Perimenopause and Hormonal Imbalance for Women
By Dr. Erik Fleischman –
There is quite a bit of information available on Menopause and treatments to control symptoms, both hormonal, pharmaceutical and herbal have been used for hundreds of years.
The syndrome that precedes menopause, Perimenopause, has been given a lot of attention recently and medical attention to this syndrome is finally reaching a more proactive medical community, especially in doctors who practice anti-aging treatment.
Perimenopause : Facts and Issues
Perimenopause or menopause transition, begins several years before menopause.
It’s the time when the ovaries gradually begin to make less estrogen. It usually starts in a woman’s 40s, but can start in her 30s or even earlier. Perimenopause lasts up until menopause, the point when the ovaries stop releasing eggs. The length of time of perimenopause varies individually, but can be anywhere from 2 to 10 years.
The dominant symptoms are:
- Difficulty sleeping
- Change in the length of the menstrual cycle
- Emotional changes – depression or hyper-emotional behavior
- Loss of sex drive
- Vaginal and/or bladder issues
- Hot flashes, but usually not until just before true menopause
The majority of women suffer through these symptoms and really don’t seek help from doctors until their true menopause arrives. In truth, most doctors won’t offer much in the way of symptom relief until a woman is fairly along in menopause symptoms.
In my experience, I’ve found that most doctors start treatment too late and can only offer limited hormone replacement or a few well-known herbs.
There is so much more that can be done, especially if you start early in perimenopause.
I’ve consulted with so many women about perimenopause over the past decade and there seems to be a common theme of self-blame, shame and despair. So many women blame themselves and believe (and are often told) that “it is all in their mind.” Nothing is further from the truth.
There is a clear, well-documented, well-studied hormonal shift during perimenopause with predictable physical results and symptoms.
Let me explain it very briefly and as simply as possible.
- Hyper-emotional feelings and depression
- Loss of sex drive
- Change in menstrual cycle length and bleeding