5 things you want someone to tell you about the perimenopause, the doctor says

It happens to everyone with a uterus, but many of us still don't understand what it is.


If you feel like you hear the word "perimenopause" more and more recently, you do not imagine things. Perimenopause - defined as the yearsleading to menopause- is a moment, with celebrities likeGwyneth Paltrow openingOn their symptoms and television shows likeSex and city to restartAnd just like that ... bring up the topic with humour. Despite this, however, many people still do not know what the perimenopause is, or if they could really cross it themselves.

Mâché Seibel, MD, Ob-Gyn, author ofEstrogens correction andWork through menopause, isTry to change this By highlighting all things the perimenopause, as well as on the menopause itself. Read the rest to discover what he saidBetter life About this inevitable and completely normal stage of life that anyone with a uterus can expect to face, if they have not already done so.

Read this then:Stacy London says she retaliates against this "crisis" of health in an exclusive interview.

1
The perimenopause can start in the thirties.

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You can consider the perimenopause as something that happens only to the elderly, but it can start much earlier than you think: "The average age of menopause in the United States is 51 years", explains Seibel. "But five to ten percent of women enter menopause before the age of 45; one percent before the age of 40. Thus, perimenopause can possibly start in the middle of the 1930s", he explains. And with many people who postpone children until the end of the thirties, or even in the early 1940s, it can be an unwanted surprise. "Many women struggling with infertility are, in fact, approaches or in perimenopause," notes Seibel.AE0FCC31AE342FD3A1346EBB1F342FCB

2
Certain symptoms of perimenopause are identical to those of other current conditions.

middle aged white woman sitting on floor resting arms on knees looking sad
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So what exactly are the symptoms of perimenopause? "The most common symptoms are mood changes, changes in menstrual cycle, less sexual desire, anxiety and sadness, or slight depression," explains Seibel, noting that the same symptoms can also be due to anxiety or depression unrelated to the menstrual cycle. "These symptoms are inseparable from the perimenopause. But if [someone is] suddenly or recently become more anxious and depressed, something should change, and the most common thing is perimenopause," he explains.

3
Doctors cannot tell you definitively if you are in perimenopause or not.

Preparation for blood test with beautiful young blond woman by female doctor in white coat medical uniform on the table in white bright room. Nurse rubbing a hand sterile patient tissue.
Ivanriver / Shutterstock

One of the most frustrating things about Summeropause is that it is practically impossible to know with certainty if you are there. "There is no absolute marker," explains Seibel. "A hormonal level stimulating slightly high follicles (FSH) is the best indicator. But these values ​​are not linear; they can fluctuate from top to bottom ... It's like the stock market," he explains. That said, obtaining a blood test to determine your FSH level can be useful. "A blood test for the FSH is not diagnosed, but when it starts to be more than 15 Miu / ml, the perimenopause is probably in progress."

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4
The perimenopause can last up to 10 years.

Side view of woman in pink looking at date on calendar
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Anyone who has experienced perimenopause can tell you that it is not a picnic. Mood, a period that plays an overview andare Feeling dashing, you can realize that sex becomes uncomfortable. "Vaginal drought is also a current symptom of the perimenopause," says Seibel, adding that "over -the -counter remedies, asRethink products, can be very useful. ""

So, how long can people expect this transition, which they don't even know that they only know after the fact, to last? "The perimenopause can last up to 10 years," says Seibel. "The two to three years before menopause (whom they only know retrospect) are generally the worst symptoms. In fact, many women think that perimenopause is menopause due to the worsening of symptoms."

5
People in perimenopause should always use contraception if they do not want to become pregnant.

Healthcare medicine, contraception and birth control. Closeup oral contraceptive pills, condom in denim pocket.
Kriang Kan / Shutterstock

For many people, one of the advantages of being in menopause - which occurs once you have spent a full year without having rules - is that they no longer have to worry about the risk of pregnancy . However, it isnot true of the perimenopause. "Fertility is reduced [during perimenopause] but not eliminated," explains Seibel. "Until they disappeared 12 months without period ... [people must use] birth control if they are sexually active."

Another important point? People in perimenopause or menopause must still practice safe sex. "The use of contraceptive pills does not protect you from sexually transmitted infections (IST)," said Seibel. In fact, Stis are increasing In the elderly, Harvard health reports.

If you have questions about the perimenopause, menopause, your ability to get pregnant or if you risk contracting an STI, speak with your health care provider.


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