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PARENTS Ménopause précoce : tout ce qu’il faut savoir

Une « insuffisance ovarienne primitive » qui survient avant 40 ans

Parce que la ménopause précoce n’inclut pas les mêmes mécanismes ni le même âge que la ménopause dite « normale », les gynécologues préfèrent généralement parler d’« insuffisance ovarienne prématurée » ou primitive (IOP). En substance, on définit donc une ménopause précoce par un arrêt du fonctionnement ovarien et a fortiori un arrêt des règles avant l’âge de 40 ans.

Les symptômes de la ménopause précoce

On distingue deux grands types de symptômes de la ménopause précoce, Il y a d’une part l’arrêt de la fertilité, lorsque la femme n’arrive pas à concevoir après plusieurs mois voire années d’essai, et d’autre part les symptômes liés à l’arrêt du fonctionnement hormonal. Ces derniers sont semblables à ceux d’une ménopause classique, incluant l’arrêt des règles et de l’ovulation, les bouffées de chaleur, les sautes d’humeur, la baisse de libido, la sécheresse vaginale etc. Malheureusement, toutes les femmes ayant une ménopause précoce n’ont pas ces symptômes caractéristiques. La fertilité baisse de manière importante 10 ans avant la ménopause. Beaucoup de femmes ont du mal à être enceinte à la trentaine, et certaines se rendent compte par la suite que c’est parce qu’elles ont été ménopausées très tôt.

Peut-on prévenir une ménopause précoce ?

Même s’il n’y a pas encore de traitement ou de méthode pour prévenir voire empêcher l’apparition d’une ménopause précoce, il est cependant possible d’en anticiper les conséquences, notamment sur la fertilité. Depuis peu, les femmes ayant eu un traitement contre un cancer ou dont la mère a eu une ménopause précoce peuvent choisir de congeler leurs ovocytes, afin de pouvoir les utiliser lorsqu’elles souhaiteront une grossesse. Mais celle-ci ne sera pas garantie pour autant.

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