WOMENS-HEALTH Messages for May, 1997: Re: Perimenopause

Re: Perimenopause

From: Kelly (anonymous@obgyn.net)
Sat, 31 May 1997 23:13:20 -0500 (CDT)

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In reply to: Harvey S. Marchbein, M.D.: "Re: Perimenopause"

At Fri, 30 May 1997, Harvey S. Marchbein, M.D. wrote: >>
>Talented and lovely Dr. Shanahan (get a load of the picture in her
>California OBGYN.net rep page ;-) ) is right, as usual. I'd just like
>to add one thing. Although what you complain about can be ascribed to
>perimonopausal changes, it may also be.......and I truly hate the term,
>PMS. Classic timing (age: late thirties to early/mid forties) for many
>symptoms such as you describe coming around the mensrual cycle can be
>"PMS" and to a much less chance, thyroid irregularity.

Dear Dr. "Harvel the Marvel"

Flattery will get you everywhere :-)

You are quite correct in reminding us that PMS can cause similar symptoms and may not manifest itself until the late 30s or early 40s. (I guess I have to keep my fingers crossed for the next decade!)

>What I normally recommend (if not for you then for others who wish to
>consider PMS as a problem they have) is: Diet high in carbohydrates and
>low in protein, fat, salt & sugar. No caffeine (if heavy user,
>decaffeinate over a two week period or *you'll be sorry*) and no alcohol
>(questionabel data). B-6 100mg twice a day every day (questionable
>data, but at that dose it can't hurt...maximum 200mg per day......higher
>doses can cause reversible peripheral neuropathy) and most
>important........aereobic exercise (anything aerobic, not just
>"aerobics") 30-40 minutes 4-5 times a week. Even without PMS this is
>probably a healthier way to live than most people follow.

Excellent advice for all of us, female or male. I'd also suggest essential fatty acid supplements (evening primrose oil, borage oil or flaxseed oil) >

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

Next message: Holly: "Re: Wish List"
Previous message: Kelly: "Re: HCG number are back"
In reply to: Harvey S. Marchbein, M.D.: "Re: Perimenopause"

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