During perimenopause apart from mood changes such as anxiety, the menopause blues and mood swings, we may also experience changes in our PMS.

Meno Martha, PMS and PerimenopausePerimenopause Hormones

During perimenopause do our hormones declined in a regular fashion?

In Sexual Health & Menopause Online: Changes At Midlife – Changes In Hormone Levels: Estrogen the North American Menopause Society elaborate on:

“Estrogen levels generally decline during perimenopause, but they do so in an irregular fashion. Sometimes there can be more estrogen present during perimenopause than in the past”.

Perimenopause PMS

During perimenopause may our PMS symptoms get worse?

In Premenstrual Syndrome (PMS): Does PMS Change With Age? the Office on Women’s Health,  United States Department of Health and Human Services, Womenshealth.gov explain:


Meno Martha, PMS and Perimenopause“Yes. PMS symptoms may get worse as you reach your late 30s or 40s and approach menopause and are in the transition to menopause, called perimenopause.

This is especially true for women whose moods are sensitive to changing hormone levels during the menstrual cycle. In the years leading up to menopause, your hormone levels also go up and down in an unpredictable way as your body slowly transitions to menopause. You may get the same mood changes, or they may get worse.

PMS stops after menopause when you no longer get a period”.

In Premenstrual Disorders & Menopause: Perimenopause & Natural Menopause – How May Being Perimenopausal Affect My PMDD/PME? the International Association for Premenstrual Disorder’s (IAPMD) elaborate on:

“PMDD cycling does go away after you are fully menopausal; however, during the years before and during the menopause transition (perimenopause), things can get rough for a while since those with PMDD are sensitive to hormone changes, and hormone flux increases EVEN MORE during perimenopause. Estrogen and progesterone production becomes very erratic and unstable before it declines at menopause”.

Meno Martha, PMS and Perimenopause

Premenstrual Syndrome (PMS)

What is PMS?

Depending on the Source (DotS), the definition of PMS may vary. In PMDD/PMS: Premenstrual Syndrome (PMS) the (United States) Massachusetts General Hospital) MGH Center for Women’s Mental Health’s definition is:

“Premenstrual Syndrome, commonly referred to as PMS, is a broad term that typically refers to a general pattern of physical, emotional and behavioral symptoms occurring 1-2 weeks before and remitting with the onset of menses. PMS is common, affecting from 30-80% of women of reproductive age, though clinically significant PMS symptoms have been reported in 3-8% of patients”.

Premenstrual Dysphoric Disorder (PMDD)

What is PMDD?

DotS, the definition of PMDD may vary. In PMDD/PMS: Premenstrual Dysphoric Disorder (PMDD) the MGH Center for Women’s Mental Health’s definition is:

“Premenstrual Dysphoric Disorder (PMDD) is a more severe form of Premenstrual Syndrome characterized by significant premenstrual mood disturbance, often with prominent mood reactivity and irritability. Symptoms of PMDD can emerge 1-2 weeks preceding menses and typically resolve with the onset of menses. This mood disturbance results in marked social or occupational impairment, with its most prominent effects in interpersonal functioning. In fact, a recent study found that women with untreated PMDD were likely to experience a loss of three quality-adjusted life years during their lifetime as a result of their premenstrual symptoms. This did not include menstruation-free periods, such as pregnancy, breastfeeding and menopause”.

How may PMDD be diagnosed?

In Tracking Your Cycle & Symptoms the IAPMD note:

PMDD cannot be diagnosed via blood, hormone, or saliva test. These tests can, however, rule out any underlying disorders including hormone imbalance or thyroid issues. The only way to currently test for PMDD is by tracking symptoms for a span of two more menstrual cycles”.

Monthly Diary

Meno Martha, PMS and PerimenopauseMay keeping a monthly diary help?

In Menstrual Diary the (United Kingdom) National Association for Premenstrual Syndrome explain:

“A completed menstrual chart is the first step towards understanding your own menstrual health. Download the menstrual diary.

Our chart helps you to record accurately your menstrual cycle, to note related symptoms as they occur, to define when you are symptom-free, to plot your days of menstruation and to note the duration of your cycle”.

In Premenstrual Syndrome – Self-Care: Keep A Diary of Symptoms the (United States) MedlinePlus explain:

“Keeping a calendar or diary of your symptoms can help you identify the symptoms that are causing you the most trouble. Writing down your symptoms on a calendar can help you understand possible triggers for your symptoms. It can also help your health care provider choose an approach that is most helpful for you. In your diary or calendar, be sure to record:

  • The type of symptoms you are having
  • How severe your symptoms are
  • How long your symptoms last
  • Whether your symptoms respond to a treatment you tried
  • At what point during your cycle your symptoms occur

You may need to try different things to treat PMS. Some things you try may work, and others may not. Keeping track of your symptoms may help you find the treatments that work best for you”.

Monthly Diary Format

Where may I find a monthly diary format so I can record any symptoms I have?

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Health Care Provider

What if I would like help with PMS or PMDD or PME?

If you would like help with PMS or PMDD or PME (Premenstrual Exacerbation), it may be in your best interest to choose to talk to your health care provider about this.

In Premenstrual Syndrome (PMS): Living With – When Should I See My Healthcare Provider? the (United States) Cleveland Clinic explain:

“See your provider if you’re unable to get relief from your PMS symptoms. To get the most out of your visit, come to your appointment prepared to discuss your symptoms and your period in detail. Track your period and symptom history on a calendar, planner or app. Be prepared to share information about your period start and stop dates and your symptoms (including how mild or severe) for at least two consecutive periods”.

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Last Updated: 06 April 2024 – Last Revised: 31 March 2024

Endometriosis after menopause, usually does improve. However, “5% of endometriosis patients are postmenopausal”.

Endometriosis

What is endometriosis?

In Facts About Endometriosis the World Endometriosis Society’s definition is:

“Endometriosis is a condition in which tissue similar to the lining inside the uterus (called “the endometrium”), is found outside the uterus, where it induces a chronic inflammatory reaction that may result in scar tissue. It is primarily found on the pelvic peritoneum, on the ovaries, in the recto-vaginal septum, on the bladder, and bowel”.

Endometriosis After Menopause

Does endometriosis go away after menopause?

In Endometriosis Toolkit: A Patient Empowerment Guide the (United States) Society for Women’s Health Research note in Endometriosis and Menopause:

“5% of endometriosis patients are postmenopausal”.

Endometriosis After Menopause

Health Care ProviderEndometriosis After Menopause

What if I think I am having symptoms of endometriosis after menopause?

In Endometriosis: Does Endometriosis Go Away After Menopause? the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov note:

“For some women, the painful symptoms of endometriosis improve after menopause. As the body stops making the hormone estrogen, the growths shrink slowly. However, some women who take menopausal hormone therapy may still have symptoms of endometriosis.

If you are having symptoms of endometriosis after menopause, talk to your doctor about treatment options”.

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Last Updated: 27 March 2024 – Last Revised: 01 March 2024

International Women’s Day 2024 Menopause Workplace encourages Count Her In: Invest In Women. #InspireInclusion for Perimenopausal, Menopausal and Postmenopausal women in your workplace.

Count Her In: Invest In Women. Accelerate Progress.

What is the (United Nations) UN Women’s theme for International Women’s Day (IWD) on 8 March 2024?

In International Women’s Day 2024 the UN Women explain:

International Women’s Day 2024 Menopause Workplace“This International Women’s Day, 8 March 2024, join the United Nations in celebrating under the theme Count Her In: Invest in Women. Accelerate progress.

The world is facing many crises, ranging from geopolitical conflicts to soaring poverty levels and the escalating impacts of climate change. These challenges can only be addressed by solutions that empower women. By investing in women, we can spark change and speed the transition towards a healthier, safer, and more equal world for all”.

Inspire Inclusion

What is the IMD campaign theme for 2024?

In Let’s Inspire Inclusion: International Women’s Day 2024 Campaign Theme is ‘Inspire Inclusion’ the IWD explain:

International Women’s Day 2024 Menopause Workplace

“The campaign theme for International Women’s Day 2024 is Inspire Inclusion.

When we inspire others to understand and value women’s inclusion, we forge a better world.

And when women themselves are inspired to be included, there’s a sense of belonging, relevance, and empowerment.

Collectively, let’s forge a more inclusive world for women.

Read more about a definition of what it means to inspire inclusion here”.

IWD Work Mission

What is the IWD’s work mission?

In Women At Work the IWD explain:

“MISSION: Forge inclusive work cultures where women’s careers thrive and their achievements are celebrated”. International Women’s Day 2024 Menopause Workplace

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Last Updated: 12 March 2024 – Last Revised: 01 March 2024