Menopause typically begins between the ages of 45 and 55. The perimenopausal transition period lasts up to 10 years for most women as they near menopause. There are several key signs and symptoms to help determine if you are entering perimenopause or have started menopause:
Irregular periods - Perimenopause causes shifts in reproductive hormone levels which lead to changes in the menstrual cycle. Periods may be heavier or lighter. There can be spotting in between cycles. Cycles may shorten or lengthen. Skipped periods are common as well.
Hot flashes - Sudden feelings of body heat, flushing in the face/neck/chest and sweating episodes are classic menopausal signs. Night sweats that drench sleepwear and sheets also occur.
Vaginal/urinary changes - Declining estrogen thins vaginal tissues leading to irritation, dryness, inflammation (vaginitis), pain and light bleeding during sex. Lower estrogen can also trigger UTIs.
Emotional changes - Mood swings, irritability, anxiety, sadness and difficulty focusing are common. Depression risk increases. Stress can worsen symptoms.
Sleep disruption - Difficulty falling asleep and staying asleep are often reported due to night sweats/hot flashes
Other physical signs - Headaches, joint pain, racing heart, digestive issues, dizziness, weight gain, hair thinning/loss may be noted as hormone levels shift.
When to see a doctor
- If periods have stopped for 12 months
- Experiencing major menopause symptoms disrupting work, relationships, sleep and overall wellbeing
- Have a history of severe PMS or postpartum depression making you more vulnerable to menopause mood changes
Blood tests and pelvic exams can help confirm menopause by detecting:
- Follicle stimulating hormone (FSH) - FSH levels above 30 mIU/mL indicate menopause
- Lower estradiol levels
- Thinning uterus and vaginal tissues
Seeking treatment for menopause
The fully licensed medical providers at
Harmony Hormone Clinic offer customized
bioidentical hormone therapy including:
to help regulate hormones, manage troublesome menopause symptoms, support bone/heart/brain health, improve sleep, energy and quality of life.
Convenient telehealth appointments, personalized care and effective
compounded hormone therapies help women transition through perimenopause and menopause smoothly. Contact us today for your free 15 minute consultation.
Other remedies that may help:
- Prescription medications for hot flashes
- Vaginal moisturizers/lubricants and estrogen creams
- Regular exercise
- Stress reduction techniques
- Dietary changes - vitamin D, calcium, magnesium and soy isoflavones
- Acupuncture
- Supplements - black cohosh, red clover, primrose oil
The onset and duration of perimenopause varies. Tracking
cycles,
symptoms and
hormone levels over time allows you to identify patterns and determine where you are in the menopausal transition.
Open communication with your healthcare provider about what you are experiencing physically and emotionally is key to navigating this transition smoothly and maintaining health.
