{"id":14066,"date":"2021-10-08T09:18:51","date_gmt":"2021-10-08T14:18:51","guid":{"rendered":"https:\/\/www.osfhealthcare.org\/blog\/?p=14066"},"modified":"2022-01-13T21:04:35","modified_gmt":"2022-01-14T03:04:35","slug":"how-to-cope-with-perimenopause","status":"publish","type":"post","link":"https:\/\/osf-blog.live.imagescape.com\/blog\/how-to-cope-with-perimenopause\/","title":{"rendered":"How to cope with perimenopause"},"content":{"rendered":"<p>No getting around it. Women of a certain age \u2013 usually in their late 40s to early 50s \u2013 will reach <a href=\"http:\/\/healthlibrary.osfhealthcare.org\/Search\/85,P01535\">menopause<\/a>.<\/p>\n<p>But how you go through the process is unpredictable. The months and years immediately preceding menopause are called perimenopause. Severity and duration of perimenopause symptoms differ from woman to woman, although family history can provide insight into what you might experience.<\/p>\n<p>\u201cMenopause is part of the normal aging process,\u201d said <a href=\"https:\/\/providers.osfhealthcare.org\/provider\/Anastasia+Osipova\/1462409?name=Anastasia%20Osipova&amp;sort=networks%2C%20relevance\">Anastasia Osipova, MD<\/a>, an OB\/GYN for OSF HealthCare. \u201cUnfortunately, nobody knows how long it will last. For some women it takes longer, and for others less. Some women have complaints and others don\u2019t.\u201d<\/p>\n<h2>Wide range of symptoms and duration<\/h2>\n<p>Perimenopause is the transition from menstruation to menopause, which is officially dated one year after your final menstrual period.<\/p>\n<p>Common symptoms of perimenopause are hot flashes, vaginal dryness, sleep disruption and mood swings that can involve depression and anxiety. Other symptoms can include:<\/p>\n<ul>\n<li>Aches in joints or muscles<\/li>\n<li>Decreased sex drive<\/li>\n<li>Hair loss or thinning<\/li>\n<li>Overactive bladder<\/li>\n<li>Skin dryness<\/li>\n<li>Trouble concentrating<\/li>\n<li>Weight gain<\/li>\n<\/ul>\n<p>This transition is often marked by inconsistent periods, as your ovaries eventually stop releasing eggs. As perimenopause continues, your estrogen levels continue to drop and finally reach a stable, low level.<\/p>\n<p>\u201cApproximately 75% of women experience symptoms throughout this period,\u201d Dr. Osipova said. \u201cBut it\u2019s probably more. There are symptoms that women are experiencing that they might not even recognize are due to perimenopause.\u201d<\/p>\n<p>Dr. Osipova said the average duration of perimenopause is approximately two to four years, but this varies. Some women experience symptoms for eight to 10 years. Others might be affected for only a few months.<\/p>\n<h2>Know when to see your provider<\/h2>\n<p>Whether you need treatment depends on the severity of your symptoms.<\/p>\n<p>\u201cIf it comes to the point where your hot flashes are interfering with your day-to-day tasks and events \u2013 such as getting a good night\u2019s rest, healthy coping skills or performing work and home responsibilities \u2013 you should seek help from a <a href=\"https:\/\/providers.osfhealthcare.org\/\">physician<\/a>,\u201d Dr. Osipova said. \u201cAdditionally, you should seek help if you are unable to successfully alleviate symptoms through a lifestyle change or over-the-counter remedies, if you are gaining weight or experiencing sexual dysfunction to the point where it impedes your preferred lifestyle.\u201d<\/p>\n<p>Specific treatment will vary according to the type of symptoms. Your individual health risks also factor into determining your treatment plan.<\/p>\n<p>\u201cIt\u2019s easy to treat vaginal dryness, because we can add vaginal hormones. There are plenty on the market, and they come in pills, capsules and creams. They can also help with an overactive bladder,\u201d Dr. Osipova said.<\/p>\n<p>\u201cYou hear a lot about hormone replacement therapy (HRT). It can be effective treating hot flashes, which are caused by a drop in your estrogen levels. Most of the benefits, with very low risks, are noticed in women before their 60s who are just entering menopause.<\/p>\n<p>\u201cThere is concern over HRT because of side effects. We caution patients to be very careful. Even though HRT relieves symptoms like hot flashes, it can also increase the risk of developing blood clots and breast cancer.\u201d<\/p>\n<div class=\"alignright cta\">\n<p>Still have questions?<\/p>\n<p><a href=\"https:\/\/www.osfmychart.org\/OSFMyChart\/Authentication\/Login?&amp;_ga=2.106904074.887206333.1638197377-1527670734.1618838018&amp;_gac=1.25056712.1636391359.Cj0KCQiAsqOMBhDFARIsAFBTN3fJWRaiVt2w6vcTb9hRvE_lyIF7KjEtLDrK_1X1H7KSGEuGfCkUPZ8aAl2WEALw_wcB\"> &gt;Contact your doctor.<\/a><\/p>\n<\/div>\n<p>Some anti-depressants can be helpful in relieving hot flashes. Other oral medications can be effective as well. Talk to your primary care provider or OB\/GYN to see what\u2019s right for you.<\/p>\n<h2>Holistic treatment options<\/h2>\n<p>Dr. Osipova counsels women to understand that perimenopause is a natural phase of life. There are many things you can do to mitigate the symptoms and how much they impact daily living.<\/p>\n<p>\u201cNot everything that is normal needs to be medically treated,\u201d she said. \u201cA lot of people don\u2019t like to hear that, because they want an easy fix, but we can\u2019t medically treat something when the treatment\u2019s harm exceeds the benefits.\u201d<\/p>\n<p>Lifestyle changes you can adopt to help control symptoms include:<\/p>\n<ul>\n<li>Increase your calcium and vitamin D intake.<\/li>\n<li>Decrease your calories.<\/li>\n<li>Exercise<\/li>\n<li>Eliminate \u2013 or at least reduce \u2013 carbonated beverages, caffeine, alcohol and smoking.<\/li>\n<\/ul>\n<p>Dr. Osipova acknowledges there is \u201ckind of a gray zone\u201d between experiencing symptoms or not. And every individual is unique.<\/p>\n<p>\u201cThe severity of symptoms is very individual,\u201d she said. \u201cSome symptoms can be very mild, and some can be terrible. If you have concerns, see your primary care provider or OB\/GYN.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Severity of symptoms and duration vary widely. If your symptoms interfere with day-to-day living, consult your health care provider.<\/p>\n","protected":false},"author":85,"featured_media":14103,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[108],"tags":[887,1045],"coauthors":[912],"class_list":["post-14066","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-women","tag-aging","tag-menopause"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to cope with perimenopause | OSF HealthCare<\/title>\n<meta name=\"description\" content=\"Severity of perimenopause symptoms and duration vary widely. 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