Menopause and pregnancy risk
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As women age, their supply of eggs decreases. This causes a change in the hormone balance and irregular periods. Eventually you will no longer have your period at all and you will be sterile. But can you still get pregnant before it is finally that far? All about menopause and fertility.
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In order to become pregnant, an egg must be released from one of the ovaries: ovulation. Girls are born with millions of immature eggs stored in the ovaries. They start to die immediately after birth. Between the ages of 45 and 60, the supply of eggs is nearing end and the amount of female hormones in the body decreases. That triggers the start of the transition. For many women, a period of difficult symptoms will begin. For example, hot flashes, night sweats, emotional bouts, pain during intercourse, weight gain and changes in menstruation. The period can last shorter or longer, you can lose extra or less blood and suffer more from it than before. Also, the menstrual cycle becomes irregular.
Menopause
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The older you get, the less fertile. But as long as you menstruate, even if it is very irregular, there is a risk of pregnancy. In that phase of the transition, an egg may be released. If you don't get your period for a few months, you can't be sure whether you're completely infertile by now. You can only assume that you will no longer be able to get pregnant if your last period was a year ago. This very last period is called menopause. The age from which you can no longer get pregnant differs from woman to woman. Half of the women have reached menopause by the age of 50, but there are also women who are fertile for longer or shorter. Blood tests or a urine test can show whether the menopause has started in you, but such a test does not rule out the chance of pregnancy. If you do not want to run the risk of pregnancy, you must opt for a contraceptive up to a year after the last menstrual period. In general, GPs recommend using contraception up to the age of 52. After that, the chance of pregnancy is very small.
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Pill and the transition
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If you have been using a contraceptive pill for years, you may not notice that you are transitioning as quickly. After all, the pill ensures that you get your period regularly. Yet you just enter the menopause, the pill does not delay that process. During the gap week you may experience transitional symptoms such as hot flushes, sweating at night and mood swings. In the weeks in which you do take pills, you probably experience fewer complaints. Until what age you continue to take the pill is a personal choice. If in doubt, talk to your doctor about this. Continuing to use a contraceptive pill for a long time is not recommended around this age, because the risk of cardiovascular disease and breast cancer increases. If you stop the pill, you do not immediately know whether you can no longer become pregnant. You only have that certainty a year after your last period. In the meantime, you must therefore use another contraceptive to prevent pregnancy, such as condoms or an IUD. Sterilization (of your partner) is also an option. Menopause preparations containing hormones do not work as contraception.
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If you have been using a contraceptive pill for years, you may not notice that you are transitioning as quickly. After all, the pill ensures that you get your period regularly. Yet you just enter the menopause, the pill does not delay that process. During the gap week you may experience transitional symptoms such as hot flushes, sweating at night and mood swings. In the weeks in which you do take pills, you will probably experience fewer complaints. Until what age you continue to take the pill is a personal choice. If in doubt, talk to your doctor about this. Continuing to use a contraceptive pill for a long time is not recommended around this age, because the risk of cardiovascular disease and breast cancer increases. If you stop the pill, you do not immediately know whether you can no longer become pregnant. You only have that certainty a year after your last period. In the meantime, you must therefore use another contraceptive to prevent pregnancy, such as condoms or an IUD. Sterilization (of your partner) is also an option. Menopause preparations containing hormones do not work as contraception.