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Perimenopause: It’s not for the Weak or Faint of Heart

Posted Mar 09 2012 1:00am

I recently gave a Q & A interview for a women’s health blogging site. The interviewer asked me what the top three pieces of advice are that I would give to a woman entering perimenopause.

You might think the best advice would revolve around whether one should consider hormone replacement therapy or not. Or what kind of natural herbal remedies might one take for hot flashes or night sweats?


Should you see a gynecologist or an endocrinologist instead? What books should you read? What websites should you go to? Are bioidentical hormones really all they are cracked up to be? Certainly, these are important questions, and the answers are equally as important.

But, the answers for these types of questions rise nowhere near to the level of the top three pieces of advice I would offer a woman entering perimenopause. Finding answers to these types of questions is as easy as a five minute Google search.

But, what is not so easy to find is an assurance that you’re going to be okay. That you are not going crazy. That you’re going to come out on the other side and feel normal again; even though life as you had always known it will no longer be the same.

I believe that the psychological and emotional components of perimenopause are by far the most defining and life altering elements of the experience. I also believe they are the most overlooked by the medical community, who seems much more interested in addressing the physical symptoms.

I do agree that it would be so much easier to treat perimenopause if we could simply reduce the experience to a clearly defined set of physical symptoms. But, treating perimenopause as if it is nothing more than a collection of physical and biological changes, is like trying to experience a musical concert by breaking it down into the components of music theory. The whole is definitely greater than the sum of its parts

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