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Perimenopause and Menopause

If you're like me, you have heard of menopause, but didn't really learn anything about it, other than the fact that it exists...? And even then, nothing!

 

Menopause is the point in time when a person with an ovarian system has gone 12 consecutive months without a menstrual cycle/period. It’s a natural and normal aging process that occurs when a person's ovaries stop producing reproductive hormones, i.e. estrogen and progesterone. Before reaching menopause, your body moves toward the end of your reproductive years. This is called perimenopause. â€‹Perimenopause may begin as early as your mid-30s or as late as your mid-50s. Some people are in perimenopause for only a short time, while others are in it for several years. It’s common for hormone levels (estrogen and progesterone) to fluctuate during perimenopause, almost like a rollercoaster.

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Estrogen and progesterone play huge roles in multiple body systems because of the staggering number of places that we have estrogen and progesterone receptors in our bodies. Here are some examples: brain and central nervous system, cardiovascular system, muscles and bones, reproductive system and breasts, gastrointestinal system, immune system, lungs, eyes, skin, and hair, and mucous membranes. Because of these multi system receptors, these hormonal fluctuations can cause a wide range of physical and emotional symptoms to occur. How a person's body reacts to changing hormones can vary from person to person. Please see possible perimenopause symptoms below.
 

Symptoms of Perimenopause

Cardiovascular Symptoms:

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Irregular heartbeat/heart palpitations

Shortness of breath

Increased LDL (low density lipoprotein, nicknamed "bad cholesterol") levels

Increased heart disease risk

Increased blood pressure

Increased glucose (sugar) resistance

Increased blood clotting proteins

​Musculoskeletal and Bones:

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Chronic pain

Pain in joints

Pain in muscles/achiness

Twitching/spasming muscles

Loss of strength, muscle mass, bone density

Greater risk for developing Osteoporosis/Osteoarthritis

Mental Health:

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Reoccurrence of mental health challenges previously medicated/worked through

Mood swings

Anxiety

Depression

Panic Attacks

Trauma impacts

Sleep/Fatigue:

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Insomnia, sleep deprivation, interrupted sleep

Fatigue

Cognitive/Neurological Effects:

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Migraine(s)/Headaches (with or without aura, i.e. visual sensations)​​

Fogginess/concentration difficulties

Memory lapses

Increased challenges for neurodivergent folks 

Gastrointestinal and Urinary Symptoms:

 

Incontinence

Bloating

Changes to bowel movements

Increased frequency to urinate

Rectal pain/itchiness

Increased UTI’s (urinary tract infections)

Eyes, Ears, Nose:

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Changes in eye shape, vision

Eye itchiness

Poor balance

Ringing in the ears

Hearing changes

Changes with sense of smell

Increased nasal congestion

Vasomotor Symptoms:

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Hot flashes

Cold flushes

Night Sweats

Tingling

Dizziness/Vertigo

​Weight/Metabolism:

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Weight gain

Slowing metabolism

Cortisol increases (affects immune system functioning)

Blood sugar increases (at higher risk for diabetic complications)

​Preference for sweet/comfort foods (profound food cravings)

Reproductive System/Vagina/Front Hole

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Changes in menstrual cycles (shorter, longer, skipping cycles)

Increased PMS symptoms (increased cramping, etc)

Vaginal/front hole dryness, irritation, itching

Changes in libido, specifically decreases

Decreased size/atrophy of external genitals

Internal growths, i.e. cysts, polyps

Painful sex/discomfort from sex

Skin Issues:

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Generalized aging of skin

Increased dryness of skin, itchy skin

Rashes/easily irritated skin

Thinning/loosening of skin

Oily skin

Age spots

Rosacea/acne

Changes in body odor

Slower wound healing

Breast tenderness

Mouth:

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Mouth, gum, teeth problems

Bad breath

Changes in taste

Sore/hoarse/dry throat

​​​Hair/Nails:

 

Hair loss

Increase in possible facial hair

Allergies

Brittle nails

Dandruff

Changes with eyebrows and eyelashes

Resources:

What Fresh Hell is This? Perimenopause, Menopause, Other Indignities, and You, authored by Heather Corinna
The New Menopause, authored by Mary Claire Haver, M.D.
https://thepauselife.com/blogs/the-pause-blog/uncommon-signs-symptoms-of-menopause?srsltid=AfmBOoosyiEbhde3UIdw_DThY_zhBAvoh9psaZyghtTxMYouB_r4kc0U

So NO it's not all in your head!
Nor are you broken!

Many of the perimenopausal folks I work with are struggling with their mental health, including mood fluctuations, anxiety, depression, and the effects of trauma. Perimenopause can also cause an exacerbation of previously stabilized mental health challenges. Some folks report physical symptoms as well. Additionally, any new phase of life transitions are naturally isolating and can bring up an array of concerns, feelings, and fears. I'm here to help support you in navigating the perimenopause transition.

Contact

Like what you see? Get in touch to learn more.

Thanks for submitting!

Jennifer Rivers, ASW,

Specializing in LGBTQIA+-Affirming Therapy

323-379-5969

Hillhurst and Ambrose Avenues
Los Angeles, CA, 90027

©2022 by Jen Rivers, ASW

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