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Claremont, NH
A 40-year-old female asked:

what are the signs of perimenapause?

2 doctor answers6 doctors weighed in
Dr. Xin-Nong Li
Internal Medicine 39 years experience
See below : Like hot flushing, moon swing, irregular period, tire, etc.
Dr. Cynthia Frazier
Gynecology 39 years experience
Many: Often the first symptom of perimenopause is sleep disruption. Women wake up around 2 am and cant go back to sleep. Anxiety is often present - much like PMS but not cyclic. Irregular menses are common due to lack of ovulation. Breast tenderness is common due to estrogen dominance.Hot flashes can occur usually at night but this varies. Bloating and swelling of feet and legs is common.

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A 21-year-old member asked:

what is perimenopause?

6 doctor answers11 doctors weighed in
Dr. Albert Pizzo
Family Medicine 60 years experience
Perimenopause: That period of time between normal female menstrual cycles and menopause. During this period of time hormone balance may change causing numerous symptom in women. This can be from early 30s to early 50s.
CA
A 34-year-old member asked:

At what age does perimenopause start?

1 doctor answer4 doctors weighed in
Dr. Diana Bitner
Obstetrics and Gynecology 29 years experience
Everyone different: Average age 45+/-, signaled by irregular periods. Early perimenopause cycles different by 7 days or more, late perimenopause(pm) starts with no period more than 60 days. Starts and stops. Most symptoms(sx) in late pm, but symptoms like night sweats and hot flashes and sleep disturbance in days before eriod can start when periods still regular.
CA
A 40-year-old member asked:

How long does perimenopause usually last?

2 doctor answers4 doctors weighed in
Dr. Robert Lang
Endocrinology 52 years experience
Unpredictable: Some women will have symptoms for only a few months and others will have them for 20-40 years.
A 40-year-old member asked:

Is there a test to show if I am in perimenopause?

2 doctor answers5 doctors weighed in
Dr. Robert Lang
Endocrinology 52 years experience
No: The tests for menopause are very unreliable for perimenopause, perimenopause is better defined by the symptoms, which can last for months or years before periods stop completely. Sometimes, perimenopausal symptoms will come and go for a number of years before their final time.Especially, with this type of course, tests will be unreliable.
A 41-year-old member asked:

Treatment options for perimenopause? Thanks!

2 doctor answers6 doctors weighed in
Dr. Wayne Ingram
Specializes in Obstetrics and Gynecology
Several: Rx options are based primarily on the patient's symptoms such as "hot flashes", vaginal dryness, inability to concentrate, insomnia, etc. Hormone replacement therapy, clonidine, an anti-depressants all have a place in treatment. Some women do not require any forms of treatment if they are asymptomatic.

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Last updated May 21, 2015

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