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T2 ...they were pregnant! #ACOGchat

T3 I tell my perimenopausal patients to dress in natural fiber clothing, dress in layers and carry a bottle of water to sip! #ACOGchat

T3 For my patients who still need contraception the hormonal IUD which also helps with bleeding, once we have decided... #ACOGchat

T3 ...that the bleeding is not anything to be concerned about (after checking into this in the office, that is!) #ACOGchat

T3 Since perimenopause can begin up to 10 yrs after the last period it is never too early to discuss birth control future plans #ACOGchat

T3 Average age for menopause is approximately at 51-52. There is a bell-shaped curve around this age range #ACOGchat

T3 I have had patients under some stress who experienced peri-menopausal symptoms on the early side of this range, so ... #ACOGchat

T3 ...Stress does play a role in this, as in many aspects of life and health. #ACOGchat

T4 Some of my patients report that they have less symptoms on black cohosh, soy and some of the alternative products... #ACOGchat

T4 ...these are considered soy, basically, as phytoestrogens (plant-based). If they feel better on these, with no problems, I ... #ACOGchat

T4 ...let them know they can continue these, although trials published in the med literature has not borne this out. #ACOGchat

T5 I tell my patients who ask me this that the only real way to tell is to discontinue their hormonal birth control and track... #ACOGchat

T5 ...their periods. If they need the contraception there is no need for them to do this! They can discontinue this at age 55 ... #ACOGchat

T5 ...and decide to stop or to transition to topical, local or other lower dose hormonal therapy. We have a thorough discussion! #ACOGchat

T5 Healthy, lean, non-smoking patients are those who are candidates for this type of discussion. #ACOGchat

T6 I tell my patients that they should see me if and when they have concerns which are bothering them (symptoms or questions)... #ACOGchat

T6...also if they have any bleeding pattern which is heavier or more frequent than they are used to, and... #ACOGchat

T6...for their annual well-woman visit. #ACOGchat

Establishing a good relationship with your GYN is essential for open, honest communication about perimenopause and... #ACOGchat

For all the other important times in a woman's life! #ACOGchat