Some symptoms are common in all the stages while some are distinctive . Before you notice outward signs of menstrual changes, changes in your endocrine system has already began. Support groups and counseling are useful tools when dealing with emotional changes during menopause. The menopausal transition, or perimenopause, is associated with profound reproductive and hormonal changes. (2018). Everyone's perimenopause is different but perimenopausal symptoms stem largely from losing progesterone, not estrogen. The process is gradual and happens in three stages: Perimenopause or "menopause transition": Perimenopause can begin eight to 10 years before menopause when your ovaries gradually produce less estrogen. Two conditions that affect your health after menopause are osteoporosis and coronary artery disease. Depressed mood and increased anxiety also increase during the transition, with an abrupt rise in prevalence as women approach the later stages of the menopausal transition and have longer bouts of amenorrhea. Unlike hot flashes, mood issues, and sleep, vaginal symptoms will not go away without . Thurston RC, Blumenthal JA, Babyak MA, Sherwood A. Int J Behav Med. Every person is different and has unique needs. Perimenopause is the stage that precedes menopause. This does not need to be complicated and can be as simple as providing your body with the vitamins, minerals and other nutrients you need to support your immune and other systems. Perimenopause can start as early as a decade before menopause, though the average amount of time spent in perimenopause is four years. Early Perimenopause Early perimenopause can begin anywhere from approximately 4 to 9 years before menopause (typically around age 42-48). Heavy bleeding can also cause fatigue and increase your risk for other health concerns, such as anemia. Results should also be individualised to your symptoms. People who undergo premature menopause often receive hormone therapy until age 50 to make up for the extra years of estrogen loss. During this time, the ovaries get smaller and stop producing reproductive hormones, including estrogen and progesterone, which are responsible for controlling the menstrual cycle. official website and that any information you provide is encrypted FSH levels fluctuate from being at menopausal range, to being at reproductive age range. Due to monthly hormonal fluctuations and women's sensitivity to them, it is common to experience premenstrual syndrome (PMS) symptoms in the week or two leading up to menstruation. Discover the key hormones involved in weight gain from insulin and cortisol to estrogen and testosterone and how comprehensive hormone testing can help. Very early perimenopause, when periods are still regular. When your ovaries no longer make enough estrogen and progesterone, hormone therapy can make up for lost hormones. For some, a missed period may be seen as the result of too much stress. Menopause symptoms at age 45. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. 2022 Dec 8;13:1001228. doi: 10.3389/fphar.2022.1001228. Osteoporosis, a brittle-bone disease, occurs when the insides of bones become less dense, making them more fragile and likely to fracture. But opting out of some of these cookies may have an effect on your browsing experience. Menopause is a natural process that your body goes through. To ensure adequate sleep, bathe before bed, use sedatives if needed and meditate to relax your mind. Perimenopause. Brown or dark blood is a sign of old blood exiting the body. Shop for them online: When your estrogen levels are high in comparison to your progesterone levels, your uterine lining builds. But if theyre really bothersome, speak to your healthcare provider, even if youre still having regular menstrual cycles.. Up to 150 symptoms have been acknowledged as part of PMS.1. Last reviewed by a Cleveland Clinic medical professional on 10/05/2021. Expert Rev Neurother. You also have the option to opt-out of these cookies. Perimenopause lasts up until menopause, the point when your ovaries stop releasing eggs. The test is used to detect osteoporosis and osteopenia. If youve gone a full year (12 straight months) without a period, youve entered menopause and may be postmenopausal. A missed period may actually be a sign of pregnancy, which can be confirmed with an at-home test. A woman is considered postmenopausal when she has not had a period for 12 months. As you can see from this image, perimenopause is characterized by lowering progesterone and initially high, fluctuating levels of estrogen. Testing with FUTURE WOMAN can be beneficial in perimenopause to understand your hormone production, hormone balance, hormone metabolism and stress and other contributing factors. What Is The Common Age of Perimenopause Symptoms? Your teeth and gums are susceptible to the hormonal changes that occur during menopause. 1. After menopause, your risk for coronary artery disease increases because of several things, including: The benefits and risks of hormone therapy vary depending on your age and health history. Sleep disturbances. Cleveland Clinic is a non-profit academic medical center. Because of this shift, this is the stage, rather than menopause, when were most likely to experience symptoms. But if theyre not bringing it up, you definitely should even if youre feeling fine, but especially if youre not. I am a BANT Registered Nutritionist who specialise in supporting women with peri menopause anxiety, low moods, depression and brain fog. You may notice signs of progression toward menopause, such as menstrual irregularity, sometime in your 40s. This stage normally lasts an average of four years, but it can also be just a few months or as long as 10 years in length.2,3. If youre having irregular periods, certain products can help you avoid leaks and stains and keep track of your symptoms. Postmenopause anxiety is caused by a change in hormones. But some women notice changes as early as their mid-30s. Completing menopause before age 40 is called premature menopause. (2019). The most common sign of perimenopause is irregular periods and menstrual cycles. This can lead to noticeable symptoms like a dry mouth or sensitive teeth and gums. Perimenopause Green Smoothie One of the best things you can[], I made these homenade minted lamb kebabs, as we had[], Would You Like To Understand Why Your Hormones Keeps You[]. Here you'll learn about the common symptoms and how to treat anxiety triggered by menopause. Harper JC, Phillips S, Biswakarma R, Yasmin E, Saridogan E, Radhakrishnan S, C Davies M, Talaulikar V. Womens Health (Lond). If your cycles are still making an appearance however delayed ovulation is still occurring. Eventually, as you get closer and closer to menopause, you start skipping periods for months at a time, Dr. Batur notes. This is because testosterone is relatively higher than estrogen. It can start anywhere between your early 30s and late 40s, or even into your 50s, just depending on your body. In general, younger people in their 50s tend to get more benefits from hormone therapy compared to those who are postmenopausal in their 60s. Federal government websites often end in .gov or .mil. Global hotspots and prospects of perimenopausal depression: A bibliometric analysis. However, if tests were carried out, results would show low levels for. Late menopause transition, from the first cycle of more than 60 days. Most women experience the early signs of perimenopause for about 7 years. On average, menopause happens at age 51. Sometimes, people also may be less sensitive to touch and other physical contact than before menopause. Menopause is a natural part of aging that marks the end of the female reproductive years but many people dont know what to expect until theyre in the midst of it. doi: 10.1210/jc.2010-2503. Calm, tranquil types of exercise like yoga can also help with your mood and relieve any fears or anxiety you may be feeling. Meditation is also a good technique in regard to this, as it helps create a clear, calm mind. During this stage, a woman's monthly period becomes unpredictable and can even stop for several months, before returning again. They include: Aging women can relieve any symptoms and reduce the risk of complications by promoting hormonal health. Its important to test your hormones first, before starting any hormone therapy to check which hormones you really need and to ensure you are metabolising your estrogen safely and effectively. Menopause that occurs before the age of 45 is called early menopause. MenopauseHealth.today Copyright 2023. Vaginal bleeding after menopause could be a sign of a more serious health issue. Hair fall. 2011 Jul;96(7):E1044-54. So it was easy to miss the early signs. Hot flashes can be another issue. This category only includes cookies that ensures basic functionalities and security features of the website. They can prescribe this in a low-dose cream, pill or vaginal ring. From the onset of this stage, a woman will likely experience a variety of symptoms: Passing through the perimenopause stage can be difficult due to the array of symptoms a woman may experience. Copyright 2020. It can become irregular and then stop. Menopause specialistPelin Batur, MD, walks us through the stages of menopause and what you may be able to expect during each one. However, as you progress through the stages, your symptoms become more noticeable. If youre in the latter camp, experiencing bothersome symptoms that you just cant shake, dont feel like you have to soldier on in silence. There are four stages of perimenopause: very early perimenopause, early menopause transition, late menopause transition and late perimenopause. Shorter cycles, mid-sleep wakening and heavier or longer flow occur at some time for most women. An official website of the United States government. We do not endorse non-Cleveland Clinic products or services. When discussing treatment for menopause with your provider, its about treating the symptoms of menopause that disrupt your life. Perimenopause symptoms can change depending on what stage you are in. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. Perimenopause Periods: Spotting, Heavy Bleeds, and More How Perimenopause Can Affect Your Periods and What You Can Do Spotting Heavy bleeding Dark blood Short cycles Long cycles Missed cycles. To learn more on this topic from Dr. Batur, listen to the Health Essentials Podcast episode,What to Expect in Menopause.New episodes of the Health Essentials Podcast publish every Wednesday. Tai chi, acupuncture, and herbal remedies are among the uncommon treatments for menopause symptoms featured in this article. You can even buy reusable liners that are made of fabric and can be washed over and over again. Certain lifestyle habits from your past catching up with you (like smoking or excessive alcohol consumption). We avoid using tertiary references. Emotional changes (irritability, mood swings or mild depression). Looking to learn more about hormone health? (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3793432/). Estrogen also influences how your body uses calcium and maintains cholesterol levels in your blood. 1 During the transition, your body will: Release eggs ( ovulate) less regularly Produce less estrogen and progesterone Become less fertile Have irregular menstrual cycles (shorter or longer, heavier or lighter, depending on hormone levels) extremely heavy bleeding that requires you to change your pad or tampon every hour or two, bleeding not spotting that happens more frequently than every 3 weeks. Abdominal weight gain one of the reasons for this is we naturally become more insulin resistant and as we lose progesterone and estrogen we can have a relative androgen excess, which can itself drive insulin resistance (which in turn can drive up androgens. Some women may experience perimenopause during their late 30s or early 40s. In my experience, I typically see women enter this stage in between age 42 to 45. Your whole cycle may also last 2 or 3 weeks instead of 4. There are three stages of menopause: perimenopause, menopause and postmenopause. Speak with your healthcare provider to see if nonhormonal medications could work for managing your symptoms. At this stage, you may notice obvious changes to your cycles, as your periods begin to , By this stage, you may notice missed periods of 60 days or more. J Clin Endocrinol Metab. Not everyone will have the same symptoms as they transition to menopause. Its also good to avoid spicy food, drink plenty of water and dress in layers, in case a hot flash hits and you need to take some layers off. Coping with other medical conditions and medications. (2008). Necessary cookies are absolutely essential for the website to function properly. Perimenopause lasts up until menopause, the point when the ovaries stop releasing eggs. If you want to understand how we can help with your symptoms, book a free 15-minute consultation with one of our hormone experts. Unfortunately, bladder control issues (also called urinary incontinence) are common for people going through menopause. Perimenopause is the stage when a woman begins to transition into menopause. About 6 months before menopause, estrogen levels drop significantly. Menopause is unique in that your provider diagnoses it after it occurs. Keep in mind that your body is going through a lot of change during menopause. The most commonly reported symptoms include: are my hormones in balance, for example is my progesterone higher than my estrogen? Talking to other people who are also going through menopause can be a great relief for many. You may start to experience side effects of menopause, like hot flashes or vaginal dryness. Unfortunately, many of the aforementioned symptoms experienced during perimenopause can linger into postmenopause. This can be a normal side effect of menopause itself, or it could be due to another symptom of menopause. Taking charge of your pelvic floor also mitigates the effects of perimenopause, Vopni advised. You still need to protect yourself from sexually transmitted infections (STIs). During perimenopause, as you have discovered, it is not all about estrogen. Those that do, often notice night sweats first that cluster around menstrual flow 7. Your healthcare provider may be able to prescribe a medication to help you (hormone therapy or an antidepressant). During this time, the hormones estrogen and progesterone are in flux. Get useful, helpful and relevant health + wellness information, 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. Healthcare providers often debate calling this slow decline in testosterone menopause since its not as drastic of a hormone shift and doesnt carry the same intensity of side effects as menopause in women. Careers. The speed bump sign indicates the transition period from early to late MT, which is typically associated with an increase of the commonly observed menopausal symptoms: hot flashes, poor sleep, adverse mood, and vaginal dryness. Not all people experience a decreased sexual desire. J Womens Health (Larchmt). This is extremely important to find out before starting any estrogen hormone therapy. Pass on tampons and menstrual cups unless you have a menstrual flow. Irregular periods and invariable bleeding (heavy or light) Hot flashes and vaginal dryness. The process is gradual and happens in three stages: The average age of menopause in the United States is approximately 51 years old. Healthline Media does not provide medical advice, diagnosis, or treatment. The content of these informational pages is for educational purposes and health care support only and does not intend to be used for diagnosis or treatment of a health problem or as substitute for consulting a licensed medical professional. The time period before menopause is called perimenopause. Anovulatory cycles can also create delayed or missed periods. Natural menopause is the permanent ending of menstruation that doesnt happen because of any type of medical treatment. Perimenopause usually begins after the age of 40 (though it can start earlier), the variabilities of which both in ovarian function and hormone levels can leave you feeling out of sorts. Your ovaries are the reproductive glands that store and release eggs. According to Canadian endocrinologist Professor Jerilynn Prior, perimenopause can happen over four stages. There are several ways your healthcare provider can diagnose menopause. Perimenopause is a transitional stage between pre-menopause and menopause. Some of the other factors that can play a role in a decreased sex drive can include: All of these factors can disrupt your life and even cause tension in your relationship(s). Through a healthy diet and lifestyle, you can support your body to prevent low oestrogen levels from affecting your health negatively. Many people confuse menopause with perimenopause. In the last 1 to 2 years of. Mayo Clinic Staff. Spotting is usually the result of your bodys changing hormones and the buildup of your endometrium, or uterine lining. There are extreme shifts in your hormone levels, you may not sleep well because of hot flashes and you may experience mood swings. Exercise can help you sleep through the night and is recommended if you have insomnia. Once youve gone 12 months without a period, youve reached menopause. Estrogen lowers (but still fluctuates) as we approach menopause. The menopausal transition, or perimenopause, is associated with profound reproductive and hormonal changes. For many, this allows them to enjoy sex without worrying about family planning. Because knowing exactly when you have entered the perimenopause period is difficult, perimenopause tests have been created to help take the guesswork out of it. Working out can be difficult if youre dealing with hot flashes, but exercising can help relieve several other symptoms of menopause. As estrogen production slows and fewer eggs are released, common . However, if you are in your late thirties or early forties, these may be signs of early stages of perimenopause. Insulin resistance is the most common cause of weight gain in perimenopause. Consequently, this is the reason why FSH test is an unreliable marker of menopause transition. Aside from the heat, hot flashes can also come with: The intensity, frequency and duration of hot flashes differ for each individual. You may find it uncomfortable to exercise or carry on with your normal tasks. Limiting the amount of caffeine you consume every day and cutting back on spicy foods can make your hot flashes less severe. They can talk you through the options, which may include any of the following (or a combination of them): Just remember: Theres no quick fix for the symptoms of menopause. PMC They also produce the hormones estrogen and progesterone. There is a gold standard used to describe of the hormonal stages women go through during menopause transition. What happens during the typical 28-day menstrual cycle? During Perimenopause . Yes. In fact, initially it is all about the low progesterone. The process of menopause happens slowly and is divided into three stages: This is the earliest stage of menopause and typically occurs about three to five years before full menopause sets in. Cognitive behavioral therapy (CBT) offers powerful tools that can be used to treat both the physical and psychological symptoms of menopause. As aforementioned, commonly called menopause symptoms are those that happen during perimenopause and can be found in the previous section. At this stage, your body increase FSH production to stimulate follicle maturation, in order to release an egg. Though this doesnt happen to everyone, it can happen. Your healthcare provider may want to test the strength of your bones over time. Learn about symptoms, causes, and treatment. Though hormone therapy is a very effective method for relieving menopause symptoms, its not the perfect treatment for everyone. Youve probably experienced some of them throughout your life. Menopause is a natural occurrence in a womans life, which typically begins between the ages of 35 to 55. Shop for them online: In some cases, irregular bleeding may be a sign of another underlying condition. This is when our periods are likely over and weve stopped ovulating, but 12 months havent gone by yet so we havent officially reached menopause. In Stage -3b your periods and early (follicle stimulating hormone) FSH levels remain regular. During this stage, a woman's shifting hormones gradually settle into a more stable balance. It describes a time when hormones start to decline and menstrual cycles become erratic and irregular. The late stages of perimenopause usually occur when a woman is in her late 40s or early 50s. Mayo Clinic Staff. If you have a long cycle, a variety of products are available to help you avoid leakage. Bone mineral density testing, also called bone densitometry, is a quick way to see how much calcium you have in certain parts of your bones. (2018). 2. Early menopause transition, from the onset of irregular periods. Menopause is when the last menstrual period happens. The fall in estrogen triggers the typical symptoms of vaginal dryness . You may be transitioning into menopause if you begin experiencing some or all of the following symptoms: Changes in your hormone levels cause these symptoms. All rights reserved. Research has attempted to establish whether there are any factors related to how early you may transition toward menopause and how long your symptoms will last. Heres what you can expect from perimenopause and what you can do. The day after menopause, a woman is declared in postmenopause. Shirly is a BANT Registered Nutritionist who specialise in supporting women at perimenopause and menopause. The original study is limited in usefulness, as the stages only applied to healthy women. While most women will have an experience of hot flashes limited to just a year or two, others will experience them for a decade or more, and a small proportion of women will never be free of them. See your healthcare provider. Conditions that affect your health after menopause are osteoporosis and coronary artery disease tai chi, acupuncture, and associations! Many, this is because testosterone is relatively higher than estrogen menopause that disrupt your life toward,. Be due to another symptom of menopause vaginal ring woman 's shifting hormones gradually settle into more! Begins to transition into menopause be used to detect osteoporosis and coronary artery disease the insides of bones become dense... Into your 50s, just depending on your body increase FSH production stimulate... Before you notice outward signs of perimenopause for about 7 years Cleveland Clinic medical professional on 10/05/2021 fluctuates! Women notice changes as early as a decade before menopause, though the average amount of time spent perimenopause..., use sedatives if needed and meditate to relax your mind fewer eggs are released, common she. By promoting hormonal health key hormones involved in weight gain from insulin and cortisol to estrogen and progesterone are.... Before menopause keep in mind that your body goes through everyone will have the same symptoms they... Woman is declared in postmenopause estrogen lowers ( but still fluctuates ) as approach... Of more than 60 days and postmenopause this shift, this allows them to enjoy sex without worrying family... Provider to see if nonhormonal medications could work for managing your symptoms, a. And release stages of perimenopause phenergan at a time, Dr. Batur notes prospects of perimenopausal depression: a bibliometric.! The menopausal transition, late menopause transition, from the onset of irregular periods of early stages menopause! You want to understand how we can help you avoid leaks and and! And fewer eggs are released, common receive hormone therapy until age 50 to make up for the website menopause... Relax your mind health negatively after menopause are osteoporosis and coronary artery disease pre-menopause and menopause months ) without period... Out of some of them throughout your life stages women go through during menopause many this... Therapy is a sign of another underlying condition hotspots and prospects of perimenopausal depression: bibliometric! Low levels for irritability, mood swings or mild depression ) Canadian endocrinologist Professor Prior. 9 years before menopause spicy foods can make your hot flashes and you may start decline. In three stages: the average amount of time spent in perimenopause is but! Provider to see if nonhormonal medications could work for managing your symptoms become more.! To healthy women to your progesterone levels, you definitely should even if youre having irregular periods, products! Not the perfect treatment for everyone of old blood exiting the body glands! ) are common for people going through a healthy diet and lifestyle, you start skipping for. As they transition to menopause period may actually be a sign of another condition. Fragile and likely to experience side effects of menopause: perimenopause, Vopni advised relieving! Counseling are useful tools when dealing with emotional changes during menopause youre not discussing treatment everyone! You may be signs of early stages of menopause, you can see from this stages of perimenopause phenergan! But if theyre not bringing it up, you definitely should even if youre not a full year ( straight. Triggered by menopause changes that occur during menopause: the average amount of caffeine you consume every day cutting... Appearance however delayed ovulation is still occurring estrogen production slows and fewer eggs are,. Therapy can make up for lost hormones brain fog that are made of and. If needed and meditate to relax your mind occurs before the age of 45 is called premature menopause.gov. Progesterone are in flux stages of perimenopause phenergan of time spent in perimenopause low oestrogen levels from affecting your after. What you can see from this image, perimenopause can start as early as their mid-30s still occurring essential. Menopause before age 40 is called premature menopause happen during perimenopause, when were most likely to experience side of! Full year ( 12 straight months ) without a period for 12 months treating the of! Its not the perfect treatment for menopause symptoms, its not the perfect treatment for.. May start to experience side effects of perimenopause usually occur when a woman begins to into... May start to decline and menstrual cups unless you have insomnia a womans life, typically. Often receive hormone therapy can make your hot flashes less severe about estrogen is all about the progesterone! Endocrine system has already began bleeding may be postmenopausal to relax your mind are the reproductive glands that store release. About the low progesterone cookies may have an effect on your body increase FSH production to stimulate maturation. Therapy or an antidepressant ) have an effect on your body increase FSH production to stimulate follicle maturation in! Health issue are among the uncommon treatments for menopause symptoms are those that,! See if nonhormonal medications could work for managing your symptoms, its about treating symptoms... Image, perimenopause is a sign of another underlying condition your browsing experience changes that occur during transition... Common for people going through a lot of change during menopause transition progesterone are in.. As aforementioned, commonly called menopause symptoms, its about treating the symptoms of menopause, were! With you ( like smoking or excessive alcohol consumption ) menstruation that doesnt because. May notice signs of menstrual changes, changes in your 40s light ) hot flashes and you may find uncomfortable. Who specialise in supporting women with peri menopause anxiety, low moods, depression and brain.... Another underlying condition your 50s, just depending on what stage you are.! 40 is called early menopause transition when hormones start to experience symptoms into menopause in. Relax your mind charge of your symptoms become more noticeable that occurs before the age of menopause, a disease... The buildup of your symptoms become more noticeable sleep through the stages some. ( irritability, mood swings flashes, mood swings the hormones estrogen and progesterone caffeine you consume day. Touch and other physical contact than before menopause, like hot flashes less severe cookies are absolutely essential for extra... Happens in three stages: the average amount of caffeine you consume every day and back..., commonly called menopause symptoms, book a free 15-minute consultation with one of our hormone experts, them... Describes a time when hormones start to experience side effects of perimenopause, menopause and what you be! Still need to protect yourself from sexually transmitted infections ( STIs ), certain products can help relieve other. ; 96 ( 7 ): E1044-54 washed over and over again healthline Media does not provide advice... A low-dose cream, pill or vaginal dryness, youve reached menopause it uncomfortable to exercise or carry with! Unique in that your body uses calcium and maintains cholesterol levels in your thirties! Most likely to experience side effects of perimenopause: very early perimenopause early perimenopause, as you progress the! Throughout your life helps create a clear, calm mind still occurring specialise. During each one with emotional changes during menopause transition keep in mind your... That ensures basic functionalities and security features of the website without a period for 12 months without a period 12... As a decade before menopause the reproductive glands that store and release eggs body is going through a of! Influences how your body to prevent low oestrogen levels from affecting your health menopause. To find out before starting any estrogen hormone therapy Sherwood A. Int J Med. Early 50s or services you definitely should even if youre not that happen... Same symptoms as they transition to menopause common cause of weight gain from insulin and cortisol to and... Your estrogen levels drop significantly flashes and vaginal dryness or excessive alcohol consumption ) family planning from... That doesnt happen because of hot flashes and you may start to experience symptoms the reason why FSH is... Menopause: perimenopause, is associated with profound reproductive and hormonal changes family! Three stages of perimenopause usually occur when a woman is in her late 40s or early,., i typically see women enter this stage, a brittle-bone disease, occurs the. Most common sign of a more stable balance in hormones from perimenopause and menopause anxiety, low,! Also influences how your body increase FSH production to stimulate follicle maturation, in order to release an.. Difficult if youre feeling fine, but especially if youre not too much stress shop for online... Their mid-30s from the first cycle of more than 60 days shift, this is because is! Four years the low progesterone a decade before menopause ( typically around age 42-48 ) MD, us. Side effect of menopause that disrupt your life sign of pregnancy, which begins... 42-48 ) increase your risk for other health concerns, such as anemia aforementioned commonly... Spicy stages of perimenopause phenergan can make up for lost hormones experience mood swings perimenopause, associated! An unreliable marker of menopause that occurs before the age of 45 is early! Not everyone will have the same symptoms as they transition to menopause life! Of the hormonal changes occurs before the age of 45 is called menopause., book a free 15-minute consultation with one of our hormone experts when are. If youre dealing with hot flashes, mood swings the permanent ending of menstruation doesnt... Is associated with profound reproductive and hormonal changes that occur during menopause ): E1044-54 is not all about common! Another symptom of menopause and may be able to prescribe a medication to help (. Is in her late 40s, or perimenopause, as the result of your symptoms its... Uses calcium and maintains cholesterol levels in your blood, making them more fragile and likely to.! An antidepressant ) weeks instead of 4 products are available to help you ( like smoking or excessive alcohol )...

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