@pagingdrfran: 1. It can happen earlier than you assumed. Perimenopause is the 5-7 years before menopause (which is defined as 12 months without a period). The average age of menopause in the US is 52, so for many, perimenopausal symptoms start in their early 40s 2. Irregular periods are the most consistent sign of perimenopause. Vasomotor symptoms (hot flashes, night sweats) are also common though, and often more disruptive on the daily 3. Perimenopause affects all parts of us, not just our periods. Other symptoms my patients experience are mood swings, brain fog, and joint pain. 4. Yes, you can still get pregnant. While your ovulation may be irregular, you likely are still ovulating, so you can definitely still get pregnant while in perimenopause. Contraception is recommended - some birth control pills even help some patients with perimenopausal symptoms! 5. We have both hormonal and non-hormonal options, in systemic and local forms. While natural, perimenopause is disruptive. Book a problem visit (don’t save for your annual preventative care visit!) to discuss options with your gynecologist or primary care physician. #perimenopause #menopause #hormonereplacementtherapy #meded #obgyn

Paging Dr. Fran
Paging Dr. Fran
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Wednesday 01 July 2026 21:05:01 GMT
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banannie96
anniehallman96 :
Can you go into early menopause after a hysterectomy (if ovaries are spared)
2026-07-02 00:44:16
0
niki_was_there
Blackthorn Crow :
I just started HRT and holy cow do I feel so much better!
2026-07-02 00:09:19
4
jck1015
jess :
I was told I didn't have PMDD because my mood was always low (MDD diagnosis)- that if I had PMDD it would just be the week before my period :/ I'm pretty sure I'm in peri but that was promptly ignored. I still got the Yaz I wanted but idk that just felt wrong about the pmdd that JUST started in the last year.
2026-07-02 10:16:48
0
daringpineapple
kate 🆘🇺🇸 :
My gyn won’t touch my peri because of a blood clot 25 years ago 😭
2026-07-01 23:50:08
0
goldengirl2707
Janice G :
Mine started two years ago! My periods are wonky, I’ve tried 6 different sleep meds, and gained 20 lbs!! That’s on top of smaller things like night sweats and joint pain!!! I can’t wait for it to be over 😩😩😩😩
2026-07-01 22:38:19
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mdefazi1
MDefazi1 :
Am I the only 50 yr old still on BCP? It crept up on me and now I feel stuck. I don’t know what to do 🥴
2026-07-02 01:32:41
0
4people4pets
4people4pets :
I haven't had a period (even post partum) for 15 years. I've had an IUD, been lucky enough to get pregnant quickly. And then put the iud back in promptly post partum. I have no idea how to figure out if I'm "missing" periods 🙄
2026-07-01 23:32:05
1
cleverlittlecat
cleverlittlecat :
Uhm what can I do to stop the constant itching?
2026-07-02 01:17:20
1
doulasoftheroundtable
Doulas of the Roundtable :
Started HRT a few weeks ago. Patch and micronized progesterone. Patiently waiting to see improvement!
2026-07-03 12:57:57
0
grillogirl
o :
ok but how do you know you're in perimenopause when you had a hysterectomy but still have your ovaries
2026-07-02 04:37:07
0
rachel.sanders6
Rachel Sanders :
I got a prescription for progesterone pills and estrogen patch a month ago but can’t start it because no pharmacy has the patch. 🙃 Also, my WHNP told me there’s no prescription that will treat my total lack of libido. Is that true?
2026-07-02 06:49:59
0
chainlesssoul
Vicki 🇨🇦 :
I am 41, thank you for this info as it is something I have been thinking about.
2026-07-02 03:07:26
0
taekookalicious
Grace Flower :
I wake up every god damned day at 3am. Everyday.
2026-07-02 00:29:00
0
chilequeen1984
Nic :
My insomnia is insane and while I am overweight, I get so hot at night when I sleeping.
2026-07-02 08:27:59
0
donnerdinnerparty
DonnerDinnerParty :
And neurodivergent women can experience it up to a DECADE sooner than their NT counterparts.
2026-07-01 22:44:59
0
emilyseeligr
emilyseeligr :
HRT is a game changer
2026-07-02 12:16:28
0
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