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Doctor insights on: Perimenopause Symptoms

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Dr. Alvin Lin Dr. Lin
2 doctors agreed:
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What are perimenopause symptoms and treatments?

Dr. Alvin Lin Dr. Lin
2 doctors agreed:
What are perimenopause symptoms and treatments?

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

Dr. Thomas Lyons
396 doctors shared insights

Perimenopause (Definition)

A condition that occurs when a woman's estrogen levels start to decline, periods become irregular, and hot flashes may begin, accompanied by mood swings and other ...Read more


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Are perimenopause symptoms similar to pregnancy symptoms?

Are perimenopause symptoms similar to pregnancy symptoms?

Not usually: Perimenopause symptoms include periods get closer together by 1-2 days and then space apart, vaginal dryness, hot flashes and night sweats. Pregnancy symptoms include nausea, vomiting, breast tenderness and of course a missed period. Some women do not have periods for 2-3 months when they are close to menopause. If you miss a period and you are usually regular, take a pregnancy test. ...Read more

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Will taking thyroid medication during perimenopause help improve perimenopause symptoms?

Will taking thyroid medication during perimenopause help improve perimenopause symptoms?

If you: Take the correct amount of brand name T4 replacement to return your thyroid levels to normal, you will return your metabolic rate to normal -- and then your symptoms will be whatever they would have been if you didn't have a thyroid problem to begin with. Good luck. ...Read more

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I am 43 and on the birth control patch and have been for a very long time. Is it true that bc will always mask perimenopause symptoms?

I am 43 and on the birth control patch and have been for a very long time. Is it true that bc will always mask perimenopause symptoms?

Yes: the patch contains estrogen, and menopause is characterized by estrogen deficiency, which you will not experience if you are receiving supplemental estrogen. ...Read more

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Is it more beneficial to take estrogen & progesterone daily together vs according to your cycle for best relief of perimenopause symptoms?

Is it more beneficial to take estrogen & progesterone daily together vs according to your cycle for best relief of perimenopause symptoms?

Depends: How to take hormones for peri menopause somewhat depends on the symptoms. Most women are having hot flashes and night sweats, caused by lower estrogen levels, so taking estrogen daily is better. The Progesterone is to balance the effect of estrogen on the uterus. For a woman with periods taking Progesterone cyclically is better. Also it's a little better for breasts to take cyclically. ...Read more

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Can taking the Depo-Provera injection cause perimenopause symptoms?

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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Peri-menopausal women: what vitamins do you reccomend i take to combat some of the perimenopause symptoms?

Peri-menopausal women: what vitamins do you reccomend i take to combat some of the perimenopause symptoms?

Bioidentical hormone: The symptoms of perimenopause are mainly due to either Estradiol deficiency or Progesterone deficiency, or both. Taking vitamins doesn't help the production of these hormones. Look into bioidentical hormone replacement. Also, get a thorough evaluation to make sure there isn't another cause of your symptoms, for example, thyroid deficiency. ...Read more

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Took prometrium (micronized progesterone) for 6 weeks for perimenopause symptoms. Started out with improvements but didn't last. Now what?

See your doctor: Your ob/gyn specialist can review your symptoms and suggest treatment based on your medical and family history. This may include estrogen in addition to the Prometrium (micronized progesterone) you are taking now. ...Read more

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Started perimenopause symptoms at 43 I'm 46 3 negative pregnancy tests, missed three cycles.. Menopause?

Started perimenopause symptoms at 43 I'm 46 3 negative pregnancy tests, missed three cycles.. Menopause?

Possible but unsure: It is only after you have gone through at least 12 consecutive months of "missed ovulatory menstrual cycles" that you may be considered "menopausal". Until then, or unless your blood hormonal levels of FSH, LH are elevated in the menopausal range and your estrogens are very low, you may be considered to still be "perimenopausal" or simply entering the menopausal transition period of your life. ...Read more

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Took prometrium (micronized progesterone) for 6 weeks straight for perimenopause symptoms, left me with symptoms of estrogen dominance. ?

Other reasons: The menopause transition is a highly specialized treatment area. Hormones changes are very common and fluctuations very high. There are also a lot of misconceptions about what to treat. Estrogen can vary from very low to very high amounts over just a few days. It really requires a specialist to guide someone through it. Prometrium (micronized progesterone) will not affect estrogen levels generally at all. ...Read more

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If perimenopause symptoms and hypothyroid symptoms are similar and all thyroid tests are in normal range, taking bc pills, then why still symptomatic?

If perimenopause symptoms and
hypothyroid symptoms are similar
and all thyroid tests are in normal
range, taking bc pills, then why
still symptomatic?

Not all tests done: I would bet your doctor never tested a reverse t3 (liothyronine). Must test free t3 (liothyronine), reverse t3 (liothyronine), free t4. Can almost promise your reverse T3 (liothyronine) will be in the high end of the range and your free T3 (liothyronine) in the low end.. Proof of functional hypothyroidism. Treat possibly with armour thyroid. Also may have some adrenal farigue. ...Read more

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Which pill is better for treating my perimenopause symptoms? Levlen (ethinyl estradiol and levonorgestrel) or Femme tab?

Which pill is better for treating my perimenopause symptoms? Levlen (ethinyl estradiol and levonorgestrel) or Femme tab?

About the same: Both of those are combination birth control pills. There is little difference. Your obgyn can guide you to determine if you are better served by an oral contraceptive or by a hormone replacement product designed for menopause. This will be based on risk factors, age and where you are in the stages of menopause. ...Read more

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I prefer the most natural of hrt. I read estrasorb is a good cream. Would that be suitable to take with prometrium (micronized progesterone) for perimenopause symptoms?

Yes: Yes, transdermal estrogen is very likely safer than taking estrogen by mouth. It's less likely to increase risk of blood clots and gallbladder disease. Transdermal estrogen along with natural Progesterone is my preferred way of treating women for menopausal symptoms if they need it. ...Read more

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Could I have perimenopause symptoms i wake up sweaty and rapid heartbeat. Right before menses. I get hot and sweaty first then the palpitations come?

Could I have perimenopause symptoms i wake up sweaty and rapid heartbeat. Right before menses. I get hot and sweaty first then the palpitations come?

Interesting: At 41 a premenopausal state would be premature, unless you started menstruating at an early age. Now, there could be other causes. Off the cuff, i would put carcinoid syndrome, panic attacks, and pheochromocytoma in my differential diagnosis list. Talk to your doctor. Keep a log of the timing of your episodes and associated foods and activities. Good luck. ...Read more

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Would a monophasic birth control pill, like ortho cyclen, improve my perimenopause symptoms better than a triphasic? Still symptomatic on triphasic.

Would a monophasic birth control
pill, like ortho cyclen, improve my
perimenopause symptoms better
than a triphasic? Still symptomatic
on triphasic.

Hormons: The difference in mono and tri phasic birth control is that wit mono-phsic you get more hormons but stable amount of hormones. Then there should be less chance of mood fluctuating due to hormone level changes. ...Read more

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If your taking prometrium (micronized progesterone) & estradiol cream for perimenopause symptoms while still menstruating, what's the best way to take these both?

If your taking prometrium (micronized progesterone) & estradiol cream for perimenopause symptoms while still menstruating, what's the best way to take these both?

Specialist: That really requires a specialist and individual care. If your periods are regular sometimes timing the Estradiol to your natural body and the Prometrium (micronized progesterone) to your natural period is easiest. Sometimes daily Prometrium (micronized progesterone) is easiest to try to get rid of your period. It takes a little trial and error in the perimenopause to get a good regimen for you. ...Read more

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Would 2mg of melatonin nightly be able to cause night sweats? I am on ortho tri cyclen (ethinyl estradiol and norgestimate) for the past 3 months for perimenopause symptoms.

Would 2mg of melatonin nightly
be able to cause night sweats?
I am on ortho tri cyclen (ethinyl estradiol and norgestimate) for the
past 3 months for perimenopause
symptoms.

Not common: Night sweat is not a commonly listed adverse effect for melatonin. That doesn't mean it can't cause it. Best thing to do is to stop the melatonin and see if the night sweat goes away. If not, then it wasn't the melatonin and you can continue searching for the cause. ...Read more