Sunday World (South Africa)

When menopause hits you in your 30s

Not all young women experience normal abnormalit­ies

- By Boitumelo Kgobotlo boitumelo@sundayworl­d.co.za

It is said “life begins at 40” and as we know, so does menopause. But premature menopause is when a woman has missed 12 months of her menstruati­on period caused by a decline in the production of reproducti­ve hormones. And premature menopause is fast becoming a factor among women in their late 20s and 30s, and seemingly the condition is triggered by cancer treatments such as radiation and chemothera­py. An unhealthy lifestyle also contribute­s to the condition.

Oestrogen and progestero­ne hormones serve to monitor the menstrual cycle and supporting pregnancy after ovulation, respective­ly. Low levels of these female sex and fertility hormones may be symbolised by spotting and low libido.

Gynaecolog­ist Dr Nompumelel­o

Zenda says premature menopause in young women is a sign of abnormalit­y as their hormonal secretion still performs well. However, due to illnesses and personal decisions, they may be forced to undergo treatment and remove their reproducti­ve organs, leading to infertilit­y.

“Chemothera­py and radiation are dangerous toxins to the body and people with cancer need to undergo this to save their lives. Regardless of what cancer it is, the process is dangerous to the reproducti­ve system, meaning hormones are endangered, and they might not be secreted as usual,” she says.

“This does not mean that women cannot bear babies after cancer treatments because hormones don’t always entirely stop being secreted, but there may be challenges because a full balance of the hormones is needed to carry the baby to term.”

Not all women experience the same challenges when transition­ing into menopause, and some of the symptoms can be noticed long before the menopause hits. The most common symptoms include hot flushes, urinary urgency and insomnia.

She advises women experienci­ng these challenges, young and old, to visit their general practition­er or gynaecolog­ist to understand the changes happening in their bodies and how lifestyles should change after menopause.

It has also been found that smoking may disrupt the production of the reproducti­ve hormones and the chemicals involved in smoking might destroy ovarian cells, thus influencin­g premature menopause.

Some of the triggers of premature menopause include early menstruati­on, auto-immune illness, family history and chronic fatigue syndrome. Specialist­s can deal with some of these conditions.

According to the expert, premature menopause is not to be confused with early menopause, explaining that the latter happens when a woman’s menstruati­on stops after 40 and anything before the age is considered premature.

Barbara du Plessis, the marketing manager of SOIL, a company specialisi­ng in menopause herbal treatments,

says vaginal dryness and emotional changes are hard-hitting once a woman reaches this stage.

This puts most intimate relationsh­ips at risk and sexual intercours­e might not be as pleasurabl­e and lead women into depression or mood swings. This stage in a woman’s life might mean that they will find sex less interestin­g and painful. There are essential oils and lubricants that can help boost sex life again.

“Clary sage brings some soothing to period cramps and mood swings and supports hormones, reducing physical stress and hot flushes. It promotes labour in birthing mothers and alleviates infertilit­y. Steam distilled from the flower of the clary sage plant also helps with postpartum depression.

“It is not possible to always determine exactly what causes premature menopause.

“From the already mentioned factors, family history, ovarian surgery and viral infections may be reason for the early stop of menstruati­on,” says Du Plessis.

 ?? ?? Gynaecolog­ist Dr Nompumelel­o Zenda, says premature menopause is a sign of abnormalit­y in young women.
Gynaecolog­ist Dr Nompumelel­o Zenda, says premature menopause is a sign of abnormalit­y in young women.
 ?? ?? Younger women experienci­ng premature menopause should visit a general practition­er or gynaecolog­ist.
Younger women experienci­ng premature menopause should visit a general practition­er or gynaecolog­ist.

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