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Perimenopause Frequently Asked Questions

Dr. Jerilynn C. Prior answers FAQ's from Perimenopausal Women

Type: 
Articles
Life Phase: 
Perimenopause

Science based Natural Remedies for Hot Flushes and Night Sweats

Women may feel there are no effective improvements in hot flushes and night sweats except hormone therapy or perhaps a newer type of anti-depressive medication - they rightly may not want to take either of these kinds of medicines. The reality is that a lot of very sensible and generally healthy strategies have been shown to improve hot flushes.

Type: 
Articles
Life Phase: 
Perimenopause, Menopause

Progesterone (not Estrogen) for Hot Flushes in Perimenopausal and Menopausal Women

In less than a year, two influential articles reporting on consensus recommendations for therapy of “menopause-associated” and “menopausal” symptoms concluded that estrogen (with or without progestin) is the optimal therapy.
The purposes of this article are to propose that progesterone therapy is an equally or more effective hot flush/night sweat therapy than estrogen and to show that progesterone is safer than estrogen or estrogen with progestin (a synthetic cousin of progesterone) therapy.

Type: 
Articles
Life Phase: 
Perimenopause, Menopause

Beyond “Estrogen Deficiency”—news from Women’s Health Initiative

When the USA’s National Institutes of Health announced that the Estrogen arm of the Women’s Health Initiative was stopped early, no one could ever say again that estrogen therapy prevents heart disease. Estrogen treatment in women who had undergone hysterectomy was associated with neither benefit nor harm for heart disease and caused a 40% increase in stroke.

Type: 
Articles
Life Phase: 
Menopause

Perimenopause is a time of “Endogenous Ovarian Hyperstimulation”

Perimenopausal endogenous ovarian hyper-stimulation” is the exact opposite of “The Myth of the Shriveling Ovary”: High estrogen levels during perimenopause, coupled with characteristically intermittent ovulation, can explain much of the misery of perimenopause.

Type: 
Articles
Life Phase: 
Perimenopause

The Death of Hormone Replacement Therapy — Why and how to use Ovarian Hormone Therapy

Dr. Jerilynn C. Prior, Scientific Director of the Centre for Menstrual Cycle and Ovulation Research, has never advocated the use of hormones as an ongoing "replacement" for menopause. She does not feel that menopause is a medical condition that needs to be "fixed". Rather it is a normal stage of life. She strongly advocates use of new term for the few women who do need therapy in menopause. The new term is: Ovarian Hormone Therapy.

Type: 
Articles
Life Phase: 
Menopause

Manipulating Menstruation with Hormonal Contraception — what does the Science say?

Articles and magazine reports and even books about so-called “menstrual suppression” describe taking the Pill continuously or for longer than 21 days with seven days off. The advertising suggests that this is giving women a “choice” to do away with menstrual flow or menstrual problems. The Federal Drug Agency in the USA has approved one oral combined hormonal contraceptive to be taken in four extended cycles a year. These new ways of taking the Pill allow companies a new patent on old drugs and make it likely that the market for these products will expand from those who want to control pregnancy to those who want to eliminate menstrual flow.

Type: 
Articles

Young Women and Osteoporosis — Good news about treatment and prevention

Osteoporosis and broken bones are an old woman's disease-right? No, that is not right! Young women do get osteoporosis-although rarely. The sooner we understand that young women can and do fracture bones and develop osteoporosis the better. We must accept that the bone we build in our childhood and teen years provides a "bone bank" from which we can borrow in older age.

Type: 
Articles

Ovulatory Disturbances: They Do Matter

For the woman who isn't trying to get pregnant, does it matter if an ovulatory pattern is normal? Recent studies indicate that it does. One study showed that women with only one nonovulatory cycle a year lost an average of 4% of their spinal bone. Strong evidence suggests that lack of cyclic normal progesterone is detrimental to good health.

Type: 
Articles

Progesterone Therapy for Menopause

The purpose of this article is to highlight the ways in which oral micronized progesterone therapy (taken by mouth as a pill) can be helpful for menopausal women with hot flushes, sleep disturbances or osteoporosis (menopause being one year after all flow has ceased).

Type: 
Articles
Life Phase: 
Menopause

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Join a Study:

Enrolment complete: Perimenopausal Hot Flush Study

Enrolment is now complete. Thank you for your interest.
CeMCOR is now recruiting Canadian women for this CIHR-funded randomized controlled trial to test whether oral micronized progesterone is more effective than placebo as therapy for hot flushes and night sweats in perimenopausal women.

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