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Most often, menopause happens over time. The months or years leading up to menopause are called perimenopause or the menopausal transition. During the transition, the amount of hormones your ovaries make varies. Perimenopause can last 2 to 8 years. The average is about four years. The hormone changes can cause symptoms such as: Irregular periods.
Throughout the menopausal transition, some subtle — and some not-so-subtle — changes in your body may take place. You might experience: Irregular periods. As ovulation becomes more unpredictable, the length of time between periods may be longer or shorter, your flow may be light to heavy, and you may skip some periods.
Estrogen therapy works best for easing menopausal hot flashes. It also eases other menopause symptoms and slows bone loss. Your healthcare professional may suggest estrogen in the lowest dose and for the time needed to relieve your symptoms. It's best used by people who are younger than 60 and within 10 years of the onset of menopause.
La menopausia es natural. Pero los síntomas físicos, como los sofocos, y los síntomas emocionales de la menopausia pueden alterar el sueño, disminuir la energía o afectar al estado de ánimo.
The reality of menopause weight gain. Many women gain weight as they age, but extra pounds aren't inevitable. To help ease weight gain, step up your activity level and enjoy a healthy diet.
If you have lasting menopausal symptoms that significantly impair your quality of life, your doctor may recommend longer term treatment. Seek regular follow-up care. See your doctor regularly to ensure that the benefits of hormone therapy continue to outweigh the risks, and for screenings such as mammograms and pelvic exams.
Vaginal dryness can be a problem for many people after menopause. Vaginal dryness is the main symptom of what's called genitourinary syndrome of menopause.
Treatment. Medications are often used to treat perimenopausal symptoms. Hormone therapy. Systemic estrogen therapy — which comes in pill, skin patch, spray, gel or cream form — remains the most effective treatment option for relieving perimenopausal and menopausal hot flashes and night sweats.
Menopausal hormone therapy is the most effective tool for treating hot flashes and night sweats associated with menopause. It also can help to prevent osteoporosis. "This new medication shouldn't replace hormone therapy," says Dr. Kling. "Hormone therapy remains the most effective treatment for hot flashes and night sweats.
An expanding waistline is sometimes considered a price of getting older. For women, this can be especially true as body fat tends to shift to the abdomen after menopause.