Signs of Menopause at 40: Causes, Symptoms, and Risks

Women’s health undergoes many transitions at different stages of life. Some of these stages involve significant health challenges that impact both mental and physical health. Menopause is one such stage, normally occurring in the early 50s.

Early menopause is when your regular periods stop between the ages of 40 and 45. It is a challenging condition that requires proper care and treatment, as it comes with many concerns.

In this blog, we will explore the causes of early menopause, its signs, management strategies, and associated risks.

A] Causes of Early Menopause

While early menopause is less common than typical menopause, it still affects a significant number of women. Below are some of the key causes:

• Natural Decline of Reproductive Hormones

Normally, women begin to experience a decline in hormones, particularly estrogen and progesterone, in their 40s and 50s. However, in some cases, the decrease in these reproductive hormones begins much earlier, becoming one of the common causes of menopause. This early decline in hormone production is known as premature ovarian insufficiency (POI), a condition in which the ovaries stop producing normal levels of hormones, leading to menopause.

• Medical Treatments

Certain medical treatments, such as chemotherapy and radiation therapy for cancer, can result in early menopause. When these treatments are directed at the pelvic area, they can damage the ovaries and affect hormone production. Similarly, surgeries involving the uterus or the removal of the ovaries can also lead to immediate menopause, regardless of age.

• Autoimmune Disorders

Certain autoimmune diseases, such as Addison’s disease, thyroid disease, or rheumatoid arthritis, can lead to early menopause. In these conditions, the immune system mistakenly attacks the ovaries, impairing their ability to function normally. As a result of the inflammation and scarring, hormone production is negatively impacted.

• Role of Lifestyle

Chronic stress, poor nutrition, and low body weight can impact hormonal balance. Smoking can also be among the causes of early menopause due to its toxic effect on the ovaries. Moreover, environmental toxins may also play a triggering role, along with other factors, in the early onset of menopause.

B] Signs of Early Menopause

Early menopause, also known as premature menopause, can happen naturally or due to various causes and presents several signs. It is important to recognise these signs so that one can seek timely, appropriate care to manage symptoms.

• Irregular or Missed Periods

The change in menstrual cycle is one of the first signs of early menopause. During this phase, periods may become irregular, lighter, heavier, and eventually stop altogether. If they skip for a few months without pregnancy, it is often due to hormonal changes associated with menopause.

• Hot Flashes and Night Sweats

One of the common signs of early menopause is experiencing sudden heat, accompanied by sweating and a flushed face. Hot flashes generally occur during the day, and night sweats happen at night, resulting in disrupted sleep.

• Sleep Disturbances

Trouble sleeping is also a common sign of early menopause, which could be due to night sweats or anxiety. The change in hormonal levels can also be one of the factors impacting sleep quality. Sleep disturbance may further lead to mood swings, lower concentration during the day, and even persistent fatigue.

• Vaginal Dryness and Discomfort

Hormonal fluctuations, particularly a decline in estrogen levels can affect the vaginal tissue, which further becomes drier and thinner. This often leads to itching, irritation, and even vaginal pain. Both physical comfort and intimacy can be affected due to vaginal dryness.

• Decreased Libido

A reduced interest in sexual activity is also a sign of early menopause, often caused by hormonal shifts. This might be linked with vaginal discomfort or emotional changes.

It is important to have open communication with a healthcare provider who can help manage this symptom effectively. You can also consult a specialist at a gynaecology clinic in London to explore personalised treatment options for your condition.

C] How to Manage Early Menopause Symptoms

Dealing with early menopause symptoms can be challenging. However, there are several effective ways that can help manage them and maintain a good quality of life. Making lifestyle changes and considering medical treatment can significantly reduce discomfort and support your overall well-being.

• Lifestyle Changes

Following a nutritious diet and engaging in regular exercise are crucial for managing early menopause symptoms. A diet rich in fruits, whole grains, and calcium is essential for supporting bone health and overall health. Walking, yoga, strength training, and other physical activities can help improve mood, reduce hot flashes, and support better sleep. Any dietary triggers should be avoided, particularly alcohol, spicy foods, and caffeine, as they can cause hot flashes and night sweats.

• Hormone Replacement Therapy (HRT)

Hormone Replacement Therapy (HRT) involves supplementing your body with estrogen to replace the hormones that your body no longer produces naturally. It is a treatment option that helps in relieving symptoms of early menopause. HRT can be administered in different forms, based on a woman’s medical history, symptoms, and preferences. Some of the common methods include oral tablets, skin patches, and topical gels and creams. While it helps manage symptoms such as hot flashes, insomnia, and vaginal dryness, it may still carry certain risks. It is important to discuss with a healthcare provider to understand the risks and benefits and whether it is right for you.

• Natural Remedies or Supplements

For women who prefer non-hormonal options or cannot take HRT, natural remedies and supplements can be a great alternative. However, it is important to consult a healthcare provider before taking the supplements, especially if you are on medications, as interactions may cause side effects. Some common natural approaches include flaxseeds, legumes, black cohosh, and other herbal supplements.

Vitamin D and calcium are also essential for bone health during menopause. Additionally, practices like yoga, meditation, and maintaining a balanced diet can also help manage the symptoms.

If you are experiencing vaginal discomfort, low libido, or related concerns, a sexual health check may help identify underlying issues and provide suitable treatment options.

• Emotional Support or Counselling

Emotional well-being is equally important as physical health, which is why emotional support and counselling are vital during early menopause. Hormonal changes in women often lead to feelings of sadness, anxiety, or irritability; hence, speaking with a therapist or counsellor can help them process these emotions and develop coping strategies. Cognitive-behavioural therapy (CBT) has proven effective in managing mood swings, anxiety, and sleep disturbances associated with menopause.

D] Risks of Early Menopause

Early menopause can increase the risk of several health issues, primarily due to lower estrogen levels in the body. Some studies suggest that early menopause may be linked to cognitive decline, including memory problems and dementia. It can also cause sexual health issues, such as vaginal dryness and discomfort, as well as an increased risk of depression, anxiety, and other mood disorders. Also, early menopause is associated with a greater risk of cardiovascular disease and osteoporosis.

Conclusion

Experiencing menopause is challenging, especially when it occurs early, as it can be emotionally and physically draining. However, if you are well-informed of its causes, symptoms, and associated risks, this phase can also be navigated with resilience. With the right lifestyle changes, medical treatments such as hormone replacement therapy, and emotional support, early menopause can be effectively managed.

Are you in your early 40s and experiencing any concerning symptoms? Contact Women’s Healthcare, a trusted private hospital in Watford with expertise ranging from early pregnancy care to menopausal health checks. Reach out to this gynaecology clinic to better understand your unique condition and receive a care plan tailored to your needs.