Our renowned menopause expert addresses perimenopause signs & available treatment options
Many women don’t know what to expect during perimenopause, which is a time that can present unpleasant changes in the body before menopause. Dr. Nanette Santoro talked to The New York Times about these often shocking perimenopause signs and possible treatments.
“Most women will report a heat sensation that starts in their head and moves down their body,” said Dr. Santoro of experiencing hot flashes, a common perimenopause sign. What causes them isn’t completely understood, but fluctuations in estrogen levels that occur during perimenopause may lead to temperature changes. “The hormones don’t just slowly trickle down to nothing,” she said. “They’re on a bit of a rollercoaster.”
Perimenopause signs can also include genital urinary symptoms, which require treatment. Dr. Santoro explained that the primary prescription treatment is vaginal or local estrogen, which is available in vaginal rings, creams and inserts. Many women may also alleviate symptoms by using over-the-counter vaginal moisturizers and lubricants.