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Why ? It all begins with the progressive depletion of the stock of oocytes in the ovaries. At the same time, estrogen and progesterone will play yo-yo for a while, before their levels drop inexorably but naturally. Ovulation becomes random, long cycles alternate with short cycles, the flow of menstruation changes, sometimes they just don’t start … But if “the chance of pregnancy decreases with age, it remains possible until menopause,” says Medicare . “Contraception must be continued until menopause is certain”, ie after 12 consecutive months without a period.
What symptoms? Weight gain, chest tightness, and swelling are common. But some inconveniences generally associated with menopause can occur from premenopause: hot flashes, night sweats, sleep disturbances, mood changes, vaginal dryness … Their appearance and intensity depend on each woman. Plus, as estrogen levels drop, “you start losing bone faster than you replace it, which increases your risk of osteoporosis,” say Mayo Clinic gynecologists. It can also cause an increase in low-density lipoprotein (LDL) cholesterol, the “bad” cholesterol.
What treatments? The replacement treatments prescribed during the premenopausal period are not intended to delay the onset of menopause, but to relieve symptoms related to hormonal disorders. These treatments are only given if these symptoms are very debilitating and, if possible, for a short time. Quitting smoking and drinking alcohol is recommended for all women, as is a diet low in fat but high in fiber and calcium. Physical activity is also encouraged to limit weight gain and improve sleep and mood. The length of premenopause varies, but generally lasts three to five years.
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Source: Destination Santé
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