Tests are good, am I in perimenopause?

Anonymous
Anonymous wrote:Go see a new doctor ..


Posts like this are not helpful! She went to a doctor. Telling people to waste time and money doctor shopping is pure crazy.
Anonymous
Anonymous wrote:Hi OP - take this with a grain of salt, but I am your age (almost 45) and had some similar symptoms. I did the blood test on day 3 of my cycle and the numbers were also fine. That said, I met with a menopause doctor and they recommended trying a low dose BC. I'm about 2 weeks in. The first week, I felt pregnant in part, but that has mostly abated and I have noticed an improvement in my mood and energy. It's still very new, but I'm hoping it continues.


Op here. I am already on BC (norethindrone) and the OBGYN had to suggest it because I was bleeding non-stop and this is the only way it could stop. It is also messing with my hormones but I am nots are if I need to go on HRT.
Anonymous
OP, with your symptoms, I am pretty sure you are in peri and need HRT.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Sure your hormones change in your mid-40s but I am really not clear why everyone wants to jump on the medicalization bandwagon. Just do what you know you should do - eat better, exercise more, lift weights. Most likely you have several more years until you hit any particular symptoms to be treated (if ever).


It's okay to just not participate in this conversation if you don't have anything helpful to add. I would LOVE to not jump on the "medicalization bandwagon" but when you're in your early 40's and "doing what you know you should do" but still experiencing symptoms like waking up nightly in a pool of sweat, random crippling anxiety with no explanation, joint pain, mood swings and crazy periods, it's pretty hard to tolerate. When you've ruled out most other things, probably worth trying the "medicalization" route. HRT has resolved just about all of it. It must be nice that you haven't experienced any of that and assume other people are just dumb sheep, we're all really happy for you.


I don’t see OP saying any of that. I see her saying she has other issues that could cause her symptoms and her Dr told her he didn’t think it was due to perimenopause.

If OP came here saying, “I have hot flashes every night, my dr says my AMH is very low, and my cycle is now 10 days longer …” then sure, time to talk about it.

But OP is actually and object lesson about why the “peri” mania is potentially harmful for women.


Huh? I wasn't addressing it to OP. I was addressing it to the PP who gave the advice to "eat better, exercise more, lift weights" and totally minimized the symptoms OP shared. There are a few people on here who consistently offer patronizing answers like most people wouldn't think to rule out other causes before starting a treatment like HRT. Like...why come to the perimenopause/menopause forum to act like peri doesn't really exist?
Anonymous
Anonymous wrote:
Anonymous wrote:Hi OP - take this with a grain of salt, but I am your age (almost 45) and had some similar symptoms. I did the blood test on day 3 of my cycle and the numbers were also fine. That said, I met with a menopause doctor and they recommended trying a low dose BC. I'm about 2 weeks in. The first week, I felt pregnant in part, but that has mostly abated and I have noticed an improvement in my mood and energy. It's still very new, but I'm hoping it continues.


Op here. I am already on BC (norethindrone) and the OBGYN had to suggest it because I was bleeding non-stop and this is the only way it could stop. It is also messing with my hormones but I am nots are if I need to go on HRT.


Hmm. With your medical history and ongoing symptoms, I would definitely not rely on a PCP. Talk to your gyn, your endocrinologist, and possibly look for a really good internist who can consider the whole picture (they're hard to find).

Have you had a transvaginal ultrasound to visualize whether you have cysts, polyps or fibroids? It should be repeated anyway. The continuous bleeding is concerning, and I don't think your Gyn should just throw BC at it without regular check-ups.

Anonymous
Anonymous wrote:
Anonymous wrote:Hi OP - take this with a grain of salt, but I am your age (almost 45) and had some similar symptoms. I did the blood test on day 3 of my cycle and the numbers were also fine. That said, I met with a menopause doctor and they recommended trying a low dose BC. I'm about 2 weeks in. The first week, I felt pregnant in part, but that has mostly abated and I have noticed an improvement in my mood and energy. It's still very new, but I'm hoping it continues.


Op here. I am already on BC (norethindrone) and the OBGYN had to suggest it because I was bleeding non-stop and this is the only way it could stop. It is also messing with my hormones but I am nots are if I need to go on HRT.


I think this makes it pretty hard to say what’s going on. The norethindrone could be putting you into a low estrogen menopausal state. I would not let a doc just throw me on a mini pill ever esp in my 40s. I think you deserve better treatment got your bleeding to start.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Hi OP - take this with a grain of salt, but I am your age (almost 45) and had some similar symptoms. I did the blood test on day 3 of my cycle and the numbers were also fine. That said, I met with a menopause doctor and they recommended trying a low dose BC. I'm about 2 weeks in. The first week, I felt pregnant in part, but that has mostly abated and I have noticed an improvement in my mood and energy. It's still very new, but I'm hoping it continues.


Op here. I am already on BC (norethindrone) and the OBGYN had to suggest it because I was bleeding non-stop and this is the only way it could stop. It is also messing with my hormones but I am nots are if I need to go on HRT.


Hmm. With your medical history and ongoing symptoms, I would definitely not rely on a PCP. Talk to your gyn, your endocrinologist, and possibly look for a really good internist who can consider the whole picture (they're hard to find).

Have you had a transvaginal ultrasound to visualize whether you have cysts, polyps or fibroids? It should be repeated anyway. The continuous bleeding is concerning, and I don't think your Gyn should just throw BC at it without regular check-ups.



Op here. I have PCOS, type 2, thyroid issues and also ADHD. I thought I was in peri because of all the symptoms and went to my OBGYN when my bleeding didn't stop for more than a couple of months. She wanted me to stay on BC full time and I am very confused now with all the hormones affecting my body.
Anonymous
You are well into middle age at 44 so yes, you are experiencing perimenopause symptoms.
Anonymous
Then, why is her PCP saying that she doesn't have peri?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Sure your hormones change in your mid-40s but I am really not clear why everyone wants to jump on the medicalization bandwagon. Just do what you know you should do - eat better, exercise more, lift weights. Most likely you have several more years until you hit any particular symptoms to be treated (if ever).


It's okay to just not participate in this conversation if you don't have anything helpful to add. I would LOVE to not jump on the "medicalization bandwagon" but when you're in your early 40's and "doing what you know you should do" but still experiencing symptoms like waking up nightly in a pool of sweat, random crippling anxiety with no explanation, joint pain, mood swings and crazy periods, it's pretty hard to tolerate. When you've ruled out most other things, probably worth trying the "medicalization" route. HRT has resolved just about all of it. It must be nice that you haven't experienced any of that and assume other people are just dumb sheep, we're all really happy for you.


I don’t see OP saying any of that. I see her saying she has other issues that could cause her symptoms and her Dr told her he didn’t think it was due to perimenopause.

If OP came here saying, “I have hot flashes every night, my dr says my AMH is very low, and my cycle is now 10 days longer …” then sure, time to talk about it.

But OP is actually and object lesson about why the “peri” mania is potentially harmful for women.


Huh? I wasn't addressing it to OP. I was addressing it to the PP who gave the advice to "eat better, exercise more, lift weights" and totally minimized the symptoms OP shared. There are a few people on here who consistently offer patronizing answers like most people wouldn't think to rule out other causes before starting a treatment like HRT. Like...why come to the perimenopause/menopause forum to act like peri doesn't really exist?


Is this the “peri booster forum”? no it is not. All women go through menopause but there is a LOT of misinformation online about “peri” and HRT.
Anonymous
Anonymous wrote:Then, why is her PCP saying that she doesn't have peri?


Well 1) we do not know what her PCP actually said and 2) there is one hormone test (AMH) that actually can somewhat accurately project time to menopause for women OP’s age.

Given all the other many things going on with OP, it is obviously impossible to say “definitely peri get on HRT girl!”

Agree with the advice that OP needs to get a good internist or endocrinologist to sort all of this out.
Anonymous
How accurate is that test AMH? Timing matters a lot - morning, evening, close to cycle or done with it, etc.
Anonymous
Anonymous wrote:How accurate is that test AMH? Timing matters a lot - morning, evening, close to cycle or done with it, etc.


Why not google.
Anonymous
Anonymous wrote:
Anonymous wrote:How accurate is that test AMH? Timing matters a lot - morning, evening, close to cycle or done with it, etc.


Why not google.


Hormones change several times a day so one time AMH test wouldn't tell much.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:How accurate is that test AMH? Timing matters a lot - morning, evening, close to cycle or done with it, etc.


Why not google.


Hormones change several times a day so one time AMH test wouldn't tell much.


Ok let me google that for you I guess.

https://vajenda.substack.com/p/hormone-testing-and-menopause

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