How to Deal with Perimenopause

Long before hot flashes kick in, your progesterone levels drop, bringing on irregular periods, insomnia, irritibility, anxiety-depression, mood-swings…welcome to perimenopause. Fortunately, there are steps you can take to control the symptoms.

Steps

  1. Check for symptoms. You could have one or many of these:
    • Fatigue
    • Low Sex Drive
    • Irritability
    • Anxiety-Depression
    • Mood Swings
    • Hot Flashes and Night Sweats
    • Insomnia
    • Weight Gain
    • Craving for Carbohydrates and Sweets
    • Cold Hands and Feet
    • Some women get increased headaches or migraines.
  2. Use a good Natural Progesterone cream on your body (one dependable non-prescription brand is Pro-Gest; or you can get Prometrium capsules or a custom compounded progesterone by prescription).
  3. Be Nice to your body; this increases the resources your body can devote to dealing with the problem. Eat well, exercise regularly, take a good multivitamin each day (plus Calcium and Vitamin D), and minimize stress where possible (stress “eats” progesterone; the less progesterone, the more symptoms you’ll have).
  4. Take an herbal supplement specifically aimed at relieving symptoms.

Tips

  • Perimenopause is like PMS on steroids…many of the tips to reduce PMS can help perimenopause as well. See the wikiHow on PMS.
  • If non-prescription progesterone creams seem insufficient to handle the symptoms, contact a prescriber familiar with the use of natural hormone supplementation in perimenopause. If you can’t find one, call your local compounding pharmacist. Women with migraines, for example, frequently need higher strengths of progesterone than are available without prescription.
  • If supplementing with progesterone seems “unnatural”, recall that the last major redesign of our bodies occurred when we had a life expectancy of about 40 years…and why would Mother Nature put 100 year glands (hormone factories) in 40 year bodies? While it is “natural” for hormones to decrease at this time, the jobs these hormones performed do not simply stop dead at menopause. If your levels become low, you may need hormonal supplementation to maintain your body’s functions at similar levels. Natural progesterone, by the way, is not known to increase your chance of cancer, and as an “anti-growth” type hormone may actually decrease the likelyhood of cysts, fibroids, and, possibly, cancer. The fact that the FDA allows it to be sold without prescription gives you an idea of its safety…when used according to directions, that is.

Warnings

  • All information provided in this article is provided for educational, referential and informational purposes only.
  • Provera, Depo-provera, medroxyprogesterone, and the progestins in birth control pills are NOT the same thing as natural progesterone; they are NOT chemically identical to your body’s progesterone (natural progesterone is) and can sometimes worsen symptoms rather than decreasing them. If you want to supplement with progesterone, make sure it IS progesterone.

Sources and Citations

Article provided by wikiHow, a collaborative writing project to build the world’s largest, highest quality how-to manual. Please edit this article and find author credits at the original wikiHow article on How to Deal with Perimenopause. All content on wikiHow can be shared under a Creative Commons license.

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Co-pay assistance for patients

Patient Access Network Foundation provides co-pay assistance for medications to insured patients who cannot afford the co-pays for their treatment. We currently have 20 disease funds (please check the web site).

Patients are eligible for assistance as long as they have insurance that covers part of the cost of the medication, their income is below 400% of the federal poverty level, and they are a US resident.

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Being actively engaged in your treatment

We count on pharmacists, nurses and other staff to make sure our drugs and chemo are dispensed exactly as ordered. Theirs are tough jobs. They’re in contact with countless patients, doctors and co-workers all day long.  Things can go wrong, and they sometimes do.

Stem Cells

Stem Cells

A few years ago I learned how necessary it is to read the label. After I sat down for an IV infusion of Zometa, I happened to glance at the bag hanging there and noticed that someone else’s name was on it! I alerted a nurse immediately and the IV was stopped. A closer examination of the label indicated that it was meant for another patient, but that it was the same drug I was to have received. It was a wake up call.

When you pick up your meds or sit down in the chair to get chemo, know what it is you’re supposed to be receiving and check the labels.  Don’t be afraid to ask, “What is that?” and get up to inspect the label if you have to.  Maybe a caregiver would take care of it for you. Nobody’s feelings will be hurt and you’ll have peace of mind.

Know as much about your treatments as possible. You’d be surprised at the number of cancer patients I’ve met who couldn’t tell me what medication they were on or what chemo they’ve had!  It’s a good idea to have an advocate who goes along with you to appointments.

January 28th, 2009 will mark the 6th anniversary since I learned I had multiple myeloma, an incurable cancer of the plasma cell. Since then, I’ve learned that being what some would call a “difficult” patient possibly means a better outcome. Learning more about your condition is of the utmost importance. I found out that other patients and their caregivers were a tremendous source of information. This is one of the reasons HealthBlogs now exists.

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THE DENIM DIET: Pre-ordering Now Available

I was in Austin last weekend and received a Google Alert for my book, The Denim Diet. Google Alerts let you know what kind of internet activity is going on for whatever keywords you specify. Usually I get alerts from blogs venting about how horrible skinny jeans look on most people. I completely agree. It’s all about the boot cut if you ask me. So while walking up and down South Congress last weekend, I received a Google Alert for The Denim Diet with a Target.com address! I don’t know why I get so excited about Target. Oh yeah I do…they sell decent Oregon wine on the cheap.

Anyway…my book is available for preorders! On Target AND Amazon! I don’t think they charge your credit card ‘til it ships in March of 2009. I was afraid to test that out and be the first person to order my own book. I could ask my Mom to order one, but her last name is Gray too. Hmmmmmm. Short story long, The Denim Diet is now available for pre-orders. Here are the links:

Target.com

Amazon.com