While blood tests aren’t necessary to confirm you’re in perimenopause, they can be useful. Naila might refer you for specific tests to rule out other causes for your symptoms, such as thyroid hormone imbalances. Additionally, if your menstrual period becomes heavier, tests like iron level and full blood count may be advised.
There are several types of HRT available on the NHS including Oestrogen, Progesterone and some NHS doctors may offer testosterone as it is off license. These are prescribed in various forms, including:
- Tablets: Taken orally once a day.
- Patches: Applied to the skin and changed every few days.
- Gels: Applied to the skin daily.
- Implants: Placed under the skin and replaced every few months.
- Vaginal creams, pessaries, and rings: Used locally for vaginal symptoms.
Menopause can lead to changes in sex drive due to fluctuating hormones levels. Many women experience a decrease in libido, but some may not notice any change or even an increase in sexual desire.
Some physical changes that can affect your sex life include:
- Vaginal Dryness: Reduced estrogen levels can cause vaginal dryness, leading to discomfort or pain during intercourse.
- Thinning Vaginal Walls: The vaginal tissue may become thinner and less elastic.
- Decreased Natural Lubrication: Lubrication may take longer or be less sufficient, impacting sexual comfort.
Yes, it is necessary to use contraceptives until you have gone 12 months without a menstrual period if you do not wish to become pregnant. Although fertility declines during perimenopause, it is still possible to conceive until menopause is complete.
Lifestyle changes can significantly help manage and alleviate menopause symptoms. Adopting healthy habits can improve overall well-being and reduce the severity of symptoms.
Dietary changes that can help include:
Balanced Diet: Eating a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats.
Calcium and Vitamin D: Ensuring adequate intake to support bone health.
Phytoestrogens: Including foods like soy, flaxseeds, and legumes that can mimic estrogen in the body.
Hydration: Drinking plenty of water to help with dryness and bloating.
Limit Caffeine and Alcohol: Reducing intake can help with hot flashes and sleep disturbances.
Regular exercise can:
Reduce Hot Flashes: Moderate exercise can help lower the frequency and severity of hot flashes.
Improve Mood: Physical activity boosts endorphins, helping with mood swings, anxiety, and depression.
Support Weight Management: Exercise helps maintain a healthy weight, reducing the risk of heart disease and osteoporosis.
Enhance Sleep: Regular activity can improve sleep quality and reduce insomnia.
