Perimenopause, otherwise called menopause transition, is the time your body starts the natural transition to menopause. This marks the end of the child-bearing years. In perimenopause, the ovaries start to produce less estrogen causing irregular periods. Menopausal symptoms such as a change in period cycle, mood swings, and sleep disturbances are also seen in perimenopause.

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Can taking hormonal pills for perimenopause symptoms cause breast cancer?

Query: Hello doctor, I am a 46-year-old female who is dealing with perimenopause symptoms. My Ob-gyn has recommended taking low dose of birth control pills to relieve my symptoms. However, I am at a higher risk for breast cancer because my late mother (who died in an auto accident) was a breast cancer sur...  Read Full »

Dr. Nadia Khan

Answer: Hello, Welcome to That is really sad to hear about your mother but I would like to add into your information that evidence suggests that HRT does not significantly increase the risk of breast cancer. It is only contraindicated if the person taking HRT has breast cancer already. Second...  Read Full »

I have been experiencing light periods, hot flashes, and bloating for the past year. Can my current medications cure my perimenopausal symptoms?

Query: Hello doctor,I am a 52-year-old female. I have had very light periods three times in the past year. The last one has been on and off over the past five days. I have very little blood loss and mild pain. I have just started taking DIM 250 mg capsules. I suffer from hot flashes, headaches, bloating, e...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to Thank you for your query. You are in menopausal age. The average age of menopause is 51 years and you may have perimenopausal symptoms like hot flashes, absence of menses, joint pain, etc. I suggest you to follow a few instructions mentioned below. You can have vi...  Read Full »

Is my recurrent facial flushing a symptom of perimenopause?

Query: Hello doctor, I am 52 years old. I have facial flushing, perimenopause, carcinoid tumor and medical anxiety. My symptoms of facial flushing started eight months back, when my face turned bright red and there was no sweating. This happened twice every month and lasted for around ten minutes. I got my...  Read Full »

Dr. Thiyagarajan. T

Answer: Hello, Welcome to I understand your concern. The symptoms can be due to perimenopausal vasomotor condition or serotonin syndrome. However, the chances of having such symptoms due to a carcinoid tumor are less, as your chromogranin A and 5-HIAA test results are normal. Menopause can a...  Read Full »

Do fibroids continue to shrink after six months of UFE?

Query: Hi doctor, I am an anxious lady. I am 50 years old. I am in a stage of perimenopause. I have a severe phobia of menstrual blood loss. A year back, I had UFE for an intramural fibroid. Previously of doing this procedure, I took Norethisterone on long term due to anxiety of blood loss. I had slight...  Read Full »

Dr. Balakrishnan. R

Answer: Hi, Welcome to First of all, you are absolutely healthy and leading a healthy life. You are 50 years old and reaching menopause in a few years. Estrogen hormones from ovaries make fibroids grow. Once it gets stopped, there is an absence of periods and fibroids. This sense of negativis...  Read Full »

Can a small thin-walled hemorrhagic cyst turn cancerous?

Query: Hello doctor, My mother is 48 years old presented with symptoms of vomiting, acidity, bloating, and headache. She is in a perimenopausal phase. She visited a gynecologist and went for a pelvic ultrasound. The reports show that she is having a small thin-walled hemorrhagic cyst with internal echoes i...  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to I have seen your attached report (attachment removed to protect patient identity). It would be better for me to have your mother's obstetrics, gynecological, medical, surgical and drug present and past history as I could be able to correlate symptoms. If she has been tr...  Read Full »

Please help me figure out the reason for my early cycle.

Query: Hello doctor, I am 40 years old. My periods have been very much regular throughout my life, and my cycle is about 26 days with three days of periods. But this time, I got my period ten days before the date and stayed for three days as usual. But, this time, it started again after five days of compl...  Read Full »

Dr. Sanjay Kumar Bhattacharyya

Answer: Hello, Welcome to This could be a temporary disturbance for the first time you have this. But keep in mind that according to your age, you are approaching the perimenopausal stage. At this age, it is very common to have an irregular, prolonged or absent cycle for longer. However...  Read Full »

I have hot flushes in which my face turns bright red and hot without sweating. Is it a perimenopausal change?

Query: Hello doctor, My recent blood work showed my estradiol at 24 pg/mL and my FSH at 77 IU/L. For the last four months, I have had two hot facial flushes a month in which my face turns bright red and hot, and then red patches on my knuckles and elbows. Both my gynecologist and dermatologist think it is ...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to The flushing you are experiencing is likely a hot flush, and it is possible to get it without sweating. The menopausal status can be confirmed with high FSH (follicle stimulating hormone), LH (leutinizing hormone), and AMH (anti-müllerian hormone) levels. Also, if y...  Read Full »

I am a perimenopausal woman with bowel problems, and I am about to take medications to stop my periods. Can my bowel handle these medicines?

Query: Hello doctor, I ate a lot of grapes and had large bowel movements yesterday and today. I had a colonoscopy four months back as I had problems with the bowels. The colonoscopy was clear, and I take it the unlikelihood of anything such as bowel cancer appearing in that time frame is slim. The other th...  Read Full »

Dr. Ghulam Fareed

Answer: Hello, Welcome to I read your query and can understand your concern. 1) I would suggest you take plenty of water, high vegetables and fruits (high fiber diet), and a polyethylene glycol sachet for constipation in case of need. 2) If you did your colonoscopy about four to five months bac...  Read Full »

I need to postpone my periods as I have function at home. Kindly help.

Query: Hello doctor, I am a 52-year-old female. I had my last period two months back. Last month I did not have my periods. Now I have a function at home that I need to attend around the same date as my periods. I tried a natural method to prepone my periods, but it did not work. I need your help to postpo...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome back to As your cycle is irregular now, and you seem to be in your perimenopausal age group, it is still unsure whether you would get your menses this month or not. But if you want to be safe, I suggest getting an ultrasound pelvis done to check for endometrial thicknes...  Read Full »

I am perimenopausal and I have not got my periods. Am I pregnant?

Query: Hello doctor, I am a 46-year-old female and my periods have become increasingly irregular. They used to be around 24 days in length and my current cycle is now 36 days. My basal body temperature indicated that I may have ovulated on day 10. But I have not menstruated at all this cycle - not even spo...  Read Full »

Dr. Deepika Joshi

Answer: Hello, Welcome to No, you have not ovulated on day 10 because if it would have been so you would have had your period by now. Menstruation usually occurs 14 days after ovulation and the duration between ovulation and menstruation is always fixed. Ovulation occurs only once in one cycl...  Read Full »

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