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Doctor insights on: Perimenopause

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Dr. Thomas Lyons
391 doctors shared insights

Perimenopause (Overview)

Period of time when your estrogen levels start to decline, your periods become irregular, symptoms such as hot flashes may begin, along with mood swings and other physical and emotional changes.


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How long does perimenopause usually last?

How long does perimenopause usually last?

Unpredictable: Some women will have symptoms for only a few months and others will have them for 20-40 years. ...Read more

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Dr. Thomas Lyons
391 doctors shared insights

Perimenopause (Overview)

Period of time when your estrogen levels start to decline, your periods become irregular, symptoms such as hot flashes may begin, along with mood swings and other physical and emotional changes.


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What are the symptoms for perimenopause?

What are the symptoms for perimenopause?

Varied: Some women are lucky enough to go thru peri-menopause w/o a hitch. Others complain of hot flashes, night sweats, irregular menses, moodiness, cognitive changes, decrease in libido, vaginal dryness and/or loss of lubrication, change in weight, change in skin, & more. Loss of bone density is well documented. ...Read more

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Is getting dry during sex with my husband a sign of perimenopause?

Is getting dry during sex with my husband a sign of perimenopause?

Could be?: There are reasons for vaginal dryness. Adequate foreplay and arousal is important, however, hormonal stimulation is needed too. If concerned, your pcp, gynecologist or other provider can check hormone levels. What is your general health and what medicatons are you on. There are many preparations available for vaginal dryness to help aid you in pleasurable intercourse. ...Read more

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 what is perimenopause?

 what is perimenopause?

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. ...Read more

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What exactly is pcos and how is it diagnosed? What is used to help? How do you distinguish between perimenopause and pcos?

What exactly is pcos and how is it diagnosed? What is used to help? How do you distinguish between perimenopause and pcos?

Ovarian Pathology: Polycystic ovarian syndrome (pcos). It is diagnosed with an ultrasound or ct scan. Weight loss is considered to be the most conservative method of treatment. It may cause infertility. ...Read more

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Is there a test for perimenopause like there's a test for menopause?

Is there a test for perimenopause like there's a test for menopause?

Not Exactly: Perimenopause is a time where the hormonal profile may vary widely. I've seen people test like 20 year olds one month and the next month test menopausal. So if only one test is performed the information can be very faulty and conclusions can be wrong. We use symptoms combined with age and other clinical indicators to help us more than lab testing. Hormones are helpful in this time, . ...Read more

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Are hormone levels the only tests for perimenopause?

Are hormone levels the only tests for perimenopause?

NO Not Accurate: Hormone testing if abnormal is indicative of perimenopause, but normal levels may not be accurate. I've tested people, who are close to menopause and had results consistent with a 20 year old one month followed by those of 55 year old the next month. Hormone testing is very inaccurate. Symptoms are the most important factor with shortened and irregular cycles (<26 days). ...Read more

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I know that perimenopause and hypothyroid symptoms overlap. Outside of bloowork, is there a way to know the difference between the two?

I know that perimenopause and
hypothyroid symptoms overlap.
Outside of bloowork, is there a
way to know the difference
between the two?

Bloodwork best opt: There is no really good tool aside from bloodwork to make a definative (certain) diagnosis. Due to the serious nature of hypothyroidism, please see your doctor and get the appropriate tests done. Its worth it for your future good health. ...Read more

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Can taking the Depo-Provera injection cause perimenopause symptoms?

Yes: Depo-provera prevents ovulation by giving you constant levels of a synthetic progesterone. Possibly not ovulating can give you some symptoms of perimenopause. ...Read more

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I have high cortisol levels. What does this mean? I am in perimenopause and have been tested for my hormone levels. A recent saliva test showed I have high cortisol levels. I have been suffering from anxiety, depression and insomnia. I am under going

I have high cortisol levels.  What does this mean? I am in perimenopause and have been tested for my hormone levels.  A recent saliva test showed I have high cortisol levels.  I have been suffering from anxiety, depression and insomnia.  I am under going

High : High cortisol levels should be confirmed and further evaluated by an internist or endocrinologist. Salivary testing is not mainstream and could be misleading. Stress can result in elevations of cortisol but these will usually suppress with Dexamethasone (this is part of the further testing). ...Read more

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Treatment options for perimenopause? Thanks!

Treatment options for perimenopause? Thanks!

Many options: Birth control hormone methods, low dose hormone replacement therapy, over the counter Progesterone creams, and various herbal products can help with the symptoms. Best to discuss the options with your physician to see what would work best for you. ...Read more

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Are there good natural treatments for perimenopause?

Are there good natural treatments for perimenopause?

Life style: Maintaining a healthy lifestyle including regular exercise, a healthy diet, stress management, and adequate rest will help many women. Although natural products like black cohash or primrose oil have been used, the studies are not convincing. If symptoms are severe, talk to your doctor to see if you would be a candidate for Estradiol and Progesterone which occur naturally in women. ...Read more

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Why do all dr's seem to push antidepressants when a woman has only symptoms of perimenopause and not depression? Drug company kick back? Its so wrong!

Why do all dr's seem to push antidepressants when a woman has only symptoms of perimenopause and not
depression? Drug company kick back? Its so wrong!

Treats more than dep: I'm sorry if you've gotten the impression that "all doctors" push anything. Some of us stop more meds than we start. But ssri antidepressants treat more than depression. Fluoxetine (prozac) is fda approved for pms symptoms, and ssris are used pretty often for this. Some perimenopause symptoms can be helped too, but no one should take such meds unless they are comfortable with the pros & cons. ...Read more

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Could oral progesterone tablets be taken vaginally for perimenopause?

Could oral progesterone tablets be taken vaginally for perimenopause?

Progesterone. : Oral Progesterone would not cause harm if used vaginally, but it would make more sense to have it compounded specifically for vaginal use. ...Read more

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Dental implants women in 40s during perimenopause/menopause, is there special considerations, risks with hormonal fluctuations? Not postmeno.

Dental implants women in 40s during perimenopause/menopause, is there special considerations, risks with hormonal fluctuations? Not postmeno.

Consult needed: If you are considering dental implants, then you should have a consultation with the surgeon who will actually be placing the implants. He\she will go over your complete medical and dental history, examine the area in question, both clinically and radiographically and discuss everything that you need to know. What you describe is not necessarily problematic. ...Read more

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What is perimenopause?

Timearound menapause: Perimenopause is the menopause transition years in a woman;s life. That is to say, it is the time in a woman's life where her periods are starting to change and will eventually stop. ...Read more

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