Severe cramping, hot flashes, and short periods since ectopic pregnancy and tubal removal. Could this be early menopause?

It may be quite difficult to conclude that you are entering menopause until some investigations are done. Since age is a risk factor for ectopic pregnancy and also closely associated with the onset of menopause, it may be coincidental that you may be experiencing some perimenopausal symptoms soon after the treatment for an ectopic pregnancy especially if you are in your 40s. An early menopause is said to occur if you enter menopause before the age of 40. Above 40 years of age, entering menopause is considered as normal. Although various reasons can account for an early menopause, surgical removal of a tubal ectopic pregnancy is not a known cause of or a known risk factor for an early menopause. Not so if you had an ovarian ectopic, as this may require the partial or total removal of the involved ovary which would have expectedly been confirmed on histology and the information passed along to you. Therefore as mentioned above, the surgical removal of a tubal ectopic pregnancy does not ordinarily predispose a woman to an early menopause and a possible coincidental scenario may be going on if you are older than 40. If you are younger than 40, investigations can be done both to confirm that you entering an early menopause and to confirm if your ovary was removed during the surgery or not.

Finally, while hot flashes are symptoms of menopause, severe cramps and short periods are not symptoms of an early menopause. Although a change in cycle length may occur about one or twice in a woman’s lifetime, the cramps may be due to other gynaecological conditions. For more information, please CHAT WITH OUR CONSULTANTS.

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