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Most women arrive at menopause between the ages of 45 and 55, but perimenopause can start as much as a decade beforehand.

Shots - Health News An Early First Menstrual Period May Lead To Premature Menopause How do you know if you're starting perimenopause. The most telling symptom is changes in your menstrual cycle, says psychiatrist Hadine Joffe, the executive director of the Connors Center for Women's Health and Gender Biology at the Brigham and Women's Hospital in Boston.

How to be a good storyteller perimenopause, periods "might be shorter, then a long one, or then a skipped one, how to be a good storyteller then the flow might be different," says Joffe.

There's no blood or hormone test how to be a good storyteller can "diagnose" perimenopause. Joffe says a hormone test isn't helpful because hormonal cycles become erratic and unpredictable during this stage. Even if alcohol poisoning took several tests over time, "you might get a very different readout.

Edrie was upset at her doctors' responses - or lack thereof. Cynthia Stuenkel, a founding member of the North American Menopause Society how to be a good storyteller a bayer ag baygn and endocrinologist at the University of California, San Diego, School of Medicine.

Shots - Health News 7 Women's Health Topics We Need To Talk About In 2020 Mood problems like depression can spike during perimenopause, especially among women who have previously experienced them. Many of our listeners wrote in to say that during perimenopause, they felt incredibly irritable and quick to anger in a way that they had never how to be a good storyteller before. And of course, many - silicone boobs not all - women experience hot flashes, though they may not recognize them.

That can be frightening. Some symptoms, like heavy or irregular periods, can be managed with an oral contraceptive, which can "shut down the body's own erratic hormonal fluctuations," says Stuenkel.

In some cases, doctors may prescribe menopausal hormone therapy, or very low doses of hormones to supplement estrogen levels. Stuenkel says it's not a fit for everyone, but it doesn't deserve the bad reputation it has in some circles. She says there was an "exodus" from the use of hormone replacement therapy after the Women's Health Initiative trial halted a study over safety concerns in 2002.

But many clinicians now feel much more comfortable using hormone therapy again and Locoid Lotion (Hydrocortisone Butyrate Lotion)- Multum recommend low doses, selectively, for shorter periods of time. Shots - Health How to be a good storyteller Menopause Mystery: Why Do Female Killer Whales Experience The Change Of Life.

For people who cannot take estrogen therapy, or choose not to, Stuenkel says some drugs in the antidepressant family, such as SSRIs and SNRIs, can help with hot flashes.

Stuenkel says, "While they're not perfect, they can take the edge off and help enough so that women can get a better night's sleep. In 2015, a North American Menopause Society panel found that cognitive behavioral therapy and hypnosis were significantly effective in treating hot flashes.

The same panel also found that popular herbal remedies (like black cohosh, dong quai and evening primrose) are "unlikely to help," although some NPR listeners who wrote in said they got relief from some of those treatments.

For depressive and anxiety symptoms, women may want to seek out professional counseling or a psychiatrist. You might not need to at all. Some people sail Fosrenol (Lanthanum Carbonate Chewable Tablets)- Multum through menopause with little trouble.

But if you are experiencing symptoms that are interfering with your life, it's worth making an appointment. Some of these symptoms could indicate other problems that need treatment, such as fibroids or even cancer.

For people approaching this stage of life or who are already going through it, here are four steps for making this transition more manageable. She suggests that people approaching perimenopause age empower themselves with knowledge. The Massachusetts General Hospital Blum Center has a curated list of suggested books.

The National Women's Health Information Center has a section on menopause and perimenopause. The American College of Obstetricians and Gynecologists also has a perimenopause FAQ. Joffe encourages people to track symptoms: "menstrual patterns, hot flash patterns, mood issues, major life triggers.

Joffe encourages women to protect themselves from things that might worsen their mood or well-being. This includes reducing stress when they can and making sure they get enough sleep. And familiar health advice like getting enough exercise, eating well and moderating alcohol consumption apply to perimenopause too, says Dr. Steven Goldstein who is the co-author of Could It Be.

At her doctor's suggestion, Edrie developed a mindfulness practice. She says, "I thought it sounded a little 'woo-woo' at first, but being able to pay attention to what my body is doing and why helps me separate those symptoms from what I need how to be a good storyteller get word my day. So I'm not overwhelmed by what my body is putting me through. Having a community to talk to can make it easier to cope with the changes, says Payne, who's going through perimenopause herself.

She says she has found support from a few close friends from college. And, you know, it does provide support. I think that's another version of a coping skill," she says. Edrie says she joined a few Facebook groups dedicated to perimenopause and found one in particular where she got tips on coping with one of her most troublesome symptoms: brain fog. The conversations made her feel understood and validated.

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