It may be perimenopause. A doctor can tell you for sure, and help.
Book a free perimenopause consultIn person, with Dr. Gurrala. No obligation. Not sure? Find your starting point.
You don’t have to wait it out. Many women spend years going from doctor to doctor with symptoms that seem unrelated before anyone mentions perimenopause.
Your periods may still be regular, or only a little different, and that can make it easy to miss. Because your hormones fluctuate during this stage, a single blood test can’t settle the question. Your symptoms, your age and your labs together give a far better answer.
Your cycle, your sleep, your weight, your mood and your family history all matter. You will have time to explain what has been changing.
Lab work looks at your hormones and thyroid, along with metabolic markers and nutrient levels that can cause similar symptoms.
If HRT is right for you, Dr. Gurrala explains your options, including bioidentical hormones, and why he recommends one over another. If it is not, he will explain what else can help.
Your plan can include nutrition, strength training with Delos Fit and body composition scans, along with follow-up labs to keep treatment on track.
Perimenopause most often starts in the mid-40s, though it can begin earlier or later, and it commonly lasts several years. Menopause itself arrives at about 51 on average in the US. At Delos Longevity in Sterling, Dr. Gurrala can review your symptoms and tell you whether this is what you are experiencing.
Hot flashes, night sweats, poor sleep, mood changes or vaginal dryness that affect your daily life are the usual reasons to consider it. HRT is a medical decision that depends on your history as well as your symptoms. Dr. Gurrala goes through this with you in person.
HRT is not a weight-loss treatment, and it does not cause weight loss on its own. It may help indirectly by improving sleep and energy, and it may influence where your body stores fat. At Delos, weight is addressed directly through nutrition, strength training and, when appropriate, medical weight loss.
No single diet is best, but a good starting point is enough protein to protect muscle, plenty of fiber, and mostly whole foods, combined with strength training. Your labs and an InBody scan at Delos can show what your own plan should focus on.
Yes. Until you have gone 12 months without a period, pregnancy is still possible. HRT is not contraception, so raise this with Dr. Gurrala when you talk about treatment.
You can, and some women do. But you don’t have to live with symptoms that are disrupting your sleep, your work or your relationships. A consultation will show you what your options are.
Hormone therapy is not right for everyone. It may not be suitable if you have had breast cancer or another hormone-sensitive cancer, blood clots, a stroke, a heart attack, active liver disease, or unexplained vaginal bleeding, or if you may be pregnant.
Possible risks include blood clots, stroke, gallbladder disease and, with some regimens and longer use, breast cancer. Women who have a uterus and take estrogen generally also need a progestogen to protect the uterine lining. Risk depends on your age, your health, how long it has been since menopause, and the type, dose and route of treatment.
Common side effects include breast tenderness, bloating, headaches and irregular bleeding.
This is not a complete list. Treatment is prescribed only when clinically appropriate, after a medical evaluation, and is reviewed regularly. Individual results vary.
Book a free consultation, talk to a physician in person, and find out what is going on.
Book a free perimenopause consult21290 Windmill Parc Dr, Ste 402, Sterling, VA 20166
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