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Perimenopause - Not Sure
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An_250444 posted:
I'm 43 years old and have very normal periods until the last 2 months. Last month, my period lasted 10-12 days (normally 7 days). Now, this month, I have yet to start and am now a week late. I have been having stomach cramping the last several weeks but not all the time (just occasionally and especially when I get up and move quickly). I also have felt really dizzy today and feel flushed. I'm freaking out as I just went for a physical and all of my blood tests came back normal and I've never had any trouble with my periods. Could this be perimenopause? I have 3 kids already and really don't even want to think that I could possibly be pregnant at 43. I've also been having some visual problems (such as floaters and blurred vision). Thanks in advance for any help you can provide.
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Mary Jane Minkin, MD responded:
Dear An_250444,
Please don't freak out! That being said, why not do a home pregnancy test, just to reassure yourself -the tests these days are quite accurate in detecting very early pregnancies; so a negative should be very reassuring. Could this be early perimenopause? It certainly could be, but it may be hard to prove. What I would suggest is that with your next period (or at some point with a period) on day 3 of the period, get an FSH test (a blood test). It is a test of ovarian reserve (and yes, there are home urine test kits for this as well). If the day 3 FSH is elevated, it shows decreased ovarian reserve (ie, you're getting closer to menopause). Alas, these tests aren't 100% accurate;you could have great ovarian reserve this year and be menopausal next year-but it would give you a "guesstimate"-and do follow up with your gynecologist,
Good luck,
Mary Jane


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