Transitioning to Menopause Happens in Your Thirties

The menopausal transition may be most dramatic over 2-3 years, but it basically is a 15 year process.

I suggest you begin the conversation about how you will transition into menopause with or without hormones early, there is a lot to discuss with your gyno!

Many women can transition easily through menopause. We recommend that our patients begin to read about their changing hormones in their mid 30s, by age 40 come to review what to look for as signs that your estrogen is waning, after 45 with symptoms the diagnosis of perimenopause is likely going to be confirmed through our discussion, and somewhere between 50 and 55 we can give you a diagnosis of menopause.

Signs of fatigue, poor sleep, mood changes, weight gain and body weight shifts are signs you will notice prior to any hot flashes.

Were you ever on hormone or hormone contraceptive therapy? Were you ever taken off hormone therapy? Each woman is an individual. If you do or don’t begin therapy you should do so as you work on beneficial lifestyle changes. For example, proper bone building in youth and continuing healthy diet can ward off the need for postmenopausal osteoporosis therapy. Then again, if we get old enough, such as living beyond 100, it is postulated that medication therapies may be necessary in almost all of us to keep healthy bones. So we have a lot more to learn about our own unique physiology to help us stay fit.

At your next appointment with us we may cover the use of lifestyle changes, the use of supplements, and hormone testing.

1. A search for effective bust even safer dosages by using testing when and if it is beneficial to begin or change hormone therapy.

2. A search for alternative therapy, but any medication may have risks and benefits: to participate in a study at Women’s Heath Practice call:

3. A better understanding of long term bone health and the risks of alternative therapies, education, education, education, keep in touch with us, send us your comments.

4. Nutritional and fitness management of menopause, we can recommend strategies, tell us your favorite exercise and we will give complementary suggestions

5. Non-medication pelvic floor therapy for vaginal health is safe and effective:

6. Non-hormonal management of irregular bleeding in perimenopause, first ultrasounds and evaluations for precancerous and cancerous conditions.

Symptoms of menopause can be averted early, but if they occur. There are a myriad of ways to treat them. There is no specific start or stop date to hormonal therapy, the majority of women will not need hormonal therapy.

Go to shop! Get the book Feminine Beauty for answers about non-hormonal and hormonal therapy, your body, and the menopause transition!


Suzanne Trupin, MD, Board Certified Obstetrician and Gynecologist and owner of Women's Health Practice, Hada Cosmetic Medicine, and Hatha Yoga and Fitness

One thought on “Transitioning to Menopause Happens in Your Thirties

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