Signs of pregnancy with early menopause


Climax - is a gradual extinction of the female body, which lasts more than one year. Egg formation stops and it is believed that conception will not occur. However, the possibility of getting pregnant with menopause persists for some time. A woman may become a mother even after 50 years, but such cases are quite rare.

Attitude to menopause in all women is different. Some are waiting for its occurrence, because you can not tolerate the inconvenience of monthly menstruation, which is sometimes painful. Topical issues of protection from unwanted pregnancy, which are believed to have disappear by themselves. Ladies do not realize that you can get pregnant during menopause, because for some time the reproductive abilities remain. The period of extinction of reproductive function in women stretches for a certain number of years, so it is still possible to get pregnant during menopause.

Pregnancy during menopause

The female body initially receives the makings of a ready-made set of eggs, which are subsequently regularly released during ovulation. Of the five or seven follicles, one egg cell is full, at best, two. A certain amount of material is lost under the influence of unfavorable factors; by the average period for a menopause, about 1,000 eggs remain in a woman's reserve. The first sign of menopause is a decrease in their number.

The answer to the question whether pregnancy can occur during menopause is in the affirmative. At the beginning of this period, the probability of conception is half that of women who are 30 years old. Many are sure that fertilization is impossible from the moment of menopause, and they are greatly mistaken.

The fact is that the end of the activity of the reproductive system does not occur according to the calendar, but at the moment when the body has run out of all the eggs. When this happens, the woman will note a complete cessation of ovarian function, manifested in the absence of menstruation.

Sometimes, in order to become pregnant during menopause, a woman takes hormonal drugs that delay the onset of menopause and help preserve reproductive function for a certain period of time. But pregnancy after menopause (in the late postmenopausal period) is impossible. The function of reproduction is atrophied by the end of this period, so it is impossible to get pregnant after menopause.

It should be understood that in some cases later conception may have irreversible consequences for the female body:

  • the development of an infectious disease when trying to interrupt,
  • birth of a child with certain disabilities,
  • a large load on the already weakened body of a woman.

Taking out a child after 40 years is physically more difficult than at a younger age. Organs and systems suffer from a sharply increased load. Nutrients in most cases are not enough, which means that the child suffers. This can lead to the birth of a baby with various pathologies.

Some people find it difficult to accept a woman’s pregnancy during menopause from a psychological point of view. Children, as a rule, are already adults, and they relate to the upcoming birth of the mother differently, often with surprise and condemnation. An exception may be situations where, for some reason, the couple have not been able to have children for a long time. They receive great support from their relatives and those cases where the couple lost their only child and decided to become parents again.

If a woman decides to endure and give birth to a child, she should understand that the degree of responsibility for her health and that of the future baby is very high. It is necessary to regularly visit a gynecologist, be careful and observe the day and diet. The degree of risk each woman should assess independently, remembering the associated pregnancy diseases and other health problems.

Late delivery is always a risk. The frequency of birth of children with Down syndrome is much higher in mature women than in young women. It is worth remembering that the process of raising a son or daughter is long enough: when the child enters a period of transitional age, the parents will be elderly. The birth itself often occurs with complications.

How to distinguish pregnancy from menopause

Time after 40 years is an alarming period for women. The sexual function is extinguished, the decision about the end of protection is made. The absence of menstruation for one to two months pushes the lady to the idea that pregnancy during menopause is impossible. This is a misconception, and the symptoms of pregnancy and menopause may be similar. So, in both cases, the first thing to pay attention to is the absence of menstruation.

Recognizing pregnancy during menopause is not always easy. Symptoms that are common and menopausal, and relevant to the state of pregnancy, are:

  • morning sickness
  • an acute reaction to certain odors or types of food,
  • change in taste preferences
  • tearfulness
  • breast sensitivity,
  • irritability,
  • susceptibility to odors.

The common signs of pregnancy and menopause is a fact that should exclude self-diagnosis and guide a woman in the only correct way: to consult a doctor. Only he will be able to qualitatively and quickly distinguish the onset of menopause from pregnancy and advise on this matter.

You can easily confuse menopause with conception, if the heredity of a woman is such that this period begins quite early. While still young enough, she tries to get pregnant, and there comes a time when a woman is confident in the success of the event. At the first check, the doctor finds out that the point is not in conception, but in the onset of menopause. It can happen at 35 and at 37 years old - this is the age when many consciously plan to have a second child.

The signs of early pregnancy with menopause are no different from the symptoms that occur after conception in a young woman. They are:

  • termination of menstruation,
  • the occurrence of nausea in the morning,
  • other taste preferences,
  • increased breast sensitivity,
  • high degree of fatigue
  • sleep disturbance
  • mood swings,
  • intolerance to individual smells and tastes,
  • strange taste preferences.

It is important that pregnancy tests, which normally are a fairly accurate tool for diagnosing pregnancy, may be unreliable during menopause. This is due to the fact that hormonal changes occur in menopause, and the test is based on determining the amount of hormones in the second half of the menstrual cycle.

How is pregnancy in menopause

So, you can get pregnant during menopause. If this happens, it should be borne in mind that the process will not proceed as usual. So, the first signs of the condition can be generally missed, because they are muffled by the sensations of menopause: periodic menstrual delays, frequent manifestations of migraine, “silence” of pregnancy tests. Determining the fact of pregnancy during menopause is difficult for some time.

Pregnancy with menopause in more cases is harder than usual. It should be understood that:

  • there are frequent births of children with poor health (both physical and intellectual),
  • interruption is guaranteed to cause complications
  • most organs will fail, especially acute pregnancy with menopause affects the condition of the kidneys and the urogenital system,
  • the fetus will not have enough nutrients even on the condition that it takes the maximum from the maternal organism,
  • hormonal changes are exacerbated,
  • bone tissues will be destroyed several times faster, which is fraught with the development of osteoporosis and loss of teeth,
  • menopause will not retreat even despite the pregnancy, which greatly weaken the body of a pregnant woman.

Comparing two concepts such as menopause and pregnancy, a woman must understand that the probability is not just there, but also quite high. This means that the issue of contraception with the appearance of the first signs of menopause in no case should not lose its relevance. If a woman does not plan to have a baby, she should be aware of protection.


Determining pregnancy in menopause right away can be difficult. This is due to the fact that fluctuations in hormone levels during menopause can have a huge scale, so even a negative test result is not yet an indicator of the absence of pregnancy.

There are several ways to make sure that conception has come. Traditionally, the first thing a woman does is visit a gynecologist. He will inspect, determine the approximate size of the body of the uterus and make a preliminary decision. For more accurate data, a blood test and ultrasound are recommended. The last monitoring will not only confirm or deny the fact of pregnancy, but also help to determine the date of its beginning, the date of the expected birth.

Pregnancy with menopause: is it possible to get pregnant, how to recognize and what to do

Climax is a transitional period from the reproductive stage in a woman’s life to the cessation of menstruation, or menopause. In order to conceive a child, you need a mature egg. The arrival of menopause is marked by the extinction of ovarian function, and it would seem that pregnancy and menopause are incompatible, but not everything is so simple. In our article we will consider whether it is possible to get pregnant during menopause, how to recognize a pregnancy and how it can be dangerous.

Ability to get pregnant

Climax in women comes on average after 45 years, however, it is possible that it will come earlier. Usually this period lasts about five years. During this period, women are menstrual disorders. The extinction of reproductive function occurs gradually and during this period there is an opportunity to become pregnant.

Girls are born with a large number of eggs, on average, their number ranges from 300 - 400 thousand and gradually decreases with age. By the 50–52 years, a woman has about a thousand eggs left.

Especially high risk of becoming pregnant with early menopause. In this regard, when an unwanted pregnancy, women are advised not to stop using contraceptives even when menopause occurs.

After forty years, women have a period of extinction of sexual function, the menstrual cycle is irregular, so many no longer protect themselves, believing that it is impossible to get pregnant. However, they are mistaken. How to recognize pregnancy: after all, during menopause and during pregnancy there is no menstruation? There are many indirect symptoms of pregnancy, although they are still conjectural.

In addition to the cessation of menstruation, the following signs are noted: nausea attacks predominantly in the morning, intolerance to any products or odors. Taste preferences change quite often, sometimes in the most radical way. The mammary glands swell, become more sensitive, sometimes there is a release of colostrum. Pregnancy has a great influence on the woman's psyche - irritability, tearfulness are possible. The mood of a pregnant woman changes very quickly - in a minute fun can be replaced by sadness and tears. There is rapid fatigue, drowsiness.

Of course, we should not forget that all these signs are indirect, only a qualified gynecologist will be able to accurately determine the pregnancy, therefore, if you suspect a pregnancy, visit a doctor.

The onset of menopause is inherited - if the older woman in the family (mother, grandmother) has early menopause, then the younger woman will most likely have menopause earlier.

Threats and Risks

With age, the risk of having a child with physical or mental abnormalities, for example with Down syndrome, increases. In addition, the burden on the body of the expectant mother is great, pregnancy is a great stress for the body.

According to statistics, every tenth child of an age woman is born with Down syndrome.

As a rule, by the age of forty a whole complex of chronic diseases is found in a woman, and pregnancy can aggravate them. In addition, late pregnancy adversely affects the work of the kidneys, mineral metabolism is disturbed, and calcium is washed out of bones and teeth.

If pregnancy is undesirable, then interrupting it during menopause is at risk of severe blood loss and the risk of developing infectious diseases.

Now more and more women decide to become pregnant after forty. If pregnancy is desired, then you need to follow all the recommendations of the doctor watching you and carefully monitor your health. Be sure to eat more vegetables and fruits, for good health are shown a small exercise - for example, walking through the woods.

So, in our article, we found that it is quite possible to get pregnant during menopause. Therefore, if you have a baby in your plans is not included - do not stop taking contraceptive drugs, but if you are ready to become a mother, then you need to carefully monitor your own health, to undergo a full examination.

  • The author: Natalia Safina
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Can I get pregnant with menopause: the main symptoms and how to recognize?

How to recognize in adulthood: pregnancy or menopause?

Over the past decade, the number of unplanned and unwanted pregnancies has significantly increased in women aged 40 to 55 years.

Doctors explain this phenomenon by the loss of vigilance in women of mature age, associated with the onset of menopause. Many consider the absence of menstruation the arrival of old age and the inability to get pregnant during menopause. So is it possible to get pregnant with menopause?

Climax, translated from Greek, stairs. To climb it to the following physiological state, a woman needs to overcome several stages of menopause:

Premenopause. At the age of 35-37, the hormonal background of a woman begins to change. The secretion of the female hormone estrogen in the body gradually decreases. By the ages of 40-45, these changes lead to the fact that follicles no longer develop in the ovaries, complete egg cells and yellow bodies form.

The ovary is reduced in volume and, due to the proliferation of connective tissue, becomes dense and knobby. The first sign of the onset of premenopause is a violation of the regularity of menstruation.

Monthly become scarce or abundant, come less often than usual, the cycle is broken. This is accompanied by vegetative-vascular disorders: hot flashes to the head and neck, sweating, poor memory, irritability, sleep disturbance. At this stage, pregnancy during menopause is quite possible. And to recognize it is very difficult, because the symptoms of menopause and signs of pregnancy manifest themselves in the same way.

Postmenopause. From the point of view of well-being of women, this is the easiest period. “Tides” stop, but, due to the lack of estrogen, the body begins to age quickly. Particularly affected skin, hair and bones.

Nature treats her children very carefully. All physiological processes in the body of a woman pass gradually, therefore the date of the onset of postmenopause cannot be accurately determined. Doctors recommend to protect themselves from an unwanted pregnancy for about two years.

Hormonal restructuring of the reproductive system takes, on average, 10 years. By the 50-55 years, it usually ends.

Important to remember! The period of maturity will last even before 65-70 years and only at this age will old age come.

Is it possible to determine pregnancy?

Women are recommended to regularly visit a gynecologist, and in adulthood it is necessary to do it. Symptoms characteristic of the climacteric process can occur in other pathological conditions and during pregnancy.

A pregnancy test, in the absence of a woman's mature age of menstruation, can also give a positive result if she has entered a period of menopause. This is explained by the fact that the level of gonadotropin at this time rises to 15 IU / l, and the test already responds to 10 IU / l.

A positive pregnancy test may also indicate that a woman has a tumor in the kidneys, uterus, ovaries, lungs, intestines, or pituitary gland requiring serious treatment. Therefore, such tests can not give a definite answer: a woman is pregnant or not.

The most accurate in this case will be a urine test for FSH (follicle-stimulating hormone produced by the pituitary gland to form female sex hormones in the ovaries). Such a test for home use can be purchased at the pharmacy.

In women in a normal state, the content of FSH varies within a cycle. During menopause, its concentration in the urine will be constantly increased.

In pregnancy, the level of FSH is constantly lowered, since there is no need for the formation of new eggs. The test is done twice with an interval of 7-10 days.

Indications for the restoration of reproductive function

Обстоятельства в жизни любой женщины могут сложиться таким образом, что в зрелом возрасте возникнет необходимость зачать и родить ребенка. Это может быть трагическая потеря близких людей и боязнь одиночества, необходимость в доноре для пересадки онкологическим больным костного мозга, потребность в наследнике в позднем браке.

Is it possible in the period of the beginning of menopause? In medical practice, there are cases when a woman in menopause was stimulated by the ovaries and became pregnant.

In medical practice, a treatment method is used in which a woman is introduced into the state of "artificial menopause." This is a necessary measure for the treatment of gynecological diseases that prevent pregnancy, and in preparation for IVF (in vitro fertilization).

After a course of therapy, the reproductive function of patients is restored within one and a half to four months. Pregnancy after artificial menopause may occur during the recovery period, in the absence of menstruation, if the treatment was successful.

Myth and truth about late childbirth

The myth is widespread among people that late labor stimulates the body and rejuvenates a woman. Practicing doctors do not advise postponing the appearance of offspring until later, because the older the woman, the greater the risk of changes in the gene apparatus and the birth of a child with chromosomal abnormalities, such as Down syndrome.

Pregnancy after 50 years, when many women already have one or more chronic diseases, can significantly impair health. Moreover, at this age there is a high risk of pelvic organ prolapse during pregnancy, an irreversible change in kidney function, loss of calcium from the bones and teeth, which is used to form the bone apparatus of the fetus. And the time to raise and raise a child remains very little. Do not overlook the socio-economic factor.

Malysheva: statistics show that more than 70% of people are to some extent infected with parasites that can cause dangerous diseases in humans. To remove from the body of parasites need in the morning.

What should I do to avoid this situation?

  1. Remember that the cessation of menstruation is not a reason to stop being protected. This can be done not earlier than two years after the last month.
  2. If there is a delay in menstruation, do a test for FSH.
  3. If symptoms such as insomnia, palpitations, irritability, unreasonable fatigue and memory impairment occur, consult a general practitioner for a thorough examination to rule out cancer and other serious illnesses.

  4. If the pregnancy with menopause still happened, carefully weigh the pros and cons before making any decision.

A climacteric period is just a physiological process, just like infancy, puberty, or adolescence.

It has its own charm and its own characteristics. Do not consider the loss of reproductive function as a tragedy. In fact, this is a great time to throw away the fear of getting pregnant, devote more time to yourself and your chosen one, keep an active lifestyle and not worry about old age, because it is still so far away!

Do you still think that it is completely impossible to cure your body?

Did you know that more than 70% of people are infected with various PARASITES who live and breed in our body? At the same time, a person lives a full life and does not even suspect that he breeds within himself these terrible worms and larvae that destroy internal organs.

How can you identify them?

  • nervousness, disturbed sleep and appetite,
  • allergies (watery eyes, rashes, runny nose),
  • frequent headaches, constipation, or diarrhea,
  • frequent colds, sore throat, nasal congestion,
  • pains in the joints and muscles
  • chronic fatigue (you get tired quickly, whatever you do),
  • dark circles, bags under the eyes.

What is early menopause?

Menopause is divided into three types: early, normal and late. The first type can occur in 35-40 years, the second in 45-50, and the third in 55-65. An individual term for each woman is laid genetically, and somehow to postpone it or vice versa will not work. Early menopause is more likely to occur in those who have a menopause with a mother or grandmother who has reached the age of 40 years. In this case, it is believed that this phenomenon is quite normal, as it is associated with heredity. Otherwise, the cause may be a serious disturbance in the functioning of the body.

Early menopause may occur due to depleted ovarian syndrome or hormonal disorders. And this can appear in autoimmune ailments, due to gynecological operations, problems with the thyroid gland, radiation therapy, severe stress, infectious diseases and bad habits. All this leads to the fact that a woman prematurely begins to lose the ability to conceive.

Signs of Menopause

Many women do not know how to distinguish the onset of menopause from a simple delay in menstruation. This can be done on certain grounds that each woman faces in her age. They can appear as bright and almost imperceptible. There are even cases where the extinction of the function of the reproductive system was asymptomatic for the patient.

  • dizziness,
  • nausea,
  • state as before fainting,
  • excessive sweating
  • sensation of heat in the body
  • fast fatiguability.

But the main sign that menopause has come must be considered irregular periods or the complete absence of them. If a pregnancy test shows a negative result, then it is likely that this is just menopause. However, in any case, you need to visit a doctor, especially girls under the age of 40 years. It is possible that the absence of menstruation is a normal cycle failure or amenorrhea disease.

Can I get pregnant with menopause?

The onset of menopause in many women is associated with the inability to conceive a child. However, the question of whether you can get pregnant if the menopause has begun, still remains open. The fact is that there were cases that women gave birth to children after the disappearance of menstruation. Therefore, to find out in what situations this is possible will not prevent any woman, even one who does not want to get pregnant anymore.

Menopause does not come in one day or even a year. It comes slowly, sometimes for several years, and all this time the probability of having a baby, though small, is still there. The functions of the ovaries weaken in stages, doctors distinguish three main ones.

  • Premenopause. At this stage, the ovaries begin to work worse, but still function. Monthly go irregularly, but not yet disappear. This period may begin at the age of 35 to 65 years. There is a chance to get pregnant at this time, sometimes even it is enough to stop protecting themselves.
  • Perimenopause. During this period, the ovaries cease to function. The symptoms of menopause become bright, the state of health can worsen considerably. On average, it lasts about a year. It is believed that if there are no more than 12 months of a month, then now there will be no opportunity to have a baby.
  • Postmenopause. Now the climax is over, and the body no longer produces eggs. Now you can not protect themselves, since pregnancy does not come.

It should be borne in mind that not every woman is able to conceive a child in the period of menopause. For some, this does not work out even at the very beginning, but you should not despair. Alternatively, in vitro fertilization can be carried out using the donor's egg cell. It is believed that it is possible to endure and give birth to a child even when the reproductive abilities are completely extinct.

In the case when the menstrual cycle began to change and the nature of the menstrual flow became irregular and scarce, the first test can be performed at an arbitrary time, and the next two tests every 7 days from the first test.

What is the risk of late pregnancy?

Recently, more and more women seek to give birth to a baby after 30 years, and some decide to do so even in the region of 40. This may be due to financial difficulties, the desire to make a career, buy an apartment or just live for yourself. But it is often possible to hear from friends and doctors that it is best to give birth before the age of 30, since then serious problems may arise with the bearing of the fetus, which will adversely affect both the mother and the child. Therefore, the question of whether you can get pregnant with menopause at 48 years old should not be the main one.

Thanks to modern medicine, many people succeed in giving birth after 35 years. To do this, your mother must be in good health and be regularly observed by a doctor. But the possible dangers will not prevent to know, to be ready for this.

Possible risk for future mothers:

  • miscarriage (doctors say that his probability after 30 years is 17%, and after 40 years - 33%),
  • premature detachment of the placenta,
  • preeclampsia,
  • the transition of chronic ailments to the acute form,
  • the possibility of diabetes,
  • the need for cesarean section due to complications (after 40 years, 50% of patients make it)
  • bleeding.

Record for consultation

Of course, all these problems occur in young girls, but the risk of their occurrence is much lower. If the dangers do not frighten, then you can safely plan the baby. By the way, threats to the fetus due to the age of the mother also exist. These include lack of weight, premature birth, the risk of mental and physical abnormalities. Most of the pathologies are now able to be noticed before the time to give birth. Therefore, the expectant mother will be able to find out in advance whether the child is healthy or not.

Pregnancy planning for early menopause

It is especially important for aged people to prepare in advance for the appearance of the baby. If health still allows him to conceive, then you need to make sure that there will be no serious complications. To reduce the risk, it will be necessary to quit all bad habits, not only for a woman, but also for a man. It is necessary to undergo a full examination to ensure that there are no diseases that may complicate the pregnancy.

If conception has already happened, and the woman bears a fetus, then in the early stages you need to undergo a diagnosis and make sure that there are no genetic abnormalities of the fetus. The entire pregnancy should be conducted by an experienced doctor who will be able to anticipate possible risks. A future mother should follow all his recommendations, eat right, monitor her weight and protect herself from stress. It will be necessary to prepare in advance for what may have to do a cesarean section. If you responsibly approach the carrying of the fetus and undergo regular examinations, even in adulthood during menopause, you will be able to give birth to a healthy child.

How to distinguish menopause from pregnancy

Recognize pregnancy with menopause can be the same methods as before it. Experienced women who have given birth are easy to do, but those who become pregnant for the first time can be confused, because some symptoms of pregnancy are characteristic of menopause. They can be confused, feeling the first movements of the fetus during the first pregnancy at this age.

The probability of pregnancy with menopause

During menopause it is quite possible to get pregnant. Although much depends on when there was a menopause, how long this process began. Even if the monthly has already stopped, the chances of getting pregnant remain within 2 years after. Ovarian function fades away, but gradually, therefore, the probability of ovulation is not excluded. The probability of getting pregnant, for example, 5 years after the monthly periods have ceased, is already very small. Such cases are extremely rare. Most often, the chances of getting pregnant are high when menopause has just begun, or within 1.5-2 years after.

In some women, menopause does not occur rhinestone. Menstruation may disappear for 7−8 months, and then return. Many women, as soon as menstruation disappears, are already confident that it will no longer exist, and cease to be protected. In this case, the probability of becoming pregnant is also very high.

Signs and features

The main problem is that most of the signs of pregnancy are similar to those that occur during menopause. The most common signs of pregnancy with limax are:

  • excessive sweating
  • absence of menstruation
  • emotional instability
  • bad mood
  • weight gain
  • headaches and dizziness
  • nausea, vomiting that occurs after eating, or from various odors

How to determine that these are signs of pregnancy, and not menopause? If it is a pregnancy, all these symptoms will be more pronounced. The body is rebuilt, hormonal changes, and the baby immediately begins to take what he needs for normal growth and development inside the mother's womb.

Should I leave the baby?

It is not surprising that if the pregnancy occurred during menopause, doctors rather categorically suggest that patients discontinue it. This is associated with high risks for both the fetus itself and the expectant mother. The best age range for childbirth: 20−32 years. The older the woman, the greater the risk of various complications. A woman in menopause will bear a child in fairly extreme conditions. During this period, almost all chronic diseases are exacerbated, the kidney function is weakened, mineral metabolism is disturbed and not only.

In addition, an egg cell during this period may develop inferior, and this will adversely affect the health of the unborn child and can cause serious violations, such as fetal hypotrophy, cerebral palsy or Down syndrome. According to statistics, children with Down syndrome are born from age parents. Of course, such complications do not always occur, but the risks are great. And a woman who becomes pregnant in menopause, is facing a difficult choice.

True, there is no time to think for a long time either, because late abortion during this period is fraught with complications. In addition, a woman needs to understand that, even if pregnancy and childbirth are excellent, the child still needs to be raised, put on her feet, secured. Do you have enough time and effort? To give birth at that age is risky, and a woman should understand all the responsibility that falls on her shoulders.

If a woman does not want to become pregnant during menopause, so that there are no such unpleasant surprises, you should be protected for another 2 years from the start of menopause. This can be done with hormonal contraceptives or a condom. It is better to consult with your gynecologist, so that he picked up the most appropriate type of contraception.

How to improve the quality of sperm for conception: read our tips.

How is the gestation and delivery during menopause

Despite pregnancy, menopause symptoms will not subside at this time and will be doubly pronounced. There are high risks that the work of the urinogenital system will be disrupted, since it will be under enormous pressure during this period. And then these violations also can not be restored. A woman cannot breastfeed. Symptoms of menopause may be delayed, but not for long. They return a few months after giving birth, so breast milk is unlikely to appear.

Pregnancy during menopause is very difficult. Even young and healthy women have a lot of problems, stress, complications during pregnancy, even if it proceeds normally. And during menopause, it will be many times more difficult. Many women notice that with age, every year they become weaker, even if it is not about pregnancy, but in general about the state of the body. Pregnancy will be for the body the strongest stress, like childbirth.

The pelvic organs may descend, which will later lead to incontinence and other problems. In general, you need to be prepared for the fact that pregnancy and childbirth during the period of menopause will subsequently add an additional bouquet of sores. But childbirth is not the final goal, the baby will still need to be looked at, and this also requires strength and health.

With regard to childbirth, they can be both natural and through cesarean section. Here everything is individual, depending on the state of the woman's body. Natural childbirth at this age is a big load, however, as well as surgery.