Child & Adolescent Psychiatry and Psychotherapy
Women's & Reproductive Psychiatry and Psychotherapy
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When considering perimenopause—the phase leading to menopause—one might primarily focus on the physical changes like hot flashes, night sweats, and the cessation of periods. However, it’s crucial to also recognize the significant emotional impact many individuals endure during this time. At WCWCW, our board-certified psychiatrists and psychotherapists are experts in addressing the hormonal changes and emotional challenges commonly associated with perimenopause. To schedule an appointment at our Bethesda, Maryland office or to avail of our telehealth services in Maryland, DC, Virginia, Michigan, and Florida, please call or request an appointment online today.

Perimenopause Q & A

What is perimenopause?

Perimenopause represents the transitional phase before menopause, which is characterized by the cessation of menstruation. Lasting between 2 to 10 years, this period is marked by fluctuations in the menstrual cycle and the onset of various physical and emotional symptoms. During perimenopause, the body undergoes changes such as irregular egg release, diminished estrogen and hormone production, decreased fertility, and the development of shorter and irregular menstrual cycles.

Understanding the Causes and Symptoms of Perimenopause

The natural decline in ovarian function is the primary cause of perimenopause. This phase is often accompanied by erratic ovulation patterns leading to eventual cessation, as well as changes in menstrual flow and duration. The shifting hormone levels within the body lead to a spectrum of symptoms. Higher estrogen levels might evoke premenstrual syndrome (PMS)-like symptoms, while lower estrogen levels can trigger hot flashes, night sweats, and other related changes. These hormonal fluctuations may intertwine with regular cycles, making symptom identification challenging.

Diagnosing and Managing Perimenopause

Diagnosing perimenopause can sometimes be complex. At WCWCW, we will thoroughly assess your individual combination of your symptoms, medical history, age, and physical examination to ascertain the diagnosis. Blood tests to assess hormone levels might also be recommended. While perimenopause generally doesn’t require treatment, addressing bothersome symptoms is possible through various interventions, including hormone therapy to stabilize hormone levels and antidepressants to stabilize mood. Lifestyle modifications, such as maintaining a balanced diet, regular exercise, and identifying triggers for hot flashes, can also be effective.

Understanding the Importance of Expert Care

WCWCW’s expertise in reproductive psychiatry enables us to provide comprehensive care for perimenopause-related physical and emotional changes. Our goal is to alleviate symptoms and enhance your overall quality of life during this transitional phase. We are dedicated to providing the support and treatment you need. Feel free to reach out to us; we are here to help!

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