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Doctor insights on: When Is The Best Time Of Month To Determine If I Am In Perimenopause

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When is the best time of month to determine if I am in perimenopause?

When is the best time of month to determine if I am in perimenopause?

Ther is no best time: Perimenopause symptoms can start anytime from the 30's to the 50's. The symptoms can be constant or intermittent. Although tests can be done, many studies have shown that they are unreliable and can change from postmenopausal levels back to premenopausal levels. Perimenopause is a diagnosis that is made from symptoms, not tests. ...Read more

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Dr. Thomas Lyons
388 doctors shared insights

Perimenopause (Definition)

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 ...Read more


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Can you tell me exactly when is the best time of month to test if perimenopause?

Cycle day 2 or 3: A blood level of fsh of cycle day 2 or 3 is a very helpful test for perimenopause. Amh (anti-mullerian hormone) is also being used more, especially in women who are trying to become pregnant, and that is not dependent on which day in your cycle blood is drawn. ...Read more

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What is the best way to cope with anxiety if you are going through perimenopause?

What is the best way to cope with anxiety if you are going through perimenopause?

Fix anxiety sources: Reduce stress, improve relations, prioritize, decrease demands, exercise, decrease caffeine/alcohol; pay attention to dietary selections, have a healthy sex life, stimulate your mind intellectually and where necessary, medications. The drugs of choice? Serotinergic antidepressants(short term use or breakthrough symptoms), benzo diazepines(selectively). Attempt Buspar (buspirone) or low dose b-blockers helpful. ...Read more

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Which herbal supplements are considered the best to aid in weight loss during perimenopause?

Which herbal supplements are considered the best to aid in weight loss during perimenopause?

NONE!: They work to make money, but not to lose weight. You need to learn how to eat and exercise in a way that you can live with for the rest of your life. Don't put anything in your body that you don't know what it is, what it's going to do, or what harm it could cause. Don't get your medical information from friends, tv or the internet. ...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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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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What is best approach to perimenopause? Natural or estrogen?

What is best approach to perimenopause? Natural or estrogen?

Depends upon you!: By natural, i assume you mean not taking anything at all. This is fine as long as you can tolerate the symptoms & changes associated w/perimenopause. However, if you need something, then estrogen is the gold standard, far & above any other option. But it's not w/o risk. Talk to your doc. Ask about different forms as risk varies there, too. There's also bio-identical vs non-bio-identical. ...Read more

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Is there a test to determine if someone is going through premature menopause or perimenopause?

Is there a test to determine if someone is going through premature menopause or perimenopause?

Yes: Premature menopause occurs before 35 and you will have high fsh levels. If after 35, you have perimenopause. Menopause only occurs after one year of not having periods. ...Read more

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Can being in perimenopause cause one to feel hot a lot? Not hot flashes, just feeling warmer than usual a lot of the time, especially at night.

Can being in perimenopause cause one to feel hot a lot? Not hot flashes, just feeling warmer than usual a lot of the time, especially at night.

Yes: See your doctor. Blood tests can be performed to diagnose menopause. A history and physical exam may point to other areas of concern. Check FSH, LH and Estradiol for menopause, TSH and Free T4 for Thyroid problems. CBC to rule out infection. ...Read more

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How to determine if it is depression or perimenopause?

Hormones: The mood symptoms that occur with perimenopause can be similar to depression. In perimenopause there are usually physical symptoms such as night sweats, hot flashes, vaginal dryness and/or period irregularities. Sometimes a blood test of female hormone levels can be helpful. ...Read more

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Periods on time (28 days), but very light periods 2mths in a row. Pinkish but mostly brown. I'm 34yo. Scared that it's perimenopause.

Periods on time (28 days), but very light periods 2mths in a row. Pinkish but mostly brown. I'm 34yo. Scared that it's perimenopause.

Menses: The character of menses changes over time. The character of the flow does not matter as much as whether or not you are having any symptoms that could be attributed to menopause. Hot flashes, night sweats, vaginal dryness are more a harbinger of menopause than lighter flow. ...Read more

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I'm healthy, active and in perimenopause. Hard time reaching orgasm, new problem. Used lube, still takes long time. Bloodwork normal. Any help?

I'm healthy, active and in perimenopause.  Hard time reaching orgasm, new problem.  Used lube, still takes long time. Bloodwork normal. Any help?

See a doctor: See a primary, gynecologist or urogynecologist. Recommend evaluation of medication conditions such as diabetes, nerve disorders, back disorders....that could be contributing. If no medical issues, then your brain is your largest sex organ. Find things that stimulate your brain. Practice makes perfect. ...Read more

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Why would I have strong banana cravings a week after I skip a period for the first time in what I assume is perimenopause?

Why would I have strong banana cravings a week after I skip a period for the first time in what I assume is perimenopause?

Good Question: I think if anyone can answer your question it should be nominated for some award. Why do we get the cravings we get? I honestly don't think there is a good scientific answer to that question. But , it is a good one. ...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?

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 you get Rebound headaches from 2 excedrin in one day 3 or 4 times a week.. I am hormonal and in perimenopause and get a lot of headaches, worried!

Can you get Rebound headaches from 2 excedrin in one day 3 or 4 times a week.. I am hormonal and in perimenopause and get a lot of headaches, worried!

Rebound headache: 54 F asks about rebound headache from Tylenol. ANS NOT likely. But discuss with your health care team who know you better. Happy to do 2nd opinion here if that might help. ...Read more