Birth control pills may help mask menopause symptoms By TOM VALEO Published March 28, 2006 All women can expect to enter menopause sooner or later, but women taking birth control pills may not notice, at least for a while. In the meantime, they can expect several benefits from the pill beside avoiding an unwanted pregnancy: They will avoid some of the most conspicuous signs of menopause, such as hot flashes, night sweats and irritability. "A woman on the birth control pill is getting hormones at a level above what her ovaries would produce,'' said Dr. Catherine Lynch, director of General Obstetrics and Gynecology at the University of South Florida College of Medicine in Tampa. "When a woman goes into menopause, the ovaries basically shut down and no longer produce estrogen or progesterone in any significant amounts, so a woman taking the birth control pill in the standard fashion of three weeks on active pills, followed by one week of inactive pills, often won't have any symptoms of menopause until that pill-free week. She may not even realize she's in menopause because she's getting adequate estrogen and still cycling.'' During the week when she is not taking active birth control pills, the woman may even have a "withdrawal bleed" caused by the sudden drop in estrogen. A withdrawal bleed is easily mistaken for a normal period. And if the woman is taking continuous-use birth control pills, she will take inactive pills only one week out of every 12 instead of every four, so she will have a withdrawal bleed no more than once every four months. "So a woman who's, say, 51 and taking Seasonale one of the continuous-use birth control pills isn't going to have hot flashes or night sweats for 12 weeks, because she's having estrogen provided for her by the pills,'' Dr. Lynch said. "She may experience symptoms during the week she takes inactive pills, but just as symptoms start to climb, she starts taking active pills again, and she won't appreciate that these are symptoms of menopause.'' But that's not all. Taking birth control pills also seems to reduce bone loss. In fact, if the woman is also doing weight-bearing exercises and getting plenty of calcium, low-dose birth control pills may even help build bone density. Women on the pill also experience less iron deficiency anemia, and some studies suggest that the pill protects against benign breast disease, endometrial cancer and epithelial ovarian cancer. The Cancer and Steroid Hormone Study, the largest to investigate this last issue, found a 40 percent decrease on average of ovarian cancer in women who had taken oral contraceptives. The risk decreased as the amount of time on the pill increased, so women who had taken the pill for seven years or longer experienced a reduction in the risk of ovarian cancer of 60 to 80 percent. Some Women on the pill also experience less iron deficiency anemia, and some studies suggest that the pill protects against benign breast disease, endometrial cancer and epithelial ovarian cancer. studies suggest that oral contraceptives might even protect against colorectal cancer, uterine fibroid tumors, Alzheimer's disease and rheumatoid arthritis. Taking the pill has always meant an increase in the risk of blood clots, which can cause a stroke. But a woman who does not smoke, does not have high blood pressure, and takes a low-dose oral contraceptive can almost eliminate that additional risk. So why not just stay on the pill and enjoy all the benefits of hormone-replacement therapy, known as HRT? Because even low-dose birth-control pills deliver five to seven times as much estrogen as HRT. HRT simply gives the body back what the ovaries were producing before they were shut down by menopause. The birth control pill delivers a dose of hormones large enough to shut down the ovaries, and it's pointless for a woman to keep taking hormones after menopause has begun and she has stopped ovulating. She would be better off with hormone-replacement therapy, which would provide her with the same benefits but a lower dose of hormone. "The trick is figuring out when she is in menopause,'' Dr. Lynch said. "There are a couple of ways to test this, but they're not 100 percent reliable. She can go off the pill and see if she's still cycling, but if she's sexually active, there's an outside chance she could get pregnant. "While it's rare for pregnancy to occur at the age of 50 or 51, it can happen if you're still ovulating.'' Tom Valeo is a freelance writer specializing in medical and health issues. Contact him c/o Seniority, St. Petersburg Times, P.O. Box 1121, St. Petersburg, FL 33731, or e-mail features at sptimes dot com. [Last modified March 28, 2006, 08:52:07] Here is a link that might be useful: from a Florida online newspaper

My gosh. I thought I was the only one in the world, and here you all are! I'm 55. I had an hysterectomy when I was 41 and my ovaries removed at 43. I have been on estrogen only HRT since I was 44 with no issues. I had a normal mammogram six months ago. I started taking methotrexate for arthritis six months ago and my extremely sore and swollen breasts seemed to start when I moved to the higher doses of that drug. I even had some evidence of lactation from my right breast. My GP ordered hormone tests and they all came back in the normal range except SHBG which is a protein that binds to sex hormones to carry them around in the blood stream. I also had a mammogram which showed enlarged ducts with some debris. (My boobs are trashed after breast-feeding five kids but nothing they did is anything on this pain and tenderness.) I missed a couple of doses of methotrexate (taken weekly) and my breast pain seemed to start to diminish. I also stopped my HRT because I was so desperate for some relief. After a month, the pain has substantially subsided but I still have a residual tingly burn and they haven decreased much in size. I am yet to have repeat hormone tests or a repeat mammogram. I will try the flaxseed recommended above and post anything else that changes.

Hi puddinface ru still coming on this forum i notice that a lot of the postings are quite old wheras u seem to be new to it like me i have found grreat relief in actually looking at other womens opinions on the varied problems related to menopause id love to actually chat on here to someone rather than feel as though every time i write something i dont get any response at all i live in england and i do not have any friends my own age who are going through what i am going through at present which can be very scarey at times i can only try talking to my partner who bless him does try to understand and listen but he is 27 works long hours and i stay home all day it seems to me that in usa women have more actual info on perimenopause than here in the uk anyway if your out there and you read this id really like it if you felt like giving me a reply ok

Talked to my husband whom worked for a water authority for 35 years in every aspect from fixing water lines, treatment, to service rep and as puzzled about this as yinz are. He never heard of a meter at the house and one at the main, but every area could be different. He said to follow the line at were the water comes in from the main and see if there is another meter beside the one at the house. Except for a sewer reduction meter. If there is another meter see if it is registering water. If not call the water company and have them send out a service rep to analyze the problem. Every water company is different depending on where you live. Some are public and some are private. If you have a problem with the water company then call your states utility commission and see if the water system is governed by them. Some aren't. As far as who is responsible for a line it also depends on where you live. In our area the homeowner is responsible for the line from the curb shut off to the house. Good luck.