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Doctor insights on: Perimenopause Fatigue

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52 perimenopause. trying to choose between Cyclen 21 and Minestrin for symptoms. Which will provide a good balance(mood, fatigue, dysmenorrhea)?

52 perimenopause. trying to choose between Cyclen 21 and Minestrin for symptoms. Which will provide a good balance(mood, fatigue, dysmenorrhea)?

Perimenopause: Before thinking of these meds it is time for you to have a complete evaluation by a gynecologist. When that is complete the gynecologist will discuss all options for you. ...Read more

Dr. Thomas Lyons
376 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


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How do you distinguish the difference between adrenal fatigue, hypothyroidism, and perimenopause by symptoms alone? They all have the same symptoms.

How do you distinguish the difference between adrenal fatigue, 
hypothyroidism, and perimenopause by symptoms alone?  They all have the same
symptoms.

Medical evaluation: While symptoms may overlap, untreated hypithyroid and adrenal insufficiency (not aware of the term adrenal fatigue) are potentially life threatening with adrenal complaints including weight loss, abdominal pain, nausea, vomiting, weakness and thyroid complaints including weight gain, fatigue, constipation, cold intolerance. Your physician can evaluate for the cause of your symptoms. ...Read more

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I am in perimenopause and am so exhausted all the time. What natural supplements can I take to combat the fatigue? I am in perimenopause and am so exhausted all the time. What natural supplements can I take to combat the fatigue?

I am in perimenopause and am so exhausted all the time. What natural supplements can I take to combat the fatigue? I am in perimenopause and am so exhausted all the time. What natural supplements can I take to combat the fatigue?

There : There are supplements that can help with fatigue. Our office has supplements that do help with fatigue however, before taking supplements or any other medications you should see a doctor to make sure that there isn't a medical reason for the fatigue such as low thyroid hormone levels or high cortisol levels. ...Read more

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Occassional low heart rate, tiredness, headaches - are these symptoms of perimenopause?

Occassional low heart rate, tiredness, headaches - are these symptoms of perimenopause?

Possibly: Many conditions can cause those symptoms. A doctor can order some tests to confirm perimenopause, and/or rule out other medical problems. ...Read more

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I am 36 years old I had my partial Hysterectomy at 33. I am having hot flashes, clammy skin, fatigue, vaginal dryness, mood swings. Perimenopause?

I am 36 years old I had my partial Hysterectomy at 33. I am having hot flashes, clammy skin, fatigue, vaginal dryness, mood swings. Perimenopause?

Possible: What exactly was removed? Just the uterus and cervix? Was one or both ovaries left? Sometimes even if the ovaries are left the blood supply is compromised somewhat from dividing the blood supply to the uterus. See your provider for blood work to determine if you might be in menopause or premenopause. This would mean blood work. ...Read more

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night sweats EVERY night , nausea and fatigue. How do I know if it's perimenopause or autonomic neuropathy. I have small fiber neuropathy. 37yrs old?

 night sweats EVERY night , nausea and fatigue. How do I know if it's perimenopause or autonomic neuropathy. I have small fiber neuropathy. 37yrs old?

Check hormones: best if you see an endocrinologist as he or she will likely be interesting in checking your LH, FSH, estrogen and thyroid levels to ensure your ovaries are working properly. Dysautonomia is not uncommon in individals with neuropathies. make sure you also have your vitamin and mineral levels checks and also to rule out gluten sensitivity/celiac disease. Good luck ! ...Read more

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I am 50 yrs old. Ovulated 14 days ago. I am experiencing fatigue, sore breast with discharge. I still have reg periods. Perimenopause or pregnant?

I am 50 yrs old. Ovulated 14 days ago. I am experiencing fatigue, sore breast with discharge. I still have reg periods. Perimenopause or pregnant?

Menopause: We no longer use symptoms to diagnose pregnancy. The symptoms are ambiguous and are the same for numerous hormonal situations. Given your age i would doubt you are still ovulating, but if you have been sexual during your ovulation you must get a pregnancy test. My bet would be that you are in menopause. ...Read more

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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

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Extreme cramps, flatulence, tiredness. Are these perimenopausal symptoms?

Extreme cramps, flatulence, tiredness. Are these perimenopausal symptoms?

It's possible: I'd recommend you following up with your primary care dr & gyn for possible uterine, intestinal and thyroid conditions. Hope you feel better! ...Read more

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What is perimenopause all about?

What is perimenopause all about?

Hormone balance: Basically, the ovary becomes dysfunctional past a certain age, which is why women are less fertile at 35 than they are at 25. Most hormones affect one another so that as we age, we become imbalanced. This can lead to the symptoms commonly referred to as perimenopause. They are treatable and reversible. While depression may be present, it almost never is the sole culprit of these symptoms. ...Read more

Dr. Michael Rothman
1,268 doctors shared insights

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