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What are the early signs of the menopause? Women in perimenopause have at least some these symptoms: Hot flashes. Breast tenderness. Worse premenstrual syndrome. Lower sex drive. Fatigue. Irregular periods. Vaginal dryness; discomfort during sex. Urine leakage when coughing or sneezing. Does menopause cause weight gain loss? Low estrogen during menopause does not directly cause weight gain, but it may lead to increases in total body fat and abdominal fat. Doctors associate excess weight during middle age with heart disease and type 2 diabetes. Hormone replacement therapy may reduce the tendency to gain abdominal fat. How do you test estrogen levels? Your doctor will send a sample of your blood to a lab for testing. Most hormones can be detected in the blood. A doctor can use a blood test to check your thyroid, estrogen, testosterone, and cortisol levels. Should I take estrogen during perimenopause? Hormone therapy reduces menopausal symptoms Hot flashes generally require a higher dose of estrogen therapy that will have an effect on the entire body. Women who still have a uterus need to take a progestogen (progesterone or a similar product) along with the estrogen to prevent cancer of the uterus.
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