By Juliana M. Kling, MD, MPH as advised to Alexandra Benisek 

Within the WebMD webinar “Transferring Past Sizzling Flashes: Remedy Choices for Signs of Perimenopause and Menopause,” Juliana M. Kling, MD, MPH, answered viewer questions on hormone remedy, menopause signs, intercourse throughout menopause, and extra. 

It relies upon. Additionally referred to as vasomotor signs, these are likely to final 7-10 years. However some individuals have signs for longer. For instance, Black individuals typically have longer vasomotor signs throughout menopause. 

While you cease hormone remedy, you might discover that your sizzling flashes come again. In the event that they’re extreme, you might think about restarting hormone remedy (in case your physician finds that it’s a wholesome possibility for you) otherwise you may attempt a non-hormone remedy. 

Or you might not have returning sizzling flashes after stopping hormone remedy. The vital factor to know right here is that treating your sizzling flashes through the menopause transition doesn’t delay you going by way of menopause. 

No. When you cease your contraception tablets and see perimenopause or menopause signs, it might be that you just’re in perimenopause or menopause (not due to oral contraceptives, however due to your age and whenever you stopped utilizing them). 

Because you’re nonetheless prone to being pregnant up till 12 months previous your final menstrual cycle (the definition of menopause), you might determine to proceed oral contraceptives to forestall being pregnant, in addition to deal with your perimenopausal signs. 

Possibly. Some individuals may have this remedy for greater than 5 years. 

However pointers say it is best to use the perfect dose for the perfect period of time to deal with your menopausal signs. There shouldn’t be a random age cutoff for hormone remedy throughout menopause.

The fitting time to cease this remedy is completely different for every individual. Discuss to your physician to determine the fitting time for you.

When you begin remedy, you and your physician can take a look at the dangers and advantages of continuous hormone remedy annually. This could go hand-in-hand with age-appropriate most cancers screening and wholesome way of life habits together with common train, a heart-healthy food plan such because the Mediterranean food plan, minimal or no alcohol, and no tobacco use. 

Discuss together with your physician about your signs. They might examine for different causes of your signs. In case your age, menstrual cycle historical past, and signs match up with perimenopause or menopause, then that’s most likely your prognosis. You and your physician can discuss your choices for remedy. 

It could be an possibility for you after your physician appears over the dangers and advantages. When you’re perimenopausal, you might discover adjustments in your migraines throughout your menstrual cycles (menstrual-related migraines). 

Your migraines could worsen throughout perimenopause. Beginning hormone remedy could enhance your perimenopausal or menopausal signs. You could discover that your migraines get higher after menopause.

The signs that generally occur throughout menopause (like sizzling flashes, evening sweats, sleep disturbance, vaginal dryness, cognitive fog, and irritability) can both immediately or not directly impression intercourse. 

For instance, our group has studied the connection between sleep and sexual functioning. We discovered that poor sleep high quality places you at greater threat of sexual dysfunction. 

The genitourinary syndrome of menopause – which impacts your genitals and urinary organs – usually begins about 2-3 years after your final menstrual cycle. This may trigger vaginal dryness, which might trigger you to have ache throughout intercourse. 

It is vital to know that intercourse ought to by no means be painful. You need to use lubricants, in addition to vaginal moisturizers recurrently, to assist with these signs. You could want to begin a low dose of vaginal estrogen to assist together with your signs. These are protected and can be utilized long run. They don’t enhance your threat of breast most cancers, blood clots, coronary heart assaults, or strokes.

Sexual well being is a crucial a part of total well being. So in the event you’re experiencing sexual issues, speak together with your physician so you will get checked and handled. 

Perimenopause is a time when you might develop depressive signs, particularly when you’ve got a historical past of hysteria or temper issues. We see an elevated threat of signs and prognosis throughout this time.

Discuss to your medical doctors about your choices for remedy. They might embody cognitive behavioral remedy (CBT) and drugs reminiscent of antidepressants. Throughout perimenopause, you might profit from hormone remedy to assist your temper.

The very best remedy for you can be primarily based on the specifics of your state of affairs. 

Sure. The FDA approves hormone remedy, together with different related FDA-approved remedies. It’s coated by most insurance coverage firms. 

Go to the North American Menopause Society web site and seek for a licensed menopause practitioner. 

Right here, you’ll enter details about the state or nation you reside in. Then, you’ll get an inventory of menopause specialists close to you.


Watch the webinar right here.

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