Progesterone is the first hormone to drop off in perimenopause the time period that precedes menopause. It can start as early as 35 and last well over a decade. Some women pass seamlessly into menopause with hot flashes and night sweats, etc. Where others may flounder in the geography of perimenopause.

Many women experience problems in perimenopause because if she is still menstruating many physicians will not prescribe Hormone Replacement Therapy.  During this period of hormone limbo, ovarian production of estrogen and progesterone may be waxing and waning. However most patients will benefit from the right combination of Bioidentical Hormone Replacement Therapy.

Early symptoms of progesterone deficiency could be:

  • Bad PMS
  • Heavy menstrual bleeding
  • Breakthrough bleeding
  • Mood swings
  • Sleep issues
  • Irritability
  • Infertility

Most of these symptoms can be corrected with bioidentical progesterone. Yet, as the woman progresses through perimenopause she then may develop signs of estrogen deficiency. If someone remains in perimenopause long enough they will develop estrogen depletion which is associated with:

  • PerimenopauseAnxiety
  • Mental fogginess
  • Sudden fatigue
  • Breast swelling and tenderness
  • Bloating and fluid retention
  • Headaches
  • Depression
  • Sleep issues
  • Vaginal dryness and irritation
  • Decreased libido

At NYC Hormone Replacement Therapy Doctor we believe in treating perimenopausal women with the BIHT they require; be it estrogen or progesterone. Progress is carefully monitored by assessment of symptoms and blood tests.

Forever Health – Bioidentical Hormones and Wellness
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Sue Decotiis, MD | 120 E 46th St., #1201 | New York, NY 10017 | Phone: (212) 685-3640