Perimenopause: Treating the Symptoms


(calm guitar music) – Perimenopause is a time
before menopause begins, of course, and it’s interesting. A lot of people don’t realize that it’s about a 10-year period of time. The average age of menopause is 52, so, most women go into
perimenopause in the early 40s, and during that time,
their hormones are not, they’re not quite as
synchronized as they have been in the previous 20, 30 years. So, they’ll have times
where they miss periods. Their periods can get closer
together, further apart. Their bleeding gets heavier. It can get lighter. But it is about a 10-year period of time. During the perimenopause is when a lot of women have crazy
bleeding, and I must say, I’m somewhat of the feeling of
once you’re done having kids, who wants to have bleeding, anyway? But with the crazy bleeding, that brings a lot of women to our office to, please, do something for me. Fix this crazy bleeding. So, that’s where the ablations come in and where we’ll end up
doing a lot of ablations, and they tend to be done
in the perimenopause time, and the ablation is where we just burn the lining of the uterus. It’s an office procedure, and it just gets rid of the periods, gets rid of the cramping. During perimenopause, lots
of times women will notice that their hormones are not up to par, and they have a lot more,
they’re more symptomatic, and they’re having more
trouble with hot flashes and other issues like decreased
libido, problems like that, and natural hormones
tend to work very well. We tend to use just a small dose, because they still are producing
a good bit of their own, but it does help with the
perimenopause symptoms. As far as hormone replacement
goes with menopausal women, I think this is where it’s a huge time for great dialogue with
myself and with the patients, because everybody comes to this with a different background,
different family history. For the woman who has a very strong family
history of breast cancer, hormone replacement
probably isn’t for her. For the woman who has no family
history of breast cancer, has a very strong history of osteoporosis, and is miserable from hot flashes, hormone replacement
probably is great for her. So, it’s just a great time for dialogue. For those who are very symptomatic, including me, with a lack of estrogen, I’m of the feeling, take my estrogen away, you can just shoot me, so, I would, whatever the risk is, that’s worth it to me to continue on my estrogen, but it’s such a personal
decision for every patient, and everybody’s so different
in how they react to it. So, it’s just a great time for dialogue and to figure out what’s best
for that particular patient. One of the big problems in menopause that we see is the incontinence issue, and that’s one of the big
times that people will come and say, please, help me fix it, and a lot of surgery is
done during that time. Another thing that we see a lot during menopause is prolapse, where the uterus or the
bladder is falling down, and there are different
nonsurgical remedies that we can do, as well
as surgical remedies, so, it’s another time where you have to figure out what the patients wants, what is best for her and her situation. They’re afraid of menopause and what that’s gonna mean
for them and their life, and there’s so much that’s
out there that’s available. It’s just always fun to reassure
them and tell them that, you know, there are things they can do. There’s so much out there. There are new advances every day and ways of repairing uteruses
that have fallen down, bladders that have fallen. So, it’s just an ever-changing world, and there’s a lot that’s available. (calm guitar music)

3 thoughts on “Perimenopause: Treating the Symptoms

  • Hormone Replacement Therapy can cure menopause symptoms by putting back hormones to the ovary that stopped producing.

  • mine started after 40 (now 47). my worst symptoms is joint pain (the knees especially).
    But I also have:
    headaches
    heart flutter
    anxiety attacks
    nightmares
    insomnia
    vaginal itching
    aches and pains
    dental problems
    thinning hair
    dry skin
    dropping things/bumping into things
    forgetfulness
    brain fog
    wide mood swings
    breast pain
    But I have to say the worst things for me are joint pain and how its effects my emotions.
    some days i just want to run away and live alone in a cave and not have to see or talk to anyone. I feel like im possessed, literally possessed. thats all i can tell you. I just hope i get through it without going crazy! I wont do HRT because I dont believe its healthy and in the long run just prolongs menopause for more years than it needs to be. and i think HRT effects your heart and other organs negatively. at least menopause will eventually end, and damage that HRT causes to your body will not!

  • Ive been going trough this for 2 years im 44 now I only get periods every 6 months getting constant headaches and mood swings forgetting things to.

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