Perimenopause means “almost menopause” and refers to the time period during which a woman’s body makes its natural transition toward permanent infertility (menopause). It is also called the menopausal transition. Women start perimenopause at different ages. Anyone may notice signs of progression toward menopause, such as menstrual irregularity, sometime in her 40s. But some women notice changes as early as their mid-30s. The level of estrogen — the main female hormone — rises and falls unevenly during perimenopause. Menstrual cycles may lengthen or shorten, and she may begin having menstrual cycles in which her ovaries don’t release an egg (ovulate)Once women experience 12 consecutive months without a menstrual period, than menopause is officially started, and the perimenopause period is over.
In this article I discuss on several topics such as-
#Possible symptoms of Perimenopause.
#Who are at risk of Perimenopause.
#Urgency of consulting doctor
#Possible problems & solutions
#Who can apply HRT treatment
Symptoms of Peri menopause:
The possible symptoms are described below:
*Irregular Menstruation:During this time irregularity occurs on menstrual cycles. The time distance between periods may lengthen or shorten. As a result of this period may occur twice a month or it may not occur on a month.
*Hot Flash & Disturbance of Sleeping: Almost 65% to 75% women experience hot flash during this time, but this varies from individual to individual. Sometimes It may generate inconvenient sleeping, & unexpected sweating.
Changing Of Mood: Always Changing of mood, depressed feelings, lack of interest for everything are some prime symptoms of peri menopause.
Alteration of Sexual Function:Almost all women realize significant change on their sexual desire or feel less sexual drive.
Complication on Bladder & Vagina:During this time Estrogen hormone diminishes as a result vaginal tissues lose lubrication & elasticity, & it may cause various infections.
Deterioration of Bones: Deficiency of Estrogen hormone decays the bones, sometimes it increases the possibility of Osteoporosis.
Changing of Cholesterol Level: Deficiency of Estrogen hormone increases bad cholesterol(LDL) & reduces good cholesterol (HDL) & it may also develop heart diseases for women.
Diminution of Fertility: Irregular ovulation stimulates infertility, that also diminishes chance of being pregnant. Absence of period for more than 12 months is symptom of menopause, on this condition consulting a doctor is very important.
Palpitation: Sometimes women experiences palpitation , which requires doctors consultancy.
Urgency of consulting a Doctor:
Sometimes symptoms appear so gradually that it is not understand easily. At first stage the deficiency of Estrogen and progesterone hormone does not find out . We only feel the menopause when symptoms appear deeply. Consult a doctor is required when it starts to hamper our life. Treatment will be started as early as we consult a doctor. So this is better to consult a doctor when it creates problems rather than ignoring it.
Who are at Risk, Possible Risk Factors:
Smoking: Smoking is one of the prime factor for early menopause, women who smoke experience early menopause compare than to non -smokers.
Family History: Sometimes family history stimulates perimenopause.
Infertility: Infertility is another factor for perimenopause once in a while.
Cancer Treatment: There is a possibility of this for taking cancer treatment on childhood. Cancer treatment-such as Chemotherapy & Pelvic radiation therapy may develop this.
Hysterectomy: Hysterectomy means removal of uterus through surgery.It is also responsible for stimulating this.
Irregular menstruation sometimes generate various problems such as:
1.Massive bleeding on menstruation period.
2.Continuous bleeding for more than 8 days.
3.Experiencing bleeding on different time except menstruation period.
1.Observing what problems are facing during menstrual cycle.
2Write down the key points so that it is easy for doctors to prescribe perfectly.
3.Note down name of medicines which take for irregular period or heavy bleeding.
4.Try to recall the symptoms , it may help doctor to find out problems quickly.
5.Ask doctor any questions if suspicion occurs.
Oral Contraceptive: Oral contraceptive pill can be used depending on doctors suggestion. It supports on regular period & minimizes the quantity of bleeding.
Progesterone Therapy: This therapy is also apply, when women do not want to take pills. This is also beneficial for heavy bleeding on perimenopause.
Hormone Replacement Therapy (HRT): There are two types of this therapy, such as
*Estrogen Progestoron Therapy(EPT):This treatment is best solution for those women who have uterus on normal condition.
*Estrogen Therapy(ET): This treatment is applicable for those who have to remove uterus through surgery.
Hormone replacement therapy assists in decreasing physical complexity. It is also detrimental to consume hormone pill without doctor advice.
Who can apply HRT:
*women who experience natural menopause, & who face this before age of 40 due to surgery.
*Who suffer various complexity like-hot flash, night sweating.
*Who experience complexity on natural sexual life due to vaginal dryness
*Who have Osteoporosis diseases.
1.Try to maintain particular time for sleeping .
2.Dont omit Physical exercise for a single day.It is better to perform exercise at morning.
3.Wear light dress, which helps in good sleeping.
4.Drinking warm milk before sleeping is also beneficial for health , because it enhances not only good sleeping but also supplies a good source of calcium.
5.Always try to think positively.
Perimenopause is time when the sign of menopause is prominent. Due to infertility, and irregular menstrual cycles women feel depressed, and sometimes fail to maintain normal life style. It is very common occurrence , so women should try to modify their life positively. Eating properly, maintenance of balanced diet is very essential. The Diet should enrich with sufficient calcium, low fat& high fiber meal. Try to avoid stress. Regular physical exercise , meditation also assists in keeping good mood, develops mental satisfaction.