What are some signs of perimenopause?
The patient will say, "One day, I'm having hot flashes, the next day, my breasts hurt."
Or "I had a period, then I didn't have it for two months," as well as, "I just feel like someone took over my body and I'm not in control anymore. What are you going to do?"
I call it a dress rehearsal for menopause.
Do menopausal symptoms change?
If my patient is very symptomatic, she'll have hot flashes, night sweats, can't sleep, mood changes, and some patients even say their cognition changes.
They also complain that it hurts when they have sex and they have no sex drive.
Every symptom that occurs to a woman over the age of 50 is attributed to hormones, whether that's true or not.
So, a hormone discussion is extremely important for the post-menopausal woman.
Having said that, that's not her only health issue.
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