My appointment notes: understanding perimenopause
I had an appointment with an OB/GYN nurse for a vaginal swab and ended up learning a lot about perimenopause. For about 10 days, I experienced significant joint pain, most likely due to hormonal changes - even though I have a progestin-releasing IUD in my uterus that magically topped my periods (God bless IUD!!). The nurse noted, "It could be a sign you're entering perimenopause, too." From our 20-minute conversation, I learned that: 1. Definitions: Menopause is clinically defined as the point 12 months after your final period. However, there can be a transition period of 7 to 10 years of perimenopause before reaching that point. 2. Timing: On average, menopause occurs between the mid-40s and early 50s; therefore, perimenopause can start as early as age 35. 3. Testing Limitations: If you take hormonal level tests, a hormonal IUD can impact the results. To get a perfectly accurate "natural" reading, you would have to remove the IUD, though this is often un...