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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. ​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.
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