Pregnancy in menopause
Medicine known cases of pregnancy after 45 years, which is often were unintended and ended in abortion. Tissue women at this age lose their elasticity, causing the cervix to expand and it is difficult to perform a quality aborting, which would not entail serious complications.
Consequences of late abortions are inflammation of genitals, endometriosis, uterine fibroids, and the development of cancer.
After the cessation of menstruation the ovaries women retain the oocytes for another three to five years, so prevention during menopause – is necessary. Ready to fertilize the egg increases the possibility of pregnancy, and menstruation can temporarily renewed even after a year after their termination. However, women are often confused with the monthly bleeding, which can be a symptom of serious diseases. To avoid this, after 40 years, it is necessary to visit a gynecologist at least twice a year.
Possible contraception during menopause
For protection during menopause suitable oral contraceptives or intrauterine devices, which can be prescribed only by a doctor. Of oral preparations, it is desirable to give preference to contraceptives with progestins that do not affect blood clotting, liver function and fat metabolism.
Prevention of cancer of the uterus and ovaries gynecologists recommend the use of progestin drugs with a low dosage, with a long action.
During menopause modern women actively use barrier contraception, or spermicides that have a contraceptive, antimicrobial and moisturizing effect. Such tools help to eliminate vaginal dryness that appear during menopause. Also spermicides can serve as addition to traditional contraceptives, like condoms, pills or IUDs.
Remember that gynecologists do not recommend to take emergency contraception type "Postinora" which contains a loading dose of hormones negatively affect the body. The means of protection during menopause you need to choose a gynecologist in the choice of contraception take into account all of disease and changes in the female reproductive system.
Advice 2: How to use protection the first time
Among some of the young men and women, you can often find the opinion that getting pregnant after first sexual intercourse impossible. This is incorrect. The first time the likelihood to conceive a child as infected any infection, no less than on other days. Therefore, it is important to know what methods of contraception exist, and be able to use them correctly.
One of the most suitable methods of protection for sexual debut is a barrier method. Condoms with proper use not only protects against unwanted pregnancy but also from sexually transmitted infections. But the reliability of this method was high, you need to buy condoms in pharmacies, as the risk to buy a defective product below. It is also important to properly use condoms. Put them on before intercourse, and removed only after graduation. To barrier method also includes diaphragms, cervical caps, contraceptive sponges. These funds are used by women before sexual intercourse with any of them to be put in the vagina. Their effectiveness ranges from 50 to 85%. But the use of diaphragms, caps and sponges, can cause allergies. Therefore, before using need to consult with your doctor.
As a means for protection you can use special candles and pasta, which are introduced into the vagina for 10 to 15 minutes before intercourse. When application of such means is formed of a special foam that kills sperm. Immediately after intercourse, need to take a shower to remove the balances. If you carefully follow the instructions on the package, the reliability of this method is quite high.
Coitus interruptus is the most popular among couples who intend to begin a sexual life. But, unfortunately, this method of protection is the most unreliable. First, the man always have to be in a state of tension, to be able in time to react. There's always a danger of uncontrollable premature ejaculation. Secondly, a small amount of semen is released during the sexual act itself, therefore the probability of occurrence of unintended pregnancy is very high. In addition, when the protection of the interrupted sexual intercourse partners can't fully relax and this can affect the quality of sex itself.
Advice 3: Is it possible my period after menopause?
Menopause in women is different. Someone this process can be completely painless, and sometimes the only sign of its completion becomes cessation of menstruation. However, the discharge of blood after menopause is a symptom occurring of the pathological processes to which you should pay attention to.
Causes of bleeding after menopause
Uterine bleeding can occur before the onset of menopause, and after it. Depending on the factor that causes the symptoms, select appropriate treatment. Total, there are 4 of the most common causes of blood after menopause.
Blood spotting can be associated with diseases of the reproductive system of women (cervix, myometrium, endometrium, vagina, ovaries). Also, the reason is often called hormonal imbalance that causes the growth and atrophy of the endometrium in postmenopause. Also marked and iatrogenic bleeding, which are associated with the action of some medicines. The fourth cause of the discharge is extragenital pathology, i.e. the presence of diseases in other organs of the body women (e.g., cirrhosis, hypothyroidism, bleeding disorders, etc.).
Uterine bleeding after menopause can be caused by hormonal drugs which alter the balance of estrogen and progesterone. Another frequent cause of the symptom is endometrial cancer, which accounts for 5-10% of all cases of bleeding in postmenopause. Also the cause of bleeding can be cervical cancer, vaginitis, endometrial atrophy, the formation of myomas, hyperplasia, cervicitis, ovarian tumors.
Types of bleeding
Discharge after menopause are classified according to the intensity and abundance. Menorrhagia called prolonged heavy bleeding. Metrorrhagia is characterized by irregular but high frequency discharge. Menometrorrhagia manifested by bleeding, which are abundant, but intermittent. Finally polimenorea is characterized by regularity and lasts not more than 21 days. After menopause women are most common metrorrhagia.
State data can be cured with timely treatment to the doctor. During the inspection the doctor will have to conduct a survey of the patient and to obtain information about the intensity and nature of bleeding. After that, the woman will be asked to complete the survey, which will help to make a correct diagnosis.
The appearance of bleeding after menopause should urgently contact a doctor for advice and timely start of treatment.