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

Hi Young, "One big cyst" lol! I'm just one big stretch mark! I had a follow-up ultrasound, and one cyst went away and the other one is smaller, so hopefully they're on their way out. My ovaries are persistent little boogers! It's amazing how long they're hanging on!

I have been hearing a lot latley about Abulation. (spelling is probably wrong) they go in and do something to your uterus, so you stop having periods, however, unlike a hysterectomy you still have your parts, so you don't go into "early" menopause. I just spent 7 weeks working at a temp job, and 5 of the ladies there said they had it, and were all very happy with their results. I'm thinking about speaking to my doc about it at my next checkup. Ellie

I am 55 and have been on birth control pills for the last three years. Doctor says I should get off of them because I shouldn't be taking them at my age. I have enjoyed a period, symptom free, glorious three years. Reading this blog Im terrified to go off of them. I dont want all of this to start again. I may get off of them for a few months and get the blood test to see where I am hormonally. I have had friends who have gone through menopause on the pill - gotten to the other side and were symptom free. My doctor also wants me to have an ablation because of my age. After reading about that theres no way. There is NOTHING WRONG with me. I have a bmi of 19%, I count my macros and do Crossfit four times a week. I dont want to goof myself up. Clueless what to do. Oh and family history wise.....my mother was 40 when I was born and she's 94 now and still kickin! Help!!