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Understanding Perimenopause at HOPE Women’s Hospital

Perimenopause is a natural phase in a woman’s life that typically occurs in her 40s but can start as early as her mid-30s. It is characterized by hormonal fluctuations as the ovaries gradually decrease their production of estrogen and progesterone, leading to various physical and emotional changes.      

Key Aspects of Perimenopause:

  • Irregular Menstrual Cycles: One of the primary signs of perimenopause is changes in menstrual patterns. Women may experience shorter or longer cycles, heavier or lighter periods, or skipped periods altogether.
  • Menopausal Symptoms: Women in perimenopause may experience symptoms commonly associated with menopause, such as hot flashes, night sweats, vaginal dryness, mood swings, irritability, fatigue, and sleep disturbances.
  • Hormonal Changes: Estrogen and progesterone levels fluctuate during perimenopause, leading to changes in the menstrual cycle and affecting various bodily functions, including bone density, metabolism, and skin elasticity.
  • Fertility Decline: While pregnancy is still possible during perimenopause, fertility decreases as ovulation becomes less regular. Women should continue to use contraception if they wish to avoid pregnancy.
  • Bone Health: Decreased estrogen levels during perimenopause can contribute to bone loss and increase the risk of osteoporosis. It is essential to maintain bone health through calcium-rich diet, weight-bearing exercises, and regular bone density screenings.

Managing Perimenopause Symptoms:

  • Lifestyle Changes: Healthy lifestyle habits, including a balanced diet, regular exercise, stress management, and adequate sleep, can help alleviate perimenopausal symptoms and promote overall well-being.
  • Hormone Therapy: For women experiencing severe symptoms, hormone therapy (HT) may be recommended to supplement estrogen and/or progesterone levels. HT should be discussed with a healthcare provider to weigh the benefits and risks based on individual health factors.
  • Alternative Therapies: Some women find relief from perimenopausal symptoms through alternative therapies such as herbal supplements, acupuncture, yoga, and mindfulness techniques. It is essential to consult with a healthcare professional before trying any alternative treatments.
  • Regular Health Screenings: Women in perimenopause should continue to undergo regular health screenings, including mammograms, Pap smears, cholesterol tests, and blood pressure checks, to monitor overall health and detect any potential issues early.

Consultation and HRT Management:

Before starting HRT, it is essential to undergo a thorough evaluation and consultation with a healthcare provider at HOPE Women's Hospital. During the consultation, your medical history, symptoms, risk factors, and treatment preferences will be considered to develop a personalized HRT plan.

Monitoring and Follow-Up:

Regular monitoring and follow-up appointments are crucial when undergoing HRT. Your healthcare provider will assess your response to treatment, adjust hormone dosages if needed, and discuss any potential risks or benefits associated with long-term HRT use.

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If you are experiencing perimenopausal symptoms or have questions about perimenopause, schedule a consultation with our experienced healthcare providers at HOPE Women's Hospital. We offer personalized care, support, and treatment options to help you navigate this transitional phase with confidence and well-being.
Empower yourself with knowledge and proactive healthcare management during perimenopause. Contact us today to schedule your appointment.

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