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Navigating the Big Change: Your Perimenopause Survival Guide

Navigating the Big Change: Your Perimenopause Survival Guide

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This is your Women's Health Podcast podcast.

# Women's Health Podcast: Navigating Perimenopause

Hey there, powerful women! This is Dr. Sarah Chen welcoming you to another episode of Women's Health Podcast, where we empower you with knowledge about your body's journey. Today, we're diving into perimenopause - that transition phase that often arrives with little warning but plenty of questions.

When I hit 42, my body started sending signals I didn't understand. Irregular periods, sudden hot flashes during board meetings, and mood swings that made me question my sanity. Sound familiar? That's perimenopause - the body's transition phase to menopause that can begin years before your periods actually stop.

Joining me today is Dr. Maya Rodriguez, a certified menopause specialist from Cleveland Women's Health Center. Dr. Rodriguez, what's typically the first sign women notice when entering perimenopause?

DR. RODRIGUEZ: Many women first notice changes in their menstrual cycle - periods becoming irregular, lighter, heavier, or skipped altogether. But perimenopause symptoms vary widely: hot flashes, night sweats, sleep disruptions, mood changes, and vaginal dryness are common complaints in my practice.

SARAH: What age does perimenopause typically begin, and how long does it last?

DR. RODRIGUEZ: Most women enter perimenopause in their 40s, though some experience it in their 30s. It typically lasts 4-8 years before reaching menopause. Remember, you're technically in menopause when you've gone 12 consecutive months without a period.

SARAH: Let's talk solutions. What treatment options are available for women struggling with symptoms?

DR. RODRIGUEZ: Menopausal hormone therapy using estrogen or estrogen with progestins can effectively manage symptoms like hot flashes and vaginal dryness. For those who can't use hormones, alternatives include selective estrogen receptor modulators, certain antidepressants, gabapentin, or clonidine.

Lifestyle changes make a significant difference too - regular exercise, calcium-rich foods, identifying hot flash triggers, and cognitive behavioral therapy for mood symptoms.

SARAH: What about herbal supplements that claim to help?

DR. RODRIGUEZ: While some women find relief with plant-based therapies, it's crucial to remember that the FDA doesn't regulate these supplements. Always consult your healthcare provider before starting any supplement regimen.

SARAH: Key takeaways for our listeners navigating perimenopause:

First, track your symptoms - this helps identify patterns and triggers.

Second, don't suffer in silence. Perimenopause symptoms aren't "just part of aging" that you must endure. Effective treatments exist.

Third, find a healthcare provider knowledgeable about menopause - ideally a certified menopause practitioner who stays current on treatment options.

Finally, remember that perimenopause is a natural transition, not a disease. With proper support and treatment, you can navigate this phase while maintaining your quality of life.

This is Dr. Sarah Chen reminding you that knowledge is power, especially when it comes to your health journey. Join me next week when we explore pelvic floor health after childbirth. Until then, keep embracing your strength and advocating for your wellbeing!

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