However, you may want to talk to a perimenopause doctor if you experience any of the following symptoms: Your periods are very heavy or they include blood clots. Your periods last much longer than usual. You experience spotting either between periods or after sex.
Some women experience very few symptoms during perimenopause. While you should still see your doctor for regular physical checkups, it may not be necessary to seek specific care for perimenopause unless the symptoms cause significant discomfort.
In addition to menstrual cycle changes, “hot flashes, sleep disturbance including night sweats, changes to vaginal discharge, reduced libido, and mood swings are all common perimenopausal symptoms,” says Dr. Zahra Ameen, consultant gynecologist and obstetrician at London’s Cadogan Clinic.
The diagnosis of perimenopause can usually be made by reviewing a woman’s medical history, her menstrual history, and her signs and symptoms. The most common symptoms women in their 40s notice are changes in periods and the onset of hot flashes.
Perimenopause varies greatly from one woman to the next. The average duration is three to four years, although it can last just a few months or extend as long as a decade. Some women feel buffeted by hot flashes and wiped out by heavy periods; many have no bothersome symptoms.
Systemic estrogen therapy — which comes in pill, skin patch, spray, gel or cream form — remains the most effective treatment option for relieving perimenopausal and menopausal hot flashes and night sweats.
Most women begin menopause between the ages of 45 and 55, with an average age of 51 in the United States. But for some women, menopause comes early. If you’re between the ages of 35 and 45 and have missed your period for three months or more, you may be going through menopause earlier than normal.
Premenopause is when you have no symptoms of perimenopause or menopause. You still have periods — whether they’re regular or irregular — and are considered to be in your reproductive years. Some hormonal changes may be occurring, but there are no noticeable changes in your body.
Perimenopause can make your once-regular periods suddenly irregular. Before perimenopause, your estrogen and progesterone levels rise and fall in a consistent pattern during your menstrual cycle. When you’re in perimenopause, hormone changes become more erratic. This can lead to unpredictable bleeding patterns.
While estrogen decline usually comes closer to menopause itself, estrogen fluctuations are thought to cause perimenopausal plights such as hot flashes, vaginal dryness, urinary incontinence, even impacting motivation and ambition.
The most commonly reported symptoms are heavy menstrual bleeding, shorter cycles, night sweats and hot flashes, disrupted sleep, vaginal dryness, and mood and memory changes. Many women also report sore breasts, headaches, weight gain, cramps, and urinary changes.
ANSWER: Menopause before 40 is rare, making perimenopause at age 37 uncommon. But some women do experience perimenopause beginning in their mid-30s. No one test can help a doctor definitively diagnose perimenopause.
Perimenopause can bring on unexpected anxiety and for some women, they will have their first panic attacks. Many women don’t realise that these are very common symptoms of perimenopause. You may suddenly find yourself having general feelings of nervousness, maybe newfound social anxiety or full-blown panic attacks.
See your doctor if you’re also experiencing these symptoms: extremely heavy bleeding that requires you to change your pad or tampon every hour or two. bleeding that lasts longer than 7 days. bleeding — not spotting — that happens more frequently than every 3 weeks.
You may be surprised to find yourself feeling exhausted in a way that is unexplainable. The signs of menopausal fatigue include decreased wakefulness, lowered attention span, mental fuzziness, irritability and memory lapses. You may find that you are lacking your usual zest for life.
Many women experience sleep problems during perimenopause , the period of time before menopause when hormone levels and menstrual periods become irregular. Often, poor sleep sticks around throughout the menopausal transition and after menopause.
The cramps you feel during perimenopause are related to your hormone levels. Prostaglandins are hormones released by glands lining your uterus. These hormones direct your uterus to contract during your period. The higher your prostaglandin levels, the worse your cramps will be.
Most women reach menopause between the ages of 45 and 55, with the average age being around 51. However, about one per cent of women experience menopause before the age of 40 years. This is known as premature menopause. Menopause between 41 and 45 years of age is called early menopause.
Perimenopause can last 10 to 12 years, but the worst symptoms are usually in the five years leading up to menopause.
Migraines and dizziness are two of the most common complaints among women in the early stages of menopause. The changes in hormones during perimenopause can trigger migraines.
As you enter perimenopause, estrogen and progesterone levels rise and fall in unpredictable patterns before starting to taper off. The spikes in hormone levels can affect breast tissue, making your breasts hurt. Breast soreness should improve once your periods stop and your body no longer produces estrogen.
How early can perimenopause start? It’s quite possible for women to start to notice things changing in their mid-30s. Most women arrive at menopause between the ages of 45 and 55, but perimenopause can start as much as a decade beforehand. And about 1% of women in the U.S. reach menopause at age 40 or younger.
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