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Doctor insights on: Perimenopausal Hot Flashes

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I'm 32 and afraid i'm in premature perimenopause. Hot flashes/night sweats, brain fog, fatigue, mood swings. Tsh 4.0. On hbc. How can I know for sure?

I'm 32 and afraid i'm in premature perimenopause. Hot flashes/night sweats, brain fog, fatigue, mood swings. Tsh 4.0. On hbc. How can I know for sure?

It's possible: 32 is young for menopause, but possible for various reasons. Are you having periods and if so how often? Your doctor can check your gonadotropin levels to tell you if you are perimenopausal; if so then further work up would need to be done to determine the cause. It is important to note that your symptoms could also be caused by other medical reasons so it is important to follow with your doctor. ...Read more

Dr. Murray Freedman
853 doctors shared insights

Hot Flashes (Definition)

Hot flashes are extremely common as women approach menopause. These are in some way related to a decrease in estrogen production which causes instability of the 'thermoregulatory' centers in the brain. They can be debilitating, and they can ...Read more


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In perimenopause, if your not having night sweats or hot flashes, does this mean estrogen is not needed? Many other symptoms exist.

In perimenopause, if your not having night sweats or hot flashes, does this mean estrogen is not needed? Many other symptoms exist.

HRT indications?: Hormone replacement therapy(hrt) is commonly advised for severe symptoms, especially hot flashes. Most other symptoms of estrogen deficiency can be managed with local applications of estrogen creams applied to the vaginal mucosa/ areas. Consult your gynecologist for further advice and proper management. ...Read more

Dr. Thomas Lyons
368 doctors shared insights

Perimenopause (Definition)

Year period of time when estrogen secretion begins to decline, periods become irregular, symptoms such as hot flashes may begin, along with mood swings and other changes. Talk ...Read more