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Preparing for the Perimenopause and Menopause: No. 1 Sunday Times Bestseller (Penguin Life Expert Series)

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But HRT helps even out the fluctuations of hormones that can be causing the problem. We also know that part of the cause of PMS or PMDD is the sensitivity of a woman’s brain to these hormonal fluctuations, and HRT can help with this too.’ For those who have moderate PMS symptoms, the next step recommended in NAPS guidance is a combined oral contraceptive pill, such as Yasmin. This should be taken continuously without a break for the most benefit. Cognitive behavioural therapy (CBT) is a type of talking therapy that can help with a low mood and feelings of anxiety. It can also help with sleep problems. How to ease hot flushes and night sweats

No two people are going to go through menopause in exactly the same way,” explains Dr. Chhanda Dutta, who oversees clinical aging research at NIH. “Different women go through menopause with different kinds of symptoms, and we’re trying to give them options for how they can manage them.” Waves of Heat There are also treatments that your doctor can prescribe to improve your quality of life. These include: Dr Louise Newson is a GP and when she went through her own menopause decided to research more into it and set up her own app and private clinic. This book gives you a clear guide on why the menopause happens and possible symptoms. It also gives you info about various treatments with the focus being on HRT but it also talks about supplements, diet, mental health and exercise. Newson also talks about early menopause and how that needs to be treated differently as well as going through the menopause while having cancer. Before you see a healthcare professional, keep a dairy of your symptoms and menstrual cycle for a month. During the perimenopause, your hormone levels change and your ovaries start to produce fewer eggs. Once you haven’t had a period for 12 months or more, you’ve officially reached the menopause.In people who have hot flashes at night, their sleep is disrupted throughout the entire night. It’s like a ripple of a sleep irritation throughout the whole night,” Joffe says. A woman may feel tired the next day as a result.

Dr Newson empowers women to confidently take charge of their health and their changing bodies. It's never too early to learn about perimenopause or menopause and this essential book will equip you with everything you need to know. For most women, progesterone has calming, anti-anxiety (anxiolytic) properties when it acts on the GABA receptors in the brain. But some women are particularly sensitive to progesterone, known as progesterone intolerance, and the hormone can have a paradoxical effect of worsening mood and anxiety. Typically, menopause occurs between ages 45 and 55. This means women can expect less frequent periods and other symptoms at some point during their 40s. But it’s different for every woman. There’s no lab test to predict when in life it will start or how easy it will be. Drawing on new research and empowering patient stories from a diverse range of women who have struggled to secure adequate treatment and correct diagnosis, Dr Newson will equip you with expert advice on the common and 'taboo' symptoms to look out for, HRT treatment options, early menopause, getting a good night sleep, optimising your nutrition in the menopause and more! Some people start experiencing the perimenopause before they are 40. This can be as a result of medical treatments, such as surgery to remove the ovaries, but sometimes there’s no cause. If you think you’re experiencing the perimenopause before you’re 40 then you must speak to your doctor. What are the signs of the perimenopause?There's a lot of emphasis on HRT and nothing really new that I didn't already know from having other books about wellbeing. There is some very general mention of the value of yoga, mindfulness, how to get good sleep, good diet and CBT but the whole book just felt like an advertisement for HRT. It's good to know there is such a thing in case I need it, but for the same reason I hated being on the pill, I would like to avoid it if at all possible. If you don’t want to become pregnant, you should use contraception until your doctor says it’s safe to stop. The right contraceptive for you depends on your age, symptoms and needs. Talk to your doctor about your options. Preparing for the menopause For women who are perimenopausal, HRT will often bring other useful benefits and help with other menopausal symptoms that the Pill won’t,’ says Dr Ward. ‘It will also help protect your future risk of osteoporosis and cardiovascular disease. During midlife, women may start having trouble sleeping because of changes in hormone levels. Hot flashes and night sweats can also cause women to wake up.

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