On top of irregular periods, hormonal changes can lead to weight gain, hot flashes, trouble sleeping, vaginal dryness, mood changes, and depression. The average age a woman starts the menopausal transition is While we cannot predict when this will occur for you, the age your mother began to experience symptoms may be a good indicator.
Smokers tend to reach menopause earlier than non smokers as well. The blood tests that measure your ovarian reserve are rarely accurate during perimenopause. FSH and estrogen change by the day and throughout the day so they are generally not helpful. We do consider testing these hormones if you experience perimenopausal symptoms under the age of We generally will also check other pituitary hormones, like TSH and prolactin, if you are experiencing these symptoms prematurely.
Any time you experience abnormal uterine bleeding i. The intensity of symptoms varies from one woman to the next, but they follow a typical progression until you have reached menopause and do not have a period for 12 months. This is the hallmark of perimenopause. The frustrating part is the unpredictability. Menopause and care of the mature woman: Endocrinology, consequences of estrogen deficiency, effects of hormone therapy, and other treatment options.
In: Comprehensive Gynecology. Elsevier; Accessed March 5, Menopausal hormone therapy adult. Mayo Clinic; Bioidentical hormones. Natural Medicines. Black cohosh.
Ferri FF. In: Ferri's Clinical Advisor Menopausal symptoms: In depth. National Center for Complementary and Integrative Health. Delamater L, et al. Management of the perimenopause. Clinical Obstetrics and Gynecology. Suss H, et al.
Psychological resilience during the perimenopause. Raglan GB, et al. Depression during perimenopause: The role of the obstetrician-gynecologist. Archives of Women's Mental Health. Bacon JL. The menopausal transition. Obstetrics and Gynecology Clinics of North America. Top questions about menopause. Office on Women's Health. Warner KJ. Allscripts EPSi. We use a combination of pelvic exams, blood tests, and ultrasounds to guide this framework. If nothing is wrong, then perimenopause is the likely explanation of irregular periods, especially for a woman in her 40s.
A change in your periods is often the first sign of perimenopause, but there are other signs to look out for. The most common are hot flashes, sleep problems, vaginal dryness, mood changes, and a decrease in sex drive. Not every woman will experience all of these symptoms. For those who have symptoms, they may come in any order. Once these symptoms arrive, most women can expect menopause itself to be a few years away.
Menopause is officially confirmed after you go 12 months without a menstrual period. But the average age for the last period is There are many treatments to help with bothersome symptoms like hot flashes and sleeplessness.
Even a few years of hormone therapy can help you get through the worst of it. If you are prone to anxiety or depression, know that perimenopause can bring those conditions back to the surface. Finding a support network can make a big difference. Antidepressants also may be an option. We usually diagnose menopause in hindsight, after that full year of absent periods.
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