement I was taking at the time: niacin. Well, I didn’t quite buy it. All due respect to my step-mom, but I thought she lost her marbles in this particular case. Sure enough, as soon as the bottle of niacin ran out, so did my night sweats. So, how do you know what you are going through is really menopause, or not?
The truth is, night sweats, mood swings, and achy joints can be the symptoms of several things ranging from infections to cancer and certain medications.
So, how do you know for sure it is menopause?
First of all, let’s make it clear that menopause is a natural and normal occurrence. When a woman has missed her period for 12 consecutive months she is defined as having menopause. This event marks the end of fertility and occurs on average at the age of 51.
These symptoms can signify hormonal imbalance, thyroid disease, uterine fibroids, uterine polyps or even uterine or cervical cancer.
It’s important to get the right diagnosis especially to avoid unnecessary procedures such as a hysterectomy.
Sometimes elevated FSH (follicle stimulating hormone) levels are used to confirm menopause. FSH is a hormone that triggers the ovaries to release estrogen. As the levels of estrogen decline around the time of menopause, the pituitary gland releases more FSH into the blood to try to stimulate estrogen production. To summarize, when a woman’s FSH blood level is consistently elevated and she is no longer having menstrual periods, it is generally accepted that she has reached menopause.
Check with a bioidentical hormone replacement specialist in your local area for confirmation that it is indeed menopause you are experiencing.
Your doctor will want to know what triggers the bleeding and what makes it stop. Tests used to help determine the cause of abnormal bleeding include a Pap test; a transvaginal ultrasound, which uses sound waves to visualize the uterus and other pelvic organs with a probe inserted into the vagina; endometrial biopsy, in which a small sample of the uterine lining is removed and examined; and hysteroscopy, where a tiny telescope is inserted into the vagina and through the cervix to look directly at the uterine lining.




July 28, 2011
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