Menopause
Causes
The menopause happens because of falling levels of oestrogen, which regulates menstruation.2 In turn, we stop producing eggs.2
Very rarely, women under 45 suffer premature menopause, known as premature ovarian failure.2 In many cases, doctors can't find any cause.2
In around five to 15 percent of cases, your ovaries still release eggs occasionally, which mean you may still be able to get pregnant.2
Rare causes of premature ovarian failure include:2
- Down's syndrome, and Turner's syndrome, chromosomal conditions; Addison's disease, and hypothyroidism; autoimmune conditions which sees the body attacking itself.2
- Medical treatments and procedures which trigger premature ovarian failure by mistake, such as removal of ovaries; radiotherapy in the pelvic area; chemotherapy and removal of the womb (hysterectomy).2
- Infections such astuberculosis or mumps. With mumps, the damage is usually only temporary.2
- More rarely, malaria, chickenpox and shingles, and shigella can cause premature ovarian failure.2
Diagnosis
Visit your GP if you feel you cannot cope with any menopausal symptoms.1,2
Your GP will ask you about your symptoms and if you are still having any periods before making a diagnosis.1,2
If there's any doubt, doctors can measure the level of follicle-stimulating hormone (FSH) in your blood. The level of FSH rises in women who are menopausal.1,2
References
- Menopause Matters, clinician-led website
(http://www.menopausematters.co.uk/menopause.php) - NHS Clinical Knowledge Summaries
(http://cks.library.nhs.uk/menopause/background_information/
association_of_symptoms_with_menopause#-292420)


