Best Docs Network Magazine 2014 Volume 2 - Edition 1 | Page 13

Women’s health Understanding Perimenopause by BRIT CREW PuttING WoMeN At eASe tHRouGH tHe tRANSItIoNAL PHASe The word perimenopause translates to “around menopause” and is defined as the transitional period of a woman’s life before the occurrence of menopause, which is permanent infertility. Dr. Meredith Morgan, an oB/ GYN and leading practitioner in menopause and osteoporosis, explains the importance of understanding that perimenopause is a normal and natural process, and majority of women will experience it. “It starts in their mid-forties,” says Dr. Morgan. “Now, the average age of onset is 47 and on average, it lasts about four years.” While the average length of perimenopause is four years, according to Web MD, some women could experience this stage for only a few months or it could continue up to ten years. There are a several symptoms to look for if a woman thinks she is experiencing perimenopause. Those symptoms include: hot flashes, fatigue, irregular periods, decreased libido and mood swings. “this is a time of relative estrogen deficiency and it brings on mind, mood, memory, and even sleep disorders and irregularities,” says Dr. Morgan. Perimenopause is over and menopause is reached once a woman has gone 12 consecutive months without a menstrual cycle. www.mayoclinic.org According to the Mayo Clinic, women experiencing symptoms that interfere with their daily life or general well-being should take that as a good sign to see their doctor. 2014 | Volume 2 | Edition 1 Q Can I still get pregnant if I am perimenopausal? A The simple answer is yes. Even with a decline in fertility, it is possible to become pregnant. Continue with a form of birth control to prevent pregnancy during the perimenopause stage. www.webmd.com Dr. Morgan further explains that the differentiation between transitioning and a non-cycling constant state is the unpredictability and uncertainty that can be so distressing to a woman. If determined a woman is experiencing perimenopause, there are treatments available to subside symptoms. Dr. Morgan says he begins treatment with three levels of management. “First, we suggest lifestyle adjustments and home remedies,” says Dr. Morgan. “Second is to try non-hormonal medical prescriptions, and third is to try hormonal management.” As with any treatment, it is best to speak with a doctor about options, risks, and benefits to make an appropriate decision that work best for each individual. BEST DOCS NETWORK 13