arrow-right cart chevron-down chevron-left chevron-right chevron-up close menu minus play plus search share user email pinterest facebook instagram snapchat tumblr twitter vimeo youtube subscribe dogecoin dwolla forbrugsforeningen litecoin amazon_payments american_express bitcoin cirrus discover fancy interac jcb master paypal stripe visa diners_club dankort maestro trash

Shopping Cart


MiddlesexMD

Late-Onset Menopause: Should I Be Worried?

Late-Onset Menopause: Should I Be Worried?

by Dr. Barb DePree MD


Maybe you were that girl. The last one to get her period. Maybe it’s déjà vu all over again as you wait… and wait… to cross the reproductive finish line. Menopause. It’s certainly been a thing for your girlfriends, but you only know about it secondhand.

Do not fret. Recent studies confirm a few educated guesses about women who begin menopause late, and most of it is good news for you.

Most women reach menopause between 45 and 55; the average age is 51. Menopause officially occurs one year after your last period. Late onset is considered anytime after age 55, at which point, a woman has been producing estrogen for at least 40 years, depending on when she began menstruating.

Factors that affect when a person begins her reproductive years and reaches menopause have a little to do with heredity and occasionally may be related to do with environmental factors. Those who smoke or live at high altitudes, for example, tend to begin menopause early. Most often, it occurs… well, when it occurs.

As any menopausal woman knows, estrogen is an important hormone that regulates lots of systems in your body, from your brain to your skin to your reproductive organs and keeps them running smoothly. That’s why the absence of estrogen in menopause sends you into such a tailspin and requires several years to adjust to.

 

Shop Comfort and Vaginal Health Products

 

We know that estrogen has protective effects on our bones and our heart. Two large-scale, recent studies confirm that women who reach menopause late, and thus are exposed to estrogen for longer, also tend to have fewer cardiovascular problems, such as strokes or heart attacks.

For example, one very recent study looked at longitudinal data for over 3,000 women, specifically examining the reproductive years—the total number of years from first menstruation to menopause—in women age 60 or over. They determined that “every one-year increase in reproductive duration… was associated with a 3% reduction in a woman’s risk of angina or stroke.”

Women with more reproductive years are also at lower risk for osteoporosis and have fewer fractures. Since estrogen keeps skin smooth and supple, late menopause tends to keep your skin smooth and your vagina lubricated.

If you are still menstruating at 55, please continue your diligence with regular gynecological exams and screenings, while you enjoy your supple skin and healthy heart. I’ve seen more vulvar cancers in the last three months than in the previous 15 years, and these were among women who hadn’t had a pelvic exam in years.

Overall, you’ll probably live longer, according to two large-scale studies. A 2005 study followed 12,134 Dutch women for 17 years and found that, when all the risk and protective factors were considered, “the net effect was an increased life span.”

Another study examined the effect of late menopause on the chances of living to age 90. These researchers selected a diverse group of post-menopausal women from the Women’s Health Initiative, the massive study of 16,251 women that ran from 1993-1998, and followed them until 2014. Of the 55 percent of women who reached age 90, odds of survival for those with over 40 reproductive years were 13 percent higher.

Neither lifestyle, weight, reproductive factors, contraception use, nor hormone therapy nor significantly altered these survival rates. The determining factor was the number of reproductive years.

“Later age at menopause is associated with better health, longer life and less cardiovascular disease,” said Ellen B. Gold, a professor emeritus in public health at the University of California, Davis, School of Medicine in this article.

So buckle up, late bloomers, it might be a smoother, longer ride than you thought. 


151 comments


  • First period at 11 years old, no 55.5 years old, still not in menopause according to blood tests. I had an ablation a couple of years ago so no monthly menses (I highly recommend you ask about this procedure!). Glad to hear no negatives with late onset menopause.

    Nan on

  • Thank you to all of you marvellous women who have candidly shared your stories here! I am 54, still having regular cycles and dealing with many of the symptoms mentioned here. Reading all of these posts has made me feel so much better … aside from our one sister who still has her period at 70!

    Jana on

  • I am 56 and thought I was done! After having my last, not so normal period, seven months ago. I then experienced a slight gush of bleeding and then just light spotting same day about 3 months ago; it was a one day thing. Well now, I had my period again, very normal and steady; which for me, normal is heavy bleeding. I was experiencing my normal cramping and breasts hurting days before, and I was almost certain, I was going to have a period from the symptoms. I just can’t believe it; I thought I was actually done with them! I have been taking iron, folic acid, and B12 about 2 to 3 times daily, for about a month now and am wondering if this could be the reason for having a normal period.

    Lettizia on

  • To nannette. Im 59 and had tests on my women parts. All normal. So doctors act like its craxy but after reading comments i donr think we are.

    Roseanne on

  • Serenella , we would definitely recommend a visit to your doctor. There are options… the simplest of which may be some hormones in the form of an oral contraceptive to balance things out during the transition.

    Dr Barb on

Leave a comment

Please note, comments must be approved before they are published