What is Perimenopause?
Perimenopause is the transition time before true menopause begins when periods are still occurring but become irregular and inconsistent. It most commonly effects women in their late 40s or early 50s, but may be earlier than that. During this phase the ovaries do not cycle regularly, so there are hormonal fluctuations which can cause unpleasant symptoms.
Common Symptoms of Perimenopause
- Hot flashes
- Irregular Periods (lasting for a long or short period of time)
- Light or Heavy Bleeding
- Irritability, Depression, Anxiety
- Intermittent Bloating and Breast Tenderness
- Weight Gain
- Low Sex Drive/Low Libido
Bio-Identical Hormone Therapy for Perimenopause
We complete a thorough evaluation which may include a comprehensive set of blood tests, exam, medical history and a complete assessment of health risks and symptoms. We always include the sex hormone levels. We then control symptoms by replacing the deficient hormones with bio-identical preparations given in a natural way. We replace fluctuating hormone levels during the times when they are deficient (when symptoms occur.)
Avoid under-treatment and over-treatment
It is like a moving target, and the management has to be adjusted and accurate to relieve symptoms and avoid over or under treatment, a fact not recognized by many other hormone replacement programs or providers.
Reducing the risk of heart disease and breast cancer
While managing the symptoms of perimenopause, we also take measures to reduce the risk of cardiovascular disease, osteoporosis, breast cancer and other chronic diseases
(see Dr. Mahmud’s book, Keeping a Breast: Ways to Prevent Breast Cancer).
Leaping to full blown menopause
With time, perimenopause leaps into menopause, at this point the treatment program has to change to account for the hormonal changes that occur.
“My energy level increased. I became less irritable and cranky. I was finally able to sleep through the night. Yes, I started to think about sex! Finally, I had the desire, intent, and even the energy to follow through. I finally feel as though I have the ‘zest’ that I once had years ago…I’m back!!!”
– Marie K., 43