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    Still too early to tell???
    alia68 posted:
    I don't know whether I'm in peri or not. I am 46 .Just 4 months ago, I started having palpitations badly and tremors too. I couldnt sleep at night too.Did a thorough health check up and the doctors couldn't find anything wrong with me. I ended up having a bad case of anxiety and depression ( don't know if it was due to peri.) My periods were regular for the first two months and of lately it is becoming earlier by 5 days. Most days I could feel my heart pounding and palpitations. Sometimes I have mild heat flash both day time and night but with no sweat. Found no relief so far. I was wondering if anyone is having the tremors, trembling or shaking 24/7.
    Mary Jane Minkin, MD responded:
    Dear Alia68,
    There are women who develop anxiety and palpitations with menopause; indeed one of the supposed mechanism of hot flashes is that they are caused by the release of chemicals such as adrenaline, which can certainly give you palpitations. If you are having palpitations, I always suggest checking in with your primary care physician or cardiologist, if you've seen one, just to make sure that the heart situation is fine. If it is, one option is always to try a small amount of estrogen therapy for a couple of months, and see if your anxiety symptoms resolve; if they do, then you may assume that they are related to perimenopause. Of course, trying to avoid known stimulants, like caffeine and alcohol, will also help, no matter what the cause.
    Good luck,
    Mary Jane

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