Cornerstone Clinics


Allergies have become increasingly common. People can be allergic to a vast array of

products including medication, foods, pollen, household products and chemicals and

many more. Sometimes it is difficult to know exactly what is causing allergic reactions

and other times it is very obvious. You may need further tests to find out what you are

allergic to, which a family physician can organise.

What is Perimenopause?

Menopause occurs when women stop having periods and producing eggs. It can happen as early as 35 or as late as 60 but usually around the age of 51. The lead-up to menopause is called perimenopause and the first sign is a dramatic change in the pattern of the menstrual cycle. After 12 months of no periods, it is officially called menopause.

Perimenopause refers to the time during which the body makes the natural transition to menopause and can start from a few months before menopause to up to 10 years before. At this stage, women may start to experience menopause symptoms.

Symptoms of Perimenopause

Menstrual Changes:

  • Late reproductive years: Menstrual cycles shorten (cycles get closer).
  • Menopausal transition: shorter cycles → longer cycles → very irregular/sporadic cycles and final menstrual period.

Vasomotor Symptoms:

  • Hot flushes
  • Occur in 50%–90% of women
  • Usually, it last 1–5 minutes, but may last up to 45 minutes
  • Night sweats can significantly disrupt sleep and cause chronic fatigue
  • Breast tenderness

Emotional Symptoms:

  • Mood swings and irritability
  • Stress and anxiety

Symptoms Related to Sexual Function:

  • Genitourinary syndrome of menopause (GSM): vulvovaginal atrophy (the physical changes of the vulva, vagina, and lower urinary tract due to oestrogen deficiency)
  • Vaginal dryness and itching
  • Dyspareunia

During this time, women can get pregnant as ovulation is still occurring, so it is important to take steps in preventing unwanted pregnancies.

Perimenopause is diagnosed by a women’s symptoms. A blood test to check your hormone levels can be done but as they fluctuate throughout perimenopause several blood tests may need to be done.

Perimenopause does not always require treatment unless the symptoms are bothersome. If you would like any further information, then book into see Dr Ruhil and Cornerstone Clinic for a consultation.

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