Primary Outcome Measures : Spilberger-Hanin Situational anxiety [ Time Frame: week 12 ] The decrease of situational anxiety, measured as statistically significant reduction of the score in corresponding subscale. The decrease of personal anxiety, measured as statistically significant reduction of the score in corresponding subscale. The decrease of actual anxiety, measured as statistically significant reduction of the score in corresponding subscale.
Actual anxiety as a sum of situational and personal anxiety scores was introduced by Hanin in his modification of original State-Trait Anxiety Inventory. Statistically significant reduction in designated symptom severity, compared between arms.
Secondary Outcome Measures : "Heart beating quickly and strongly" symptom Greene Climacteric Scale [ Time Frame: week 12 ] Statistically significant reduction in designated symptom severity, compared between arms. Statistically significant reduction in the levels, compared between arms. Statistically significant reduction in the measurement, compared between arms.
Eligibility Criteria. Inclusion Criteria: Female patients, years of age; Patient with diagnosis of "climacteric syndrome", in typical or non-complicated form, mild or moderate vegetative symptoms during menopause i. Exclusion Criteria: Presence of female reproductive system cancers breast cancer, cervical cancer etc. Contacts and Locations. Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials. More Information. Succinate B complex vitamins menopause. National Library of Medicine U.
National Institutes of Health U. Department of Health and Human Services. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. No - Hormone replacement therapy is one way to reduce your menopause symptoms. It works by topping up the hormones estrogen and progesterone only needed if you have a womb. The lower dose of hormones in HRT does not stop your ovaries releasing eggs. So it does not provide protection from getting pregnant.
The COCP will often improve symptoms. It can be used in different ways on the advice of your doctor. For example, if you suffer from bad pre-menstrual tension PMT , mood swings, or have headaches around the time of your withdrawal bleed period , you might be able to take it continuously, rather than stopping every 21 days.
You should discuss this with your doctor or family planning clinic. The COCP is not suitable for everyone. There's very little evidence to suggest any forms of contraception impact the timing or onset of menopause. Taking the COCP may mask your symptoms, so you may not be aware you are perimenopausal.
All types of contraception that are safe for you personally are safe during perimenopause. Your doctor or family planning clinic can advise on your personal risk. Or look at the family planning association sex wise website. But if you want to take HRT to reduce your symptoms only some forms of contraception are recommended. Only the Mirena coil can be used instead of the progesterone part of HRT. If you're under 50 then in the UK it's advised that you should use contraception for 2 years after your last period.
If you're over 50, this is shortened to 1 year. In general, it's advised that women can stop contraception after the age of 55 even if you're still having periods. This is because the chance of conceiving is so much lower at this age.
Irregular periods, with hot flushes, and other symptoms suggest that you are menopausal. Irregular periods are common during menopause but other changes in bleeding patterns like in between periods, bleeding after sex, or very heavy periods should be discussed with a doctor in case these are symptoms of different medical problems.
It can be hard to know when your menopause is if your contraception gives you monthly bleeds e. Other progesterone only forms of contraception like the IUS, POP, implant or injection can stop your periods all together.
This does not mean you have reached natural menopause. The average age of menopause in the UK is 51 years. For general information about when it is appropriate to consider whether or not you are menopausal, have a read of our "diagnosing" menopause article in our library.
If you are on the progesterone only pill you can take a blood test whilst taking it to see if you are menopausal. You may have to do this privately. This blood test will measure your follicle stimulating hormone FSH level. If the FSH level is high you'll need to keep taking contraception for 2 years after your last period if under 50, and one more year if over If it's normal, you need to stay on contraception.
This is not useful if you are on the COCP, and high doses of progestogens, such as those seen in the contraceptive injection or the implant can impact the blood test. Usually you should review your contraception at the age of 50, as you may need to change methods depending on your personal health.
In younger women, there are other reasons apart from early menopause why periods might stop, so discuss this with a healthcare professional if you're worried. If you're taking the combined pill, you'll have monthly period-type bleeds for as long as you keep taking the pill. If you're taking the progestogen-only pill, your bleeds may be irregular or stop altogether for as long as you keep taking the pill. The combined pill may also mask or control menopausal symptoms, such as hot flushes and night sweats.
These factors can make it hard to know when you're no longer ovulating and therefore no longer fertile. There is no test that can tell for certain whether you're in the menopause and can stop contraception. There is a blood test to measure levels of follicle stimulating hormone FSH that can indicate if a woman is becoming menopausal. But this is not a useful test in women over 45 as FSH levels naturally go up and down at this time.
The FSH test is also not a reliable indicator that ovulation has stopped if a woman is taking the combined pill. It can be a helpful guide for women over 50 who are taking the progestogen-only pill.
All women can stop using contraception at the age of 55 as getting pregnant naturally after this is very rare. For safety reasons, women are advised to stop the combined pill at 50 and change to a progestogen-only pill or other method of contraception. It is sensible to use a barrier method of contraception, such as condoms, to avoid getting sexually transmitted infections STIs , even after the menopause. Find local contraception services.
Page last reviewed: 1 July Next review due: 1 July How do I know I've reached menopause if I'm on the pill?
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