Causes of Late-Onset Menopause (2024)

Thyroid disorders are often the reason behind late-onset menopause. A woman can also experience a delayed menopause if she has abnormally high levels of estrogen throughout her lifetime.

There’s no set age when menopause should start, but usually a woman will enter menopause in her mid-40s to mid-50s.

Menopause that occurs before a woman is in her mid-40s is known as early or premature menopause. If a woman is 55 or older and still hasn’t begun menopause, doctors would consider it late-onset menopause.

According to the Center for Menstrual Disorders and Reproductive Choice, the average age for menopause is 51. Menopause can often last well into a woman’s 50s. Late-onset menopause refers only to the age at which menopause begins.

A study in the International Journal of Obesity and Related Metabolic Disorders notes that late menopause isn’t uncommon among obese women. This is because fat can produce estrogen.

A doctor will likely suggest that a patient lower her body mass index (BMI) to below 30. Ideally, a woman’s BMI should fall between 18.5 and 24.9. Maintaining a normal BMI can help reduce a number of health risks and prolong a woman’s life.

Thyroid disorders can disrupt the timing of menopause, causing it to be early or late. The thyroid is responsible for regulating metabolism. If the thyroid isn’t working properly, it can have a number of effects on a woman’s reproductive system.

Some symptoms of a thyroid disorder are similar to menopause, including hot flashes and mood swings. This can lead a woman to believe she might be experiencing menopause.

If you feel as if you’re experiencing menopause but continue to menstruate, speak to your doctor. They may determine that you have a thyroid problem, and can treat the condition.

A woman can experience late-onset menopause if she has abnormally high levels of estrogen throughout her lifetime. Talk to your doctor about this possibility.

A doctor will also consider a woman’s family health history. For example, if a woman’s mother experienced late-onset menopause, she may also experience it.

While it’s rare, women are still able to conceive and give birth in their early 50s. This can delay menopause because a woman’s body adjusts to the hormonal changes that pregnancy brings.

Any pregnancy has an enormous impact on a woman’s hormone levels. If a woman in her 50s experiences a pregnancy, it will also affect her hormones.

A woman should be aware that until she goes 12 full months without having a menstrual cycle, she may still be able to get pregnant. Doctors use the 12-month marker to make the official determination that a woman is in menopause.

Unlike early and premature menopause, late-onset menopause can actually have some major health benefits.

Menopause causes a decline in the production of estrogen and progesterone by a woman’s ovaries. This can often signal problems such as osteoporosis. The longer a woman’s ovaries produce hormones, the longer it will delay osteoporosis.

There’s an increased risk of breast, ovarian, and uterine cancer in late-onset menopause, due to the lengthened amount of time a woman’s body is producing estrogen. Regular mammograms, Pap smears, and gynecological exams are especially important for women experiencing late-onset menopause.

Any woman still experiencing a menstrual cycle in her late 50s and 60s should see a doctor. However, it’s important to note that each woman’s reproductive system is different.

Just as each young woman starts menstruating at a different age, menopause comes at a different age for each woman. Noting the risk factors and staying on track with annual gynecological exams should help allay any concerns that may arise with late-onset menopause.

Causes of Late-Onset Menopause (2024)

FAQs

Why am I having a period at 57? ›

Bleeding after menopause is not normal, so take it seriously. Go directly to your ob-gyn. Polyps also can cause vagin*l bleeding. If your ob-gyn discovers these benign (noncancerous) growths in your uterus or on your cervix, you might need surgery to remove them.

Why am I still having my period at 54? ›

If you feel as if you're experiencing menopause but continue to menstruate, speak to your doctor. They may determine that you have a thyroid problem, and can treat the condition. A woman can experience late-onset menopause if she has abnormally high levels of estrogen throughout her lifetime.

Can menopause happen suddenly? ›

Menopause can also occur if a woman's ovaries are surgically removed or if they are damaged by certain diseases or cancer treatments. Natural menopause does not occur suddenly. A period called perimenopause usually begins a few years before the last menstrual cycle.

What triggers menopause? ›

Most women experience menopause between the ages of 45 and 55 years as a natural part of biological ageing. Menopause is caused by the loss of ovarian follicular function and a decline in circulating blood oestrogen levels.

Is 57 too old to start menopause? ›

There is no set age when menopause should start, but according to the Australasian Menopause Society the average age is 51. If a woman is 55 or older and still hasn't begun menopause, it is considered late-onset menopause. Menopause that occurs before age 40 is called premature.

What is the oldest age a woman has had a period? ›

Gynaecological data were acquired by means of questionnaires. Eighty-six percent of menstruating women reported a cycle length of 22-30 days and menstrual flows lasting 4-7 days. The median age at natural menopause was 50.9 yr. The oldest menstruating women were 57 yr old.

Is late menopause good or bad for you? ›

Delayed menopause has been found to be associated with: Longer reproductive span and reduced overall cause mortality. Increased risk of breast, endometrial, and ovarian cancers.

Can a 57 year old woman still have a period? ›

The timing of menopause is different for all women. If you've reached your late 50s or early 60s and are still having a period, you may feel concerned. If this is the case, talk with your healthcare provider. Together, you can discuss the possible reasons for the delay and your provider can order tests if needed.

Does late menopause keep you younger? ›

Helps women stay younger longer: Menopause is considered a stage in the aging process in women, so late menopause also means women will stay younger longer. Maintaining female hormones in the body will help them limit wrinkles, skin pigmentation and deterioration of their physique.

What causes late menopause? ›

The timing of menopause is affected by several factors, including genetics, smoking, and reproductive history. There is considerable variability around the onset of menopause with 5% of women undergoing menopause after age 55 and another 5% between the ages of 40-45 years [2].

What delays the onset of menopause? ›

Some factors that might help delay menopause include: Breastfeeding your baby: Some research has suggested a link between breastfeeding for 7 to 12 months and lower risk of early menopause. Getting regular exercise: Physical activity can impact hormonal balance.

What is the average age to stop periods? ›

Menopause is the time that marks the end of your menstrual cycles. It's diagnosed after you've gone 12 months without a menstrual period. Menopause can happen in your 40s or 50s, but the average age is 51 in the United States.

Can stress bring on the menopause? ›

Excessive stress, which leads to elevation of stress hormones, can also negatively affect reproductive ability, including by accelerating menopause.

Can anything bring on menopause? ›

Early menopause can also be brought on when you have treatment for other conditions. This includes treatments such as: radiotherapy or chemotherapy. certain hormone medicines.

What diseases can cause menopause? ›

Premature menopause can be a symptom of an autoimmune disease, such as thyroid disease or rheumatoid arthritis. In autoimmune diseases, the immune system mistakes a part of the body for an invader and attacks it. Inflammation caused by some of these diseases can affect the ovaries.

Is bleeding at 57 normal? ›

You may reach menopause when you haven't had a period for 12 months. Bleeding from the vagin* after menopause is unusual. Get it checked by a health care provider as soon as you can. Or see a doctor who's had extra training to find and treat diseases of the female reproductive organs, called a gynecologist.

What is the oldest age for periods to stop? ›

The average age for menopause is around 51. But some women experience menopause in their 40s – with a small percentage experiencing signs of menopause earlier. Some women may not reach menopause until their 60s. There's no way to know your exact menopause age until it happens, but genetics seems to play a strong role.

What causes bleeding from the uterus in old age? ›

In most cases, postmenopausal bleeding is caused by issues such as endometrial atrophy (a thinning of the uterine lining), vagin*l atrophy, fibroids, or endometrial polyps. The bleeding could also be a sign of endometrial cancer—a malignancy of the uterine lining, but only in a small number of cases.

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