
Symptoms
Perimenopause is a natural part of life. The “cure” for perimenopause occurs when your periods stop and you enter menopause. But your healthcare provider may recommend over-the-counter or prescription perimenopause treatment to help ease symptoms. Your provider may recommend:
Causes
During perimenopause, levels of estrogen, a key female hormone, start to decrease. You may begin having menopause-like symptoms, such as hot flashes or irregular periods. Perimenopause can last for years. When you go a full 12 months without a period, menopause has begun. What is perimenopause?
Complications
They gently nourish the hormonal glands and stimulate their own hormone production, thus alleviating perimenopause symptoms. As such, these supplements are considered one of the safest and most effective long-term options for women during perimenopause. "Macafem's nutrients help restore natural hormones in women.
What is perimenopause and how is it treated?
The length of time you have symptoms of perimenopause can vary between a few months to many years. The decrease in estrogen also can lead to bone thinning or changing cholesterol levels. Continue to have regular checkups with your healthcare provider to keep an eye on your health. What are periods like during perimenopause?
What is the difference between perimenopause and menopause?
Are hormone supplements safe during perimenopause?
How long does it take for perimenopause to go away?

What is the treatment of perimenopause?
Medications are often used to treat perimenopausal symptoms. Hormone therapy. 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.
What are some non pharmaceutical treatments for perimenopausal symptoms?
Some complementary and alternative treatments that have been or are being studied include:Plant estrogens (phytoestrogens). These estrogens occur naturally in certain foods. ... Bioidentical hormones. These hormones come from plant sources. ... Black cohosh. ... Yoga. ... Acupuncture. ... Hypnosis.
Does perimenopause need treatment?
Perimenopause does not need to be treated unless symptoms are bothersome. Treatments may include: Hormone therapy using estrogen or estrogen and progestins to level out hormone levels. Antidepressants to stabilize moods.
What is the most common treatment for menopause?
The daily pill and patch are the most popular, but the hormone also is available in a vaginal ring, gel, or spray. Estrogen pill. Pills are the most common treatment for menopausal symptoms.
What is the best non hormonal treatment for hot flashes?
A form of paroxetine (sample brand name: Brisdelle) is an SSRI and is the only nonhormonal therapy that is specifically approved for hot flashes in the United States. This medication has been used for many years for treating depression, but can be taken at a lower dose for hot flashes.
What happens in perimenopause?
Perimenopause is the transitional period before menopause. During perimenopause, levels of estrogen, a key female hormone, start to decrease. You may begin having menopause-like symptoms, such as hot flashes or irregular periods. Perimenopause can last for years.
What are five of the most common symptoms of perimenopause?
Mood swings: Irritability, anxiety, and depression are some of the most common psychological symptoms of perimenopause and may worsen as menopause itself approaches. 3. Irregular periods: The shift in progesterone and estrogen levels during perimenopause can cause a woman's periods to be lighter, heavier, or irregular.
Can you take HRT during perimenopause?
If you are still having your periods you CAN take HRT. The perimenopause is the time before your periods stop and your hormones are still swinging from high too low. Often, women experience their worst symptoms during this time and so, might really benefit from taking HRT.
What is perimenopause NHS?
Perimenopause is the time from the start of menopausal symptoms until after a woman has experienced her last period. Periods will usually start to become less frequent over a few months or years before they stop altogether. They might be more irregular and become heavier or lighter.
Can menopause be treated with medication?
During menopause, a woman's body makes less of the hormones estrogen and progesterone. Lower hormone levels may lead to symptoms like night sweats, hot flashes, and vaginal dryness along with thin bones. Some women choose to treat their menopause symptoms with hormone medicines sometimes called Hormone Therapy.
Do antidepressants help perimenopause?
Antidepressants should be considered as an alternative to hormone therapy for perimenopausal depression and hot flashes, especially when hormone therapy is contraindicated, or as an augmentation strategy for women who are only partially responsive to hormone therapy.
What is HRT used for?
Contents. Hormone replacement therapy (HRT) is a treatment to relieve symptoms of the menopause. It replaces hormones that are at a lower level as you approach the menopause.
How to ease perimenopause symptoms?
Making these healthy lifestyle choices may help ease some symptoms of perimenopause and promote good health as you age: Ease vaginal discomfort. Use over-the-counter, water-based vaginal lubricants (Astroglide, K-Y jelly, others) or moisturizers (Replens, Vagisil, others).
How to help menopause transition?
Practice stress reduction techniques. Practiced regularly, stress-reduction techniques, such as meditation or yoga, can promote relaxation and good health throughout your lifetime, but they may be particularly helpful during the menopausal transition.
What is the best treatment for hot flashes?
Hormone therapy. Systemic estrogen therapy — which comes in pill, skin patch, gel or cream form — remains the most effective treatment option for relieving perimenopausal and menopausal hot flashes and night sweats.
What is bioidentical hormone?
Bioidentical hormones. The term "bioidentical" implies the hormones in the product are chemically identical to those your body produces. However, compounded bioidentical hormones aren't regulated by the Food and Drug Administration (FDA), so quality and risks could vary.
How to prevent hip fractures in older women?
Regular exercise has been shown to reduce hip fracture risk in older women and to strengthen bone density. Get enough sleep. Try to keep a consistent sleep schedule. Avoid caffeine, which can make it hard to get to sleep, and avoid drinking too much alcohol, which can interrupt sleep.
How to get rid of hot flashes?
Ask your doctor if you should also take a calcium supplement and if so, what type and how much — also ask if you need more vitamin D, which helps your body absorb calcium. Avoid alcohol and caffeine if they seem to trigger hot flashes. Be active.
What is the best diet for osteoporosis?
Adopt a low-fat, high-fiber diet that's rich in fruits, vegetables and whole grains. Add calcium-rich foods.
How to help perimenopause?
Relieving stress is a key component of treating perimenopause symptoms, which are known to be emotionally and physically draining. Meditation, deep breathing, and biofeedback are some of the best stress-relief options.
What are the three approaches to perimenopause?
Three Approaches to Treating Perimenopause Symptoms. Women can consider three approaches to treating perimenopause symptoms: (1) Lifestyle changes, (2) Alternative medicine, and (3) Conventional medicine . They are encouraged to start with the most natural options and explore other, more advanced options only when needed.
How does phytoestrogenic supplement help with hot flashes?
By balancing estrogen levels, they help stabilize other reproductive hormones, like progesterone, to alleviate symptoms, from hot flashes and mood swings to vaginal dryness and insomnia. To avoid dependency and worsening of hormonal imbalance, phytoestrogenic supplements are recommended to be used short-term.
What are the benefits of taking herbal supplements during perimenopause?
Their numerous benefits include being easy to use, causing no side effects , and addressing the underlying cause of perimenopausal symptoms , hormonal imbalance. There are two types of herbal supplements from which women can choose during perimenopause: phytoestrogenic and hormone-regulating supplements.
What is the best medication for perimenopause?
Antidepressants can be given to women to relieve perimenopause symptoms, including depression and severe hot flashes. Low-dose birth control pills may be prescribed to manage irregular periods, relieve vaginal dryness, and lessen the effects of hormonal fluctuations.
What is the third level of perimenopause?
The third-level perimenopause treatment -medications and psychotherapy - may involve the highest costs and risks of side effects. Nevertheless, they are a vital treatment option to consider for severe symptoms.
Does estrogen affect the whole body?
Vaginal estrogen works on vaginal tissue to alleviate dryness and improve painful intercourse. It does not affect the whole body as systemic hormonal therapy does. Hormone replacement therapy ( HRT) contains estrogen, progesterone, or their combination. It was once an effective treatment for menopause symptoms.
How long does menopause last?
It's marked by changes in the menstrual cycle, along with other physical and emotional symptoms. This time can last 2 to 10 years. During this time, your body: Releases eggs less regularly. Produces less estrogen and other hormones. Becomes less fertile.
What is the term for the time when your ovaries stop working?
Perimenopause is the time around menopause when your ovaries gradually stop working. This is a natural process that causes physical and emotional symptoms. It does not need treatment, but treatment can help lessen symptoms. Treatment includes hormones, antidepressants, and lifestyle changes.
How to get rid of hot flashes?
Eat a healthy diet with fruits and vegetables and whole grains. Get at least 1,000-1,200 mg of calcium each day through your diet or supplements. Exercise regularly. Find what triggers your hot flashes (for example, alcohol, coffee or tea) by keeping a record.
Do herbal supplements help with hot flashes?
You may hear about herbal supplements that claim to help manage hot flashes. It's important to remember that the FDA does not regulate these supplements. They are not tested like traditional medicines to prove their effectiveness and safety. Talk to your healthcare provider before using any herbal supplements.
What is the best treatment for perimenopause?
Other treatments available to help with the various symptoms of perimenopause may include antidepressant medications for mood swings. Talk to your doctor about your specific symptoms and goals of treatment.
How long does perimenopause last?
The average length of perimenopause is 4 years, but for some women this stage may last only a few months or continue for 10 years. Perimenopause ends when women have gone 12 months without having their period.
When does perimenopause start?
It's the time when the ovaries gradually begin to make less estrogen. It usually starts in women's 40s, but can start in their 30s or even earlier.
Can perimenopause cause irregular periods?
Irregular periods are common and normal during perimenopause. But other conditions can cause changes in menstrual bleeding. If any of the following situations apply to you, see a doctor to rule out other causes: Your periods are very heavy, or they have blood clots. Your periods last several days longer than usual.
Can perimenopause be diagnosed?
Often your doctor can make the diagnosis of perimenopause based on your symptoms. A blood test to check hormone levels may also help, but your hormone levels are changing during perimenopause. It may be more helpful to have several blood tests done at different times for comparison.
How long does perimenopause last?
Perimenopause lasts several years and may bring on new health concerns. You and your doctor can discuss strategies for managing perimenopause. Dignity Health cares for women from adolescence through perimenopause and beyond. We’re here for you.
What is the best treatment for hot flashes?
A medication called gabapentin (Neurontin) is also sometimes prescribed to treat hot flashes.
How many days apart do you have to be to have periods?
If you notice abnormal reproductive or menstrual symptoms like the following, see a doctor, since they might indicate a more serious condition: Having periods that repeatedly occur fewer than three weeks (21 days) apart. Experiencing menstrual bleeding for more than seven days at a time.
Is perimenopause a natural part of life?
Perimenopause is a natural part of life, and also represents a point of transition that can last several years. For these reasons, perimenopause is not typically diagnosed unless its symptoms cause significant discomfort or inconvenience.
What hormones are reduced during menopause?
Menopause: levels of estrogen forms (estradiol, estrogen) and androgens (testosteone, progesterone, androsterone, and dehydroepiandrosterone) are reduced. Hot flashes now usually become more frequent and severe, in part induced by the FSH surge. Upgrade to remove ads.
What is the average age for a woman to have a menstrual cycle?
In advising a woman about menopause, the NP considers that: A. the average age at last menstrual period for a North American woman is 47 to 48 years. B. hot flashes and night sweats occur in about 60 % to 90% of women. C. women with surgical menopause usually have milder symptoms.
Can progesterone be used on HT?
A. the use of progestin can minimize the risk of endometrial cancer for a woman on HT and who has not had a hysterectomy. B. supplemental estrogen should be avoided in women who are at high risk of breast cancer or uterine cancer.

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- Medications are often used to treat perimenopausal symptoms. 1. Hormone therapy.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. Depending on your personal and family medical history, your doct...