Concerned about Perimenopause? Questions to ask your doctor

Obie Editorial Team

If you’re experiencing symptoms or have concerns about perimenopause, asking your doctor specific questions can help you understand what’s happening in your body and how to manage it effectively. Here are some valuable questions to consider:

 

1. What symptoms are normal during perimenopause, and which should I be concerned about?

This can help you differentiate between typical perimenopausal symptoms and signs that may need further investigation, like heavy bleeding or unusual pain.

2. How can I confirm that I’m in perimenopause?

Ask if hormone level testing or other assessments might clarify whether you’re in perimenopause or if another condition might be contributing to your symptoms.

3. How can I manage my symptoms naturally?

Many doctors recommend lifestyle changes like diet and exercise modifications, stress management techniques, and supplements. Ask which ones might be helpful for your specific symptoms.

4. What treatment options are available for severe symptoms?

If symptoms like hot flashes, night sweats, or mood swings are significantly impacting your life, ask about treatment options, including medication, Hormone Replacement Therapy (HRT), or non-hormonal options.

5. What are the risks and benefits of Hormone Replacement Therapy (HRT)?

If you’re considering HRT, understanding the pros and cons, especially based on your personal health history, is essential. Ask about short- and long-term effects and alternative treatments.

6. Are there lifestyle changes I should consider to manage weight gain and other metabolic changes?

Since weight gain, muscle loss, and metabolic shifts are common, your doctor can advise on diet, exercise, and specific approaches for maintaining a healthy weight and metabolism.

7. How can I protect my bone and heart health during this time?

Declining estrogen affects bone density and cardiovascular health. Ask about ways to prevent osteoporosis and maintain heart health through diet, exercise, and possibly supplements or medications.

8. What can I do to manage mood swings, anxiety, or “brain fog”?

Perimenopausal hormonal changes can affect mental clarity and emotional health. Ask about lifestyle tips, counseling, or medications that may help improve mood and cognition.

9. Is there anything I can do to improve sleep quality?

Many women experience sleep disturbances during perimenopause. Ask about techniques, supplements, or medications that can help, and whether a sleep study might be beneficial.

10. How will I know when I’ve transitioned from perimenopause to menopause?

Clarify what to expect when perimenopause ends and how to monitor the transition. Understanding what marks the official start of menopause (12 consecutive months without a period) can provide clarity.

11. Are there tests or screenings I should prioritize during perimenopause?

Certain screenings, like mammograms, bone density scans, or heart health tests, may be more relevant as you transition into menopause. Ask about routine tests to monitor your health.

12. What resources are available if I need more support?

Your doctor may have recommendations for support groups, counselors, or specialists who focus on menopause, as well as reputable online or local resources.

Having a list of questions can make it easier to address your concerns, get reassurance, and receive guidance on next steps. Perimenopause can feel challenging, but working with a healthcare provider ensures you’re supported and informed as you navigate it.

 

Sources:

American College of Obstetricians and Gynecologists. (2021). Management of menopausal symptoms (Practice Bulletin No. 141). Obstetrics & Gynecology, 137(1), e30-e46.

Anderson, D. J., Chung, H. F., & Seib, C. A. (2021). Lifestyle factors and vasomotor symptoms: A systematic review and meta-analysis. Climacteric, 24(2), 108-119.

Eastell, R., Rosen, C. J., Black, D. M., Cheung, A. M., & Murad, M. H. (2019). Pharmacological management of osteoporosis in postmenopausal women: An Endocrine Society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 104(5), 1595-1622.

El Khoudary, S. R., Aggarwal, B., Beckie, T. M., Hodis, H. N., Johnson, A. E., Langer, R. D., Limacher, M. C., Manson, J. E., Stefanick, M. L., & Allison, M. A. (2020). Menopause transition and cardiovascular disease risk: Implications for timing of early prevention. Circulation, 142(25), e506-e532.

Gold, E. B., Crawford, S. L., Avis, N. E., Crandall, C. J., Matthews, K. A., Waetjen, L. E., Lee, J. S., Thurston, R., Vuga, M., & Harlow, S. D. (2020). Factors related to age at natural menopause: Longitudinal analyses from SWAN. American Journal of Epidemiology, 189(1), 34-45.

Maki, P. M., Kornstein, S. G., Joffe, H., Bromberger, J. T., Freeman, E. W., Athappilly, G., Bobo, W. V., Rubin, L. H., Koleva, H. K., Cohen, L. S., & Soares, C. N. (2019). Guidelines for the evaluation and treatment of perimenopausal depression. Journal of Women's Health, 28(2), 117-134.

North American Menopause Society. (2022). The 2022 hormone therapy position statement of The North American Menopause Society. Menopause, 29(7), 767-794.

Pinkerton, J. V. (2020). Hormone therapy for postmenopausal women. New England Journal of Medicine, 382(5), 446-455.

Santoro, N., Roeca, C., Peters, B. A., & Neal-Perry, G. (2021). The menopause transition: Signs, symptoms, and management options. The Journal of Clinical Endocrinology & Metabolism, 106(1), 1-15.

Shifren, J. L., & Gass, M. L. S. (2019). The North American Menopause Society recommendations for clinical care of midlife women. Menopause, 26(10), 1238-1257.

The NAMS 2017 Hormone Therapy Position Statement Advisory Panel. (2018). The 2017 hormone therapy position statement of The North American Menopause Society. Menopause, 25(11), 1362-1387.