How does early menopause affect pregnancy in women?

Many women discover that they are in early menopause because they are unable to become pregnant. While some women are relieved they no longer have to worry about pregnancy, for most, the single most devastating part of early menopause is losing the ability to give birth. This can affect women even if they already have children.

Some who previously did not want children may regret that it is no longer an option to become pregnant. Many women describe the untimely loss of fertility as a death and a feeling that part of their life has been taken away. Approximately 5 to 10 percent women diagnosed with some forms of premature ovarian failure do become pregnant every year.

It appears that for some women, the ovaries can spontaneously begin to work again, particularly while they are taking estrogen. It is important to remember, though, that even if your periods have resumed, you may not actually be ovulating or capable of becoming pregnant. There are options for women who want to become mothers despite early menopause.

If you still have your uterus, you might consider trying induced ovulation, egg donation, autoimmune suppression, or ovarian tissue transplant. You should consult a reproductive endocrinologist to explore these and other assisted reproductive technologies, which can be somewhat complicated. If you have undergone hysterectomy, you can attempt to have another woman bear your child.

Finally, many women have found that adoption is a wonderful way to become a mother and simultaneously provide a family for a child who needs one. You can learn more about this option through public and private adoption agencies. However, before pursuing other options, it is important to fully mourn your inability to have a child in the way you had hoped for.

If you reach menopause early, you may be particularly upset if your sexual urge and responses change for the worse. You may experience changes that interfere with your ability to enjoy sex, such as hot flashes, vaginal dryness, and decreased libido. You can also feel that you have aged prematurely and have therefore lost your sex appeal.

On the other hand, some women feel more comfortable and enjoy sex more after early menopause. This is especially true for those who did not want to become pregnant or who suffered from painful gynecological conditions or breakthrough bleeding prior to menopause. Many women notice no difference in sexual desire or response following early menopause.

Sexuality is very complicated, and it can be affected by a number of factors besides a change in hormonal balance. Hormone treatment may help some young women who are experiencing problems with sexuality.

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