That's such an interesting question, EOWYN. I'm sorry that you're on dialysis but hope you're doing as well as possible. You might want to have your nephrologist and gynecologist talk to each other about this and then consult with you. I found the following information at this URL:
from the National Institutes of Health in the U.S. Here's the part I was drawn to:
"Most women on dialysis are amenorrheic and do not ovulate, but little information about menstrual patterns in women on dialysis exists, especially since the introduction and use of recombinant human erythropoietin, a therapy that may improve sexual interest and function."
I don't know if you're receiving erythropoietin (EPO) when you get your treatments, but my father did, I recall. The quote was taken from Am J Kidney Dis. 1997 May;29(5):685-90. "Gynecologic and reproductive issues in women on dialysis," which you might share with your doctors.
All the best to you. It's my understanding that menopause usually occurs when a woman's in her early fifties. My own was surgical, produced when I had a total hysterectomy (ovaries and Fallopian tubes as well) when I was 48 (I'm 62 now).
My periods had gotten a tiny bit irregular, and very heavy, when I was about 40. They continued like this until I was 47 and then they just stopped. There were no hot flashes, no mood swings, no nothing, EXCEPT 'nothing no more' - LOL!
My suggestion to you is that especially because you have significant other health issues, you really need to talk with your Dr (preferably one who specializes in these issues rather than renal issues) and have a thorough check-up to see that there isn't something else also going on.
I also thought you were about 29! You look fabulous in your picture.
Ask you gynecologist to check your hormone levels. The results will let you know if you are menopausal. And your doctor will let you know if you need to be doing anything about your levels.
Onset of menopause varies, Blacks and Hispanics about age 48, Whites at about age 50, Asians about 52. Interestingly, Blacks start having periods first, then Whites, then Asians. The difference has to do with diet and fat deposits and how they effect hormone levels.
The biggest predictor for all of us is what age our mothers and female blood relatives went into menopause. If your mom and aunts went into menopause at age 40, you are likely to also.
Other factors play in also like having chemo for cancer, a history of several surgeries, chronic illness and chronic stress.
Some women who are very active, with excellent diets and terrific health can remain fertile into their 60's. We've all heard about those surprise babies!
So you might be in menopause as you have 2 chronic illnesses and I will assume at least one surgery for a shunt placement.
Again, the safest thing to do is follow up with your doctor!
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6/28/14 10:57 A
nope! no hot flashes for me either!! none!!!\but I was bleeding heavy! and the periods kept getting g closer & closer together r un til I had a 1 long period all month! I had a d&c and never had another period..period! drop me aline if you have another question. 2 different questions for you 2 different problems! I think but I am not a dr.
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6/28/14 10:49 A
Elaine, that's not normal and you need to see a better primary care physician, gyno. 40 is way too young for menopause, yet it does happen. I was 53. I had no idea you were undergoing dialysis- that explains so much about your weight frustrations. You still should be ovulating and if not you need some medical intervention. Young MENOPAUSE IN ITSELF PRESENTS A WHOLE HOSTS OF PROBLEMS. I am shocked that you have not had better medical assistance.
Have you had pregnancies?
I am not aware of a connection between kidney malfunction and amenorrhea. You do need to see a gynecologist and address this.
I also thought you were about 29, based on your picture.
You should see a gynecologist. There are a lot of different reasons women can stop having periods. It could just be early menopause, or it could be a different health condition that should be treated. Some of the causes could be serious, and a year is a long time to ignore it if it is something that needs treatment. Make an appointment as soon as you can.
I am just curious. What are the signs and complications of menopause. I am asking because my last period was over a year ago but I didn't get any hot flashes etc. I m in my early 40s and am on dialysis. Could it be that my body is trying to conserve blood because I m aneamic? My Nephrologist says it's possible.
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