There is much to cover with this topic and I will outline some of the more common facts and concerns. First, menopause is defined as one year without any periods and the average age is 51. Peri-menopause is the time before this which can be quick (1 day) or can last 10-15 years. Symptoms usually start in the late 40’s with the average duration of vasomotor symptoms (hot flashes) to be around 7 years. 80% of women will have symptoms during this time. 1/3 of our lives are spent in menopause as the average life expectance is 82 years so a significant portion of our lives is spent in menopause.

Symptoms of peri-menopause transitioning to menopause can be broken down into systems and may seem overwhelming. There are 10 stages of peri-menopause! Keep in mind there is a lot we can do to alleviate these symptoms and health concerns. Listed below are a few changes you may notice.

Vasomotor symptoms: hot flashes, night sweats, interrupted sleep, moodiness, fatigue

Genitourinary: vaginal dryness, vulvar pain, vaginal infections, irregular bleeding, prolapse, pain with intercourse, loss of libido, slow arousal phase, anorgasmia, recurrent urinary tract infections, incontinence, difficulty with urination, blood in the urine.

Cardiovascular: increased risk for cardiovascular disease with increased BP, increased lipids, heart palpitations.

Bone health: osteopenia, osteoporosis, bone fractures.

Neurologic/Cognitive: memory, word find issues, foggy brain, anxiety, depression, loss of focus, social impairment, work issues.

Gastrointestinal: bloating, constipation, increased gas, abdominal distention, changes in food adversities, low appetite.

Dermatologic: dryness of the skin, rashes, hair loss, hair thinning, acne

Rheumatologic: joint aches, swelling, arthritis, autoimmune disorders.

Weight gain: average of 2-3#/year with mid abdominal fat deposition.

Stress: Unfortunately, peri-menopause often overlaps with other life changes that can be stressful such as aging parents, adolescent children, job changes, relationships. The hormonal stress of peri-menopause at the receptor level can make these other stressors more difficult to manage.

We can address all of these potential concerns that you may have. Give the office a call and set up a consultation to discuss options in management so you can make good decisions for yourself during this very impactful time in your life.