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==Overview==
==Symptoms of perimenopause==
==Symptoms of perimenopause==
As the body adapts to the changing levels of natural [[hormone]]s, [[vasomotor]] symptoms such as [[hot flash]]es and [[palpitation]]s, psychological symptoms such as [[Clinical depression|depression]], [[anxiety]], irritability, [[mood swing]]s and lack of concentration, and atrophic symptoms such as vaginal dryness and urgency of urination appear. Together with these symptoms, the woman may also have increasingly erratic menstrual periods.   
As the body adapts to the changing levels of natural [[hormone]]s, [[vasomotor]] symptoms such as [[hot flash]]es and [[palpitation]]s, psychological symptoms such as [[Clinical depression|depression]], [[anxiety]], irritability, [[mood swing]]s and lack of concentration, and atrophic symptoms such as vaginal dryness and urgency of urination appear. Together with these symptoms, the woman may also have increasingly erratic menstrual periods.   

Revision as of 00:06, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Symptoms of perimenopause

As the body adapts to the changing levels of natural hormones, vasomotor symptoms such as hot flashes and palpitations, psychological symptoms such as depression, anxiety, irritability, mood swings and lack of concentration, and atrophic symptoms such as vaginal dryness and urgency of urination appear. Together with these symptoms, the woman may also have increasingly erratic menstrual periods.

These perimenopause symptoms are caused by an overall drop, as well as dramatic but erratic fluctuations, in the levels of estrogens, progestin, and testosterone. Some of these symptoms such as formication etc, may be associated with the hormone withdrawal process.

Vasomotor instability

Urogenital atrophy

Skeletal

Skin, soft tissue

  • Breast atrophy
  • Skin thinning
  • Decreased elasticity
  • Formication, a sensation of pins and needles, or ants crawling on or under the skin

Psychological

Sexual

A cohort study found that menopause was associated with hot flushes; joint pain and muscle pain; and depressed mood.[1] Menopause was not associated with poor sleep, decreased libido, and vaginal dryness.[1]

References

  1. 1.0 1.1 Freeman EW, Sammel MD, Lin H; et al. (2007). "Symptoms associated with menopausal transition and reproductive hormones in midlife women". Obstetrics and gynecology. 110 (2 Pt 1): 230–40. doi:10.1097/01.AOG.0000270153.59102.40. PMID 17666595.


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