Is this nausea perimenopause? When will HRT start working? Each guide answers your exact question in its first two lines, then shows you the guideline or trial behind it.
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Six topics cover what women search for most, from the first odd symptom to year five on HRT.
Nausea, itchy ears, dizzy spells, a racing heart at 3 a.m. Find out how common your symptom is, why it happens and which signs mean “book an appointment”.
Readers ask: Can perimenopause cause nausea? · Why do my ears itch? · Is dizziness a symptom?
Read what a skipped, heavy or two-week cycle tells you, which blood tests guidelines actually use, and how to tell which stage you’re in.
Start hormone therapy knowing what week one, week four and month three feel like. Patches, gels, progesterone, the patch shortage and the new non-hormonal pills.
Sleep through the night again. See which hot flash treatments beat placebo in trials and how to set up a bedroom that stays cool.
Readers ask: Perimenopause insomnia · How to stop night sweats · Natural remedies for hot flashes
Get the numbers on menopause belly, protein targets, creatine, lifting and bone density, so you know what to eat and how to train.
Readers ask: Why is my belly getting bigger? · How much protein do I need? · Creatine in menopause
Help the person you love: what to say, what to bring to the appointment together, and the workplace rights that apply in the US and UK.
HRT (hormone replacement therapy, also called MHT) often starts to ease hot flashes within days to weeks, and the NHS says symptoms should improve after a few days or weeks. In one 12-week trial, most of the hot flash gain showed by week 4. If nothing has changed by about 3 months, ask your prescriber for a review.
No test can confirm perimenopause. It is diagnosed from your age, symptoms and period changes, and hormone levels swing too much to settle it (Australasian Menopause Society). If you are over 45, you usually need no blood test. If you are under 45 with changed periods, ask about one.
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