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But I've heard that lots of women start earlier -- even in their mid-30s. It seems to be highly variable.
I'm sorry, I don't know anything about fibroids, so I can't be of any help in that regard. I'm sure there must be plenty of information online, just do a google (or other search engine) search.
As to the rest; my first indication of change was that my periods became irregular. Up until my mid/late 40s, my menstrual cycle was like clockwork -- about every 26-29 days, lasting for 4-5 days (except for my pregnancies, of course). Never any problems with excessive pain or heavy bleeding -- mild cramps in the first day or two, some breast tenderness/heaviness, a little "water weight" gain, and a bit of exaggerated emotionality -- but nothing debilitating.
At some point my cycle started becoming less predictable. I experienced both longer (6 weeks to 2 months or more) and shorter (2-3 weeks) times between cycles. Shorter periods of bleeding (2-3 days) and sometimes much longer periods of bleeding (up to 2-3 weeks). The amount of bleeding started varying widely as well -- sometimes much heavier than I ever had experienced before, and sometimes just day after day of intermittent light spotting.
Eventually came a time where I didn't have a period for over a year -- then I had a few more, many months apart -- usually just a day or 2 or 3 of spotting; and then finally no more ever again.
It was around that point that I first started experiencing anything like hot flashes or night sweats (around age 50 or 51). What I assumed to be hot flashes were usually fairly mild and of short duration, and for a long time I wasn't entirely sure that I was really having any. The night sweats were much more pronounced and went on for about 2-3 years. The night sweats ended about 2 years ago, and what little I had in the way of hot flashes seems to be over now, too.
So, I feel like I've passed through the doorway of menopause with very little drama. It occured to me relatively recently that I seem to be less generally "crabby" than I was for awhile -- less snappish with my co-workers, for example -- I seem to be experiencing a much greater degree of emotional equanimity in general than I had in the recent past.
I have a sister, 2 years younger than I, who is having MUCH more extreme hot flashes -- you can actually see her face turn bright red and beads of sweat break out. Obviously, the effects of menopause vary HUGELY from woman to woman.
I think the best advice is to dig in and do some research -- either get some books from your local public library (there are LOTS of books about menopause out there!) or poke around online. There's no shortage of information, and individual anecdotes (like from me) may be of limited value since there seem to be such vast differences in experience among women when it comes to menopause.
As for what I "did" during this time of transition; being something of an amateur herbalist, I took herbal supplements: Black Cohosh, Dong Quai (or Tan Kwai -- Chinese Angelica root) and Schizandra (or Schisandra -- another Chinese herb, also known as Wu Wei Zu). Whether these contributed to the relatively easy time I had with the "change of life", I cannot say. All I know is that going through menopause was not particularily traumatic or difficult for me -- and I never once considered "hormone replacement therapy".
But every woman is different...
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