Posted on: 13.02.2023 Posted by: Drlark Comments: 0

June 17, 2004



What Happens During Perimenopause

This regular, predictable pattern of hormonal ebb

and flow begins to change dramatically during perimenopause. During

this time, your ovaries, and in fact your entire reproductive system,

begin to go through the normal aging process leading up to menopause.

Four things happen simultaneously. Your ovaries

age and shrink, they are less responsive to the hypothalmic-pituitary

signals, you have fewer eggs to mature, and the ones you have left

are older and less healthy.

If a follicle doesn’t mature enough to allow an

egg to be expelled from the ovary, the second half of the cycle

never clicks in and progesterone production doesn’t occur, causing

estrogen production to be high or low or even fluctuate from month

to month.

To bring the hormonal cycle back into balance,

the brain’s triggering signals increase as much as ten-fold, trying

to stimulate ovulation. During the later stages of perimenopause,

this becomes more and more difficult to achieve. In fact, by the

end of perimenopause, you may be ovulating only three or four times

a year.

You can also suffer from periods of heavy, irregular

bleeding when the uterus sloughs off a lining that has been thickened

by too much estrogen. Fibroid tumors may grow larger and bleed more

heavily. Endometriosis pain may worsen, and ovarian and breast cysts

may appear, all due to the shift toward estrogen dominance.

Some lucky women—about 10 percent—make

this transition easily. They simply have fewer and fewer periods,

mild to no symptoms, a couple of hot flashes and their periods stop.

In my own practice, I often see this pattern in women who are already

on a strong preventive nutritional program.

But frankly, doctors don’t usually see this

healthy transition. Most of the time, we see women who are suffering

from health problems due to estrogen/progesterone imbalances.

Read More on Perimenopause:

Getting Started

Quiz: Is it Menopause or Perimenopause

Undoing Estrogen Dominance

Estrogen and Progesterone Are Normally


Checklist for Estrogen Dominance

Keep it SIMPLE Tip — Acupressure for Insomnia

Nutritional Therapies

Diet for Combating Estrogen Dominance

Nutritional Supplements for Estrogen


Nutritional Supplements to Promote Progesterone


Other Power Supplements for Perimenopause

Complementary Therapies

The Pump



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