New to this world...where do I start?

Anonymous
Just turned 40 and never crossed my mind that I could be in peri...but the past 1.5 years or so, have had a HUGE uptick in UTI/UTI-like symptoms and yeast infections, vaginal itching after sex, etc. I never got UTIs as long as I peed after sex, and now it doesn't seem to matter.

Now that I've done more research, I very much think this could be the very beginnings of perimenopause, though my cycles are regular and everything else seems normal...maybe less libido.

Where the hell do I start? Estadriol cream?

It sounds like some OBGYNs won't prescribe hormones/HRT (but I'm assuming this is more for postmenopausal))? Is it necessary to see a menopause specialist? It seems unusual to me because I assumed OBGYNs ARE supposed to be the menopause specialists...so these specialized providers/clinics seem to be more of a scam/moneymaker?

Can online providers be trusted? Not against telemedicine at all, but telehelath appointments for me have been with in-person providers I've established relationships with, and just want to be sure that telehealth providers in the peri/menopause field are also safe and trustworthy.

Thank you!
Anonymous
Don't take medical advice from tiktok...or people on DCUM who are informed by tiktok...
Anonymous
Perhaps STIs (check out your husband)
Anonymous
Anonymous wrote:Perhaps STIs (check out your husband)


Honestly and sadly, I agree.
Anonymous
Anonymous wrote:
Anonymous wrote:Perhaps STIs (check out your husband)


Honestly and sadly, I agree.


That was my first thought as well.
Anonymous
You need a PI to track your husband, not a menopause doctor.
Anonymous
Anonymous wrote:You need a PI to track your husband, not a menopause doctor.


This! Get an STD/STI panel done asap OP. I don't think this is peri.
Anonymous
Holy moly are you guys jumping the gun here.

Genitourinary symptoms are one of the first signs of peri. Started for me at 37. No cheating partner.

Start with a chat with your provider, and go from there.
Anonymous
Get your HPV vax and your hormone levels checked.
Anonymous
Anonymous wrote:Get your HPV vax and your hormone levels checked.


Also do a baseline mamo.
Anonymous
I also will only do a Telehealth appointment with a doctor I already have an established relationship with.

Look at Mary Claire Haver - she has a database of gyns that specialize in menopause and peri that people have had good experiences with. That's how I found my doctor.
Anonymous
Anonymous wrote:
Anonymous wrote:Get your HPV vax and your hormone levels checked.


Also do a baseline mamo.


Already done
Anonymous
Anonymous wrote:Just turned 40 and never crossed my mind that I could be in peri...but the past 1.5 years or so, have had a HUGE uptick in UTI/UTI-like symptoms and yeast infections, vaginal itching after sex, etc. I never got UTIs as long as I peed after sex, and now it doesn't seem to matter.

Now that I've done more research, I very much think this could be the very beginnings of perimenopause, though my cycles are regular and everything else seems normal...maybe less libido.

Where the hell do I start? Estadriol cream?

It sounds like some OBGYNs won't prescribe hormones/HRT (but I'm assuming this is more for postmenopausal))? Is it necessary to see a menopause specialist? It seems unusual to me because I assumed OBGYNs ARE supposed to be the menopause specialists...so these specialized providers/clinics seem to be more of a scam/moneymaker?

Can online providers be trusted? Not against telemedicine at all, but telehelath appointments for me have been with in-person providers I've established relationships with, and just want to be sure that telehealth providers in the peri/menopause field are also safe and trustworthy.

Thank you!


That’s how it started for me. If you are frequently prescribed antibiotics it’s worth exploring with your OB. Definitely a judgement call. Once you start, you stay on for the long haul.
Anonymous
Anonymous wrote:
Anonymous wrote:Just turned 40 and never crossed my mind that I could be in peri...but the past 1.5 years or so, have had a HUGE uptick in UTI/UTI-like symptoms and yeast infections, vaginal itching after sex, etc. I never got UTIs as long as I peed after sex, and now it doesn't seem to matter.

Now that I've done more research, I very much think this could be the very beginnings of perimenopause, though my cycles are regular and everything else seems normal...maybe less libido.

Where the hell do I start? Estadriol cream?

It sounds like some OBGYNs won't prescribe hormones/HRT (but I'm assuming this is more for postmenopausal))? Is it necessary to see a menopause specialist? It seems unusual to me because I assumed OBGYNs ARE supposed to be the menopause specialists...so these specialized providers/clinics seem to be more of a scam/moneymaker?

Can online providers be trusted? Not against telemedicine at all, but telehelath appointments for me have been with in-person providers I've established relationships with, and just want to be sure that telehealth providers in the peri/menopause field are also safe and trustworthy.

Thank you!


That’s how it started for me. If you are frequently prescribed antibiotics it’s worth exploring with your OB. Definitely a judgement call. Once you start, you stay on for the long haul.


…and yes maybe the cream is a good place to start instead of the full on hrt. Especially if you regularly smell something off. Your regular doc should not hesitate if you request it.
Anonymous
You could take a prophylactic antibiotic every time you have sex. It works.
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