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He advises that you set up a plan for how to look for symptoms of depression. That way, you can enter midlife prepared to act. Schmidt encourages anyone who has a depressed mood to seek help from a primary care doctor or mental health professional. Midlife Well-Being And it’s worth pointing out that often women will be prescribe estrogen or progesterone separately, and some women’s symptoms will improve with (body identical) progesterone alone. Vaginal creams: Your provider can tell you about prescription and over-the-counter options. Treatment can decrease pain related to sex and relieve vaginal dryness. Schmidt and his colleagues found that women who were at risk of depression and taking estrogen therapy were less likely to become depressed during perimenopause. The medicine prevented dips in estrogen and seemed to prevent mood plunges as well.
Unfortunately, the perimenopause – when your hormone levels start to decline ahead of your periods stopping – can make your PMS or PMDD worse.
They can vary a lot, and for about a third of women, they will interfere with their daily activities. To be PMS, the symptoms must occur in the luteal phase and resolve within a few days of your period starting.’ In people who have hot flashes at night, their sleep is disrupted throughout the entire night. It’s like a ripple of a sleep irritation throughout the whole night,” Joffe says. A woman may feel tired the next day as a result. Hot flashes are a common symptom during the midlife transition. Many women have these for several years after menopause. Some experience hot flashes for 10 or more years. But your healthcare provider may recommend over-the-counter or prescription perimenopause treatment to help ease symptoms. Your provider may recommend: Your body is producing less of the hormones that help you ovulate, so your periods can become irregular. Your menstrual cycle could become longer or shorter than usual. Your bleeding could also be heavier or lighter than normal. Some people also notice a change in their premenstrual syndrome (PMS) symptoms. How do I know if changes in my periods are normal perimenopausal symptoms or something to be concerned about?
Pregnancy is still possible if you’re experiencing the perimenopause. However, it’s much less likely because you’re not ovulating as frequently. The symptoms are similar to PMS but much more intense and have a much greater negative impact on the life of those affected, the NHS states. Dr Louise Newson is a GP and when she went through her own menopause decided to research more into it and set up her own app and private clinic. This book gives you a clear guide on why the menopause happens and possible symptoms. It also gives you info about various treatments with the focus being on HRT but it also talks about supplements, diet, mental health and exercise. Newson also talks about early menopause and how that needs to be treated differently as well as going through the menopause while having cancer. If you don’t want to become pregnant, you should use contraception until your doctor says it’s safe to stop. The right contraceptive for you depends on your age, symptoms and needs. Talk to your doctor about your options. Preparing for the menopauseMenopause - a life stage. Royal College of Obstetricians and Gynaecologists. www.rcog.org.uk, accessed July 2023
Any information about a treatment or procedure is generic, and does not necessarily describe that treatment or procedure as delivered by Bupa or its associated providers. Using high doses of body identical progesterone in the form of Cyclogest 400mg vaginal pessaries twice daily may improve symptoms, however this treatment is not currently part of any recognised treatment guidelines. The amount of time that you experience the symptoms can also increase as your cycle becomes more erratic and starts to change.
What are the signs of the perimenopause?
Yes. If you do not want to become pregnant, you should use birth control during perimenopause. Even if you are getting your period every few months, you are still ovulating those months. Since it’s not possible to predict when you are ovulating, you should use birth control until you haven’t gotten a period for at least 12 months. Does perimenopause affect my sleep? I am interested to learn more about menopause and the changes my body will go through and it's so great to have the expertise available. Big kudos for a book that is written by a female doctor who has gone through menopause herself. Birth control pills. These medications stabilize your hormone levels and typically relieve symptoms.
Do some moderate exercisefor half an hour, five days a week, including strength exercises on at least two days a week.
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Drawing on new research and empowering patient stories from a diverse range of women who have struggled to secure adequate treatment and correct diagnosis, Dr Newson will equip you with expert advice on the common and 'taboo' symptoms to look out for, HRT treatment options, early menopause, getting a good night sleep, optimising your nutrition in the menopause and more! Most women are under the age of 51 years when they have surgery to remove their ovaries; their body’s requirements for hormones is greater compared to that of older women going through the menopause naturally, so it is important to consider taking estrogen until at least the usual age of menopause for the long-term health benefits. On the whole I thought this was a good book. Dr Newson explains many things simply. If you are looking for a drug-free menopause book look somewhere else though as this strongly pushes HRT - the rationale is explained so I don't have an issue with this, just flagging for those who may be looking for an alternative approach.
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