WOMENS-HEALTH Messages for June, 1998: Re: Symptoms of Peri-menopause

Re: Symptoms of Peri-menopause

From: anonymous@obgyn.net
Wed, 03 Jun 1998 13:28:55 -0500

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Lauren, Hope this helps!

This list of the signs of peri-menopause and menopause was developed by women on the Internet 'Menopaus' mailing list, based at St. John's University. The Symptoms: 1.Hot flashes, flushes, night sweats and/or cold flashes, clammy feeling 2.Bouts of rapid heart beat 3.Irritability 4.Mood swings, sudden tears 5.Trouble sleeping through the night (with or without night sweats) 6.Irregular periods; shorter, lighter periods; heavier periods, flooding; phantom periods, shorter cycles, longer cycles 7.Loss of libido (see note) 8.Dry vagina (see note) 9.Crashing fatigue 10.Anxiety, feeling ill at ease 11.Feelings of dread, apprehension, doom (see note) 12.Difficulty concentrating, disorientation, mental confusion 13.Disturbing memory lapses 14.Incontinence, especially upon sneezing, laughing; urge incontinence (see note) 15.Itchy, crawly skin (see note) 16.Aching, sore joints, muscles and tendons (see note) 17.Increased tension in muscles

18.Breast tenderness 19.Headache change: increase or decrease 20.Gastrointestinal distress, indigestion, flatulence, gas pain, nausea 21.Sudden bouts of bloat 22.Depression (see note) 23.Exacerbation of existing conditions 24.Increase in allergies 25.Weight gain (see note) 26.Hair loss or thinning, head, pubic, or whole body; increase in facial hair 27.Dizziness, light-headedness, episodes of loss of balance 28.Changes in body odor 29.Electric shock sensation under the skin and in the head (see note) 30.Tingling in the extremities, (see note) 31.Gum problems, increased bleeding 32.Burning tongue, burning roof of mouth, bad taste in mouth, change in breath odor 33.Osteoporosis (after several years) 34.Changes in fingernails: softer, crack or break easier NOTES: Symptom 1 (flashes) Hot flashes are due to the hypothalamic response to declining ovarian estrogen production. The declining estrogen state induces hypophysiotropic neurons in the arcuate nucleus of the hypothalamus to release gonadotropin-releasing hormone (GnRH) in a pulsatile fashion, which in turn stimulates release of luteinizing hormone (LH). Extremely high pulses of LH occur during the period of declining estrogen production. The LH has vasodilatory effects, which leads to flushing. Symptom 7 (loss of libido) For some women the loss is so great that they actually find sex repulsive, in much the same way as they felt before puberty. What hormones give, loss of hormones can take away. Symptom 8 (dry vagina) results in painful intercourse Symptom 11 (doom thoughts) includes thoughts of death, picturing one's own death Symptom 14 (incontinence) reflects a general loss of smooth muscle tone Symptom 15 (itchy, crawly skin) feeling of ants crawling under the skin, not

just dry itchy skin Symptom 16 (aching sore joints) may include such problems as carpal tunnel syndrome Symptom 22 (depression) different from other depression, the inability to cope is overwhelming. There is a feeling of loss of self. Hormone therapy ameliorates the depression dramatically. Symptom 25 (weight gain) often around the waist and thighs, resulting in 'the disappearing waistline' Symptom 29 (shock sensation) "the feeling of a rubber band snapping in the layer of tissue between skin and muscle. It is a precursor to a hot flash" Symptom 30 (tingling in extremities) can also be a symptom of B-12 deficiency, diabetes, alterations in the flexibility of blood vessels, or a depletion of

potassium or calcium Some of the 34 signs may also be symptoms of one of the following: • hypothyroidism • diabetes • depression with another etiology • other medical conditions If you have reason to believe you may have one of these conditions, please see your doctor for treatment.

Yes you can still get pregnant!!!! lauren wrote:

> Are there any symptoms of peri-menopause? If one is in peri-menopause,
> can one still get pregnant before menopause begins?
>
> My story is: had my first child 14 months ago at the age of 31. I
> breastfed till he was nearly 1 year. I started getting my period again
> three months ago. The first two cycles were 42 days. This current
> cycle is likely to be between 33 and 35 days (judging by when I ovulated
> - I get mittelschmertz and I'm aware of the changes in mucous, so I can
> tell when it has happened). My cycle was always 31 to 33 days in the
> year before I got pregnant. Before that, I was somewhat irregular due
> to running 40 plus miles per week coupled with being thin. I want to
> get pregnant in the next 18 months, and I want to be sure that I'm not
> squandering my fertility.

Next message: Russ: "breast pain/ pregnancy"
Previous message: anonymous@obgyn.net: "Re: Progesterone & Testosterone"
Maybe in reply to: lauren: "Symptoms of Peri-menopause"

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