Perimenopause itchy skin with no rash is a barrier change, and it has been measured. What happens to ceramides, collagen and water loss when estrogen falls, why that makes the cream choice non-arbitrary, and the three versions of this that belong with a doctor.
Perimenopause nausea is missing from the standard menopause symptom scales, which is why nobody told you. The three separate mechanisms that produce the same queasiness, and the one presentation that belongs with a doctor this week.
Foods that fight hot flashes: no single food has strong evidence, and soy and herbal supplements are not recommended. What does have evidence is weight loss. What the Women’s Health Initiative and a soybean diet trial actually found.
Can you get pregnant during perimenopause? Yes. Fertility fades rather than switches off, blood tests cannot tell you when you are safe, and most guidance points to contraception until around 55. What the research says, and the two-step plan.
Micronized progesterone and progesterone cream are not interchangeable. An evidence review of what the capsule was tested for, what the cream trials found, and why the difference matters for anyone using estrogen.
Post menopausal symptoms split three ways: some fade, some are silent, and one group, genitourinary syndrome of menopause, tends to get worse without treatment. What the research says, and the three words worth saying at your next appointment.
Hot flash medication has changed. Hormone therapy is still the most effective, but two new non-hormonal drugs, fezolinetant and elinzanetant, now sit alongside the older options. The whole evidence-backed menu, and what the evidence does not support.
Estrogen dominance is not a recognized diagnosis, but part of the idea is real physiology. An evidence review of what perimenopause does to estrogen and progesterone, why saliva tests cannot settle it, and what to bring to a clinician instead.
Weird perimenopause symptoms are usually one hormonal change showing up in tissue nobody associates with menopause. What is documented, what is still uncertain, and which ones are not perimenopause at all.
Does HRT cause weight gain? A Cochrane review of 28 randomized trials in 28,559 women found no effect on weight beyond the usual midlife gain. Why the scale moved anyway, and what to measure instead.
