By Juliana M. Kling, MD, MPH as informed to Alexandra Benisek 

Within the WebMD webinar 

“Transferring Past Sizzling Flashes: Therapy Choices for Signs of Perimenopause and Menopause,”

Juliana M. Kling, MD, MPH, answered viewer questions on hormone remedy, menopause signs, intercourse throughout menopause, and extra. 

Will menopause signs like sizzling flashes return when my hormone remedy ends?

It relies upon. Additionally referred to as vasomotor signs, these are inclined to final 7-10 years. However some individuals have signs for longer. For instance, Black individuals usually have longer vasomotor signs throughout menopause. 

Whenever you cease hormone remedy, chances are you’ll discover that your sizzling flashes come again. In the event that they’re extreme, chances are you’ll take into account restarting hormone remedy (in case your physician finds that it’s a wholesome possibility for you) otherwise you would possibly attempt a non-hormone therapy. 

Or chances are you’ll not have returning sizzling flashes after stopping hormone remedy. The essential factor to know right here is that treating your sizzling flashes through the menopause transition doesn’t delay you going via menopause. 

Does stopping oral contraception capsules carry on menopause for individuals over 45?

No. In case you cease your contraception capsules and spot perimenopause or menopause signs, it could be that you just’re in perimenopause or menopause (not due to oral contraceptives, however due to your age and once you stopped utilizing them). 

Because you’re nonetheless vulnerable to being pregnant up till 12 months previous your final menstrual cycle (the definition of menopause), chances are you’ll resolve to proceed oral contraceptives to forestall being pregnant, in addition to deal with your perimenopausal signs. 

Can I keep on bioidentical hormone alternative for greater than 5 years?

Possibly. Some individuals may have this therapy for greater than 5 years. 

However pointers say you must use the very best dose for the very best period of time to deal with your menopausal signs. There shouldn’t be a random age cutoff for hormone remedy throughout menopause.

The fitting time to cease this therapy is totally different for every particular person. Speak to your physician to determine the suitable time for you.

When you begin therapy, you and your physician can have a look at the dangers and advantages of continuous hormone remedy every year. This could go hand-in-hand with age-appropriate most cancers screening and wholesome life-style habits together with common train, a heart-healthy weight loss program such because the Mediterranean weight loss program, minimal or no alcohol, and no tobacco use. 


How do I do know if my signs are associated to menopause or one other medical situation?

Speak together with your physician about your signs. They might test for different causes of your signs. In case your age, menstrual cycle historical past, and signs match up with perimenopause or menopause, then that’s most likely your analysis. You and your physician can speak about your choices for therapy. 

How does hormone remedy have an effect on individuals with a historical past of migraines?

It could be an possibility for you after your physician seems over the dangers and advantages. In case you’re perimenopausal, chances are you’ll discover modifications in your migraines throughout your menstrual cycles (menstrual-related migraines). 

Your migraines might worsen throughout perimenopause. Beginning hormone remedy might enhance your perimenopausal or menopausal signs. Chances are you’ll discover that your migraines get higher after menopause.

How does menopause have an effect on my intercourse life?

The signs that generally occur throughout menopause (like sizzling flashes, evening sweats, sleep disturbance, vaginal dryness, cognitive fog, and irritability) can both straight or not directly affect intercourse. 

For instance, our group has studied the connection between sleep and sexual functioning. We discovered that poor sleep high quality places you at increased danger of sexual dysfunction. 

The genitourinary syndrome of menopause – which impacts your genitals and urinary organs – sometimes begins about 2-3 years after your final menstrual cycle. This will trigger vaginal dryness, which may trigger you to have ache throughout intercourse. 

It is essential to know that intercourse ought to by no means be painful. You need to use lubricants, in addition to vaginal moisturizers repeatedly, to assist with these signs. Chances are you’ll want to start out a low dose of vaginal estrogen to assist together with your signs. These are secure and can be utilized long run. They don’t enhance your danger of breast most cancers, blood clots, coronary heart assaults, or strokes.

Sexual well being is a vital a part of general well being. So for those who’re experiencing sexual issues, discuss together with your physician so you may get checked and handled. 

Are you able to develop a panic dysfunction throughout menopause?

Perimenopause is a time when chances are you’ll develop depressive signs, particularly you probably have a historical past of tension or temper problems. We see an elevated danger of signs and analysis throughout this time.

Speak to your docs about your choices for therapy. They might embody cognitive behavioral remedy (CBT) and drugs comparable to antidepressants. Throughout perimenopause, chances are you’ll profit from hormone remedy to assist your temper.

The perfect therapy for you can be based mostly on the specifics of your state of affairs. 

Are hormone remedy choices coated by insurance coverage?

Sure. The FDA approves hormone remedy, together with different related FDA-approved remedies. It’s coated by most insurance coverage corporations. 

What’s one of the simplest ways to discover a menopause specialist situated close to me?

Go to the 

North American Menopause Society web site

and seek for an authorized menopause practitioner. 

Right here, you’ll enter details about the state or nation you reside in. Then, you’ll get an inventory of menopause specialists close to you.


Watch the webinar
right here.

WebMD Function



Juliana Kling, MD, MPH, professor of medication; chair of ladies’s well being inner drugs; affiliate chair of fairness, inclusion and variety, Division of Medication, Mayo Clinic, Scottsdale, AZ. 

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