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General
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At one time or another, whether naturally or surgically induced, all women go through the stage of life known as menopause. Natural menopause typically occurs around age 51. Rarely, natural menopause occurs in a woman's 30s or even her 20s. Surgical menopause can occur at any age in women who are not already menopausal. The following definitions can help you understand your menopause, including how and why it happens.
Before you go through menopause, your body produces the hormones estrogen and progesterone. In the years before you reach menopause, you begin making less of these hormones, and your periods may become irregular. This time is called perimenopause. Even though your periods are irregular, you can still get pregnant during perimenopause.
Some women have a hysterectomy before they reach natural menopause. A hysterectomy involves removing the uterus. If only your uterus is removed, you do not experience surgical menopause. If both ovaries are also removed—an operation called a bilateral oophorectomy—surgical menopause occurs. There is no perimenopausal period with surgical menopause.
When you have not had a period for 12 months in a row, as long as you have not been ill, pregnant, breastfeeding, or using any medicines that could cause your menstrual periods to stop (for example, chemotherapy), it is likely that you have reached menopause. This type of menopause is known as natural menopause.
Important information you should know when taking estrogens like ENJUVIA™:
ENJUVIA is a medicine that contains estrogen hormones. It is prescribed for relief of moderate-to-severe hot flashes and night sweats, and moderate-to-severe vaginal dryness and pain with intercourse, symptoms associated with menopause.
Estrogens increase the risk for cancer of the uterus (womb). If you experience persistent or recurring vaginal bleeding while taking estrogens let your doctor know right away, as this could be a warning sign for cancer. Your doctor should check for the cause of any unusual vaginal bleeding after menopause. Estrogens (alone, or in combination with progestins) should not be used to prevent heart disease, heart attacks, strokes, or dementia.
Estrogens (alone or in combination with progestins) may increase the risk of heart attack, stroke, blood clots, and breast cancer. Estrogens (alone or in combination with progestins) may increase your risk of dementia, based on a study of women age 65 or older. Because of these risks, estrogens should be used at the lowest dose for the shortest period of time. You and your doctor should talk regularly to determine whether you still need treatment with ENJUVIA.
Who should not use ENJUVIA?
Do not use ENJUVIA if you:
What are the common side effects with ENJUVIA?
You may experience headache, breast pain, irregular vaginal bleeding or spotting, stomach/abdominal cramps and bloating, nausea and vomiting, or hair loss.
Please see Patient Information section of the prescribing information.
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ENJUVIA™ is a trademark, and Duramed® is a registered trademark, of Duramed Pharmaceuticals, Inc.
