Dr Steven R. Goldstein is a Perimenopause Specialist in NYC and co-author of the book “Could it be….Perimenopause?” Perimenopause is a stage of life which a woman enters into right before menopause and experienced by women in anywhere from the late thirties to mid to late forties. Perimenopause is a stage of life with symptoms and realities of its own that responds to specialized healthcare strategies. Perimenopause begins about a decade before the actual onset of menopause. Yet, even though every woman will go through Perimenopause, it is one of the least understood, most misdiagnosed, and most confounding stages in a woman life.
When it first starts to happen to you, the symptoms are so subtle that by the time you start to worry, they’re often gone. You mention your anxiety, your fatigue, your bouts of forgetfulness to your friends. They nod knowingly, they’ve had them too.
But still, there are these differences in the way you feel, these annoying symptoms. You think about making an appointment to see your doctor, but what will you say? That you feel vaguely anxious? That you’re suddenly having trouble putting names with faces? That you’ve taken going to bed an hour before your husband when you aren’t even tired, to avoid having another argument over sex? You wonder “maybe it’s all in my head”.
A word of caution about these symptoms. There are a myriad of medical conditions that can cause you to feel tired and/or forgetful, anxious, etc. It’s when doctors see a “family” of symptoms that occur following a specific pattern of events that we make preliminary diagnosis. Not all of these symptoms are hormonally mediated. The last thing you may attribute such symptoms to is subtle changes in your menstrual cycle, but they are related. Irregular is regular at this time of your life. Shorter, longer, lighter, heavier, the character of your period can change so much during perimenopause that you wonder – is this normal?
If what you’ve read so far sounds like you, then maybe a consultation with Dr Steven R. Goldstein, a Perimenopause Specialist in NYC may be appropriate.
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