What happens during perimenopause?

Written by: Dr Tilottama Nandy
Published: | Updated: 26/09/2023
Edited by: Conor Lynch

Top Doctors recently spoke to highly experienced consultant obstetrician and gynaecologist, Dr Tilottama Nandy, who, here in this article below, shares her expert insights on menopause.

What is menopause, and when and how is it diagnosed?

Menopause is a natural biological process that marks the end of female menstrual cycles. It is diagnosed after women have gone 12 months without a menstrual period. It usually occurs between the age of 50 and 54, but the perimenopausal period leading up to menopause is more difficult to define and may last for several years.

 

What happens during perimenopause?

During perimenopause, hormone levels fluctuate considerably until the woman experiences the onset of menopause. This can cause irregular and heavy bleeding, until menstruation stops completely. It can be a time of great distress for women.

 

What are the main symptoms of menopause?

There are many symptoms of menopause. The most common ones include: 

 

  • hot flashes
  • night sweats
  • vaginal dryness
  • chills
  • slowed metabolism
  • skin changes
  • weight gain
  • mood changes
  • sleep problems

 

What are some effective ways to manage the symptoms of menopause?

There are several ways to manage menopausal symptoms. Some natural ways to alleviate symptoms of menopause include:

 

  • Engaging in regular exercise improves poor sleep, anxiety, low mood, and fatigue. It can also protect against weight gain and various diseases and conditions arising from excess weight
  • Eating a diet rich in fruits and vegetables, wholegrains, calcium-rich foods
  • Eating more foods that are high in phytoestrogens can help reduce hot flashes and other menopause symptoms. Phytoestrogens are naturally occurring plant compounds that can mimic the effects of oestrogen in the body.
  • Avoidance of spicy foods, alcohol, and fatty foods

 

How is menopause treated?

There are several medical treatments for menopause. The main pharmaceutical treatment for menopause and perimenopause symptoms is hormone replacement therapy (HRT), which replaces the hormones that are at low levels. Alternative therapies including acupuncture may also be beneficial.

 

If you wish to make an appointment with Dr Tilottama Nandy, simply head on over to her Top Doctors profile today. 

By Dr Tilottama Nandy
Obstetrics & gynaecology

Dr Tilottama Nandy is a well-respected consultant obstetrician and gynaecologist with specialist recognition status on the UK GMC register, who has significant experience in the management of heavy bleeding and irregular periods, polyps and fibroids, PCOS, diseases of the cervix and vulva, vaginismus, pelvic pain and endometriosis, fertility problems, menopause, intrauterine device insertion and removal, and hysteroscopic, laparoscopic and open gynaecologic surgery.

Her NHS base is the flagship teaching hospital of the UK - Guy's and St. Thomas' Hospitals, and she currently practises privately at Hendon Hospital, One Hatfield Hospital, and Clementine Churchill Hospital. Dr Nandy completed her undergraduate medical degree in Ireland in 2002, and has had world-wide training exposures within the speciality.

She has professional qualifications from Royal Colleges in both the United Kingdom and Ireland, and has had training and educational exposures in Singapore and India. She has been certified as a BSCCP-accredited colposcopist since 2009 and has undertaken two years of clinical fellowship in reproductive medicine in Dublin and London. Dr Nandy's niche clinical interests include gynaecological cancer diagnostics, which includes colposcopy, vulval diseases, and hysteroscopic procedures and therapeutics. She is a member of the RCOG, RCPI, BSCCP, ISSVD, BGCS and MPS.

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