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Re: Perimenopause?

From: M. Kelly Shanahan, MD, (anonymous@obgyn.net)
Sat, 26 May 2001 09:05:31 -0500 (CDT)


At Thu, 24 May 2001, anonymous@obgyn.net wrote: >
>I recently turned 37. Since getting off the pill 3 yrs ago, I have had
>PMS (breast tenderness). Also, have been uncertain about ovulation as
>pain and increased temperature associated with ovulating disappeared
>(versus pre-pill). Always had perfect 28 day cycles though, also before
>pill. Never missed a single one.
>
>Until now: Had no PMS or period this month, only 1 day of spotting 1
>week before expected period. This has never happened before. I am not
>pregnant. Can this be perimenopause symptom?

yes

If not, then what?

any host of things including pregnancy (if you are having sex, pregnancy is always a possibility) >
>Can recent changes in lifestyle have contributed?

yes

In April, I decided to >change my life from around 90 hr work weeks with 3-4 days of travel/week
>and appalling eating habits. Now I excercise (walk) 5 times a week, eat
>regularly and work less.
>
>I have experienced minor dizzyness and irregular sleeping for years but
>attributed it to constant jet lag and stress. Doctors agreed.
>
>May I have ignored signs of perimenopause?

lots of women chalk up perimenopause to other things

If so, is this not a bit >early, my mom was late 40s?

no, perimenopausal symptoms can start in hte late 30s

What may implications be on >fertility/chances for continued future ovulation?

you probably are not ovulating regularly, which lowers fertilty, just like it does in every other over 35 year old woman

- Or might this be my >body in shock over my recent attempts to take care of it?

yes >
>Grateful for your answer

--
M. Kelly Shanahan, MD, FACOG
South Lake Tahoe, CA

author, Your Over-35 Week-by-Week Pregnancy Guide available in all major bookstores and on-line at amazon.com http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069

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