Let's dive into the complex journey of navigating perimenopause, particularly the challenges of managing heavy menstrual cycles. This episode explores why common medical solutions like ablation, birth control pills, and hysterectomy may not always be the best options, examining their consequences on hormone levels, gut health, and cognitive function.
Understanding Heavy Menstrual Cycles in Perimenopause
Heavy menstrual cycles are a common issue for many women during perimenopause. It's crucial to understand the root causes of heavy bleeding, such as endometriosis, adenomyosis, and hormonal shifts, before considering significant surgical interventions.Treatment Options and Considerations
Hysterectomy: Often suggested for heavy bleeding but may not be the best option. Potential side effects include early menopause and cognitive impairments.
Uterine Ablation: A less invasive option compared to hysterectomy.
Hormonal Balance and Gut Health: Crucial considerations for menstrual health.
Bioidentical Hormones and Supplements: Can play a role in managing heavy menstrual bleeding.
Hormonal Factors
- The role of progesterone in regulating menstrual cycles affects bleeding.
- Hormonal shifts during perimenopause impact progesterone levels and menstrual cycles.
- Testing hormone levels is essential to avoid assumptions about estrogen dominance.
Other Contributing Factors
- Endometriosis is more than just a hormonal condition and involves immune dysregulation.
- Fibroids and adenomyosis can contribute to heavy menstrual bleeding.
- Uterine cancer and polyps should be ruled out as causes of heavy bleeding.
Misconceptions and Social Influences
- Misconceptions exist around the use of birth control pills for heavy bleeding.
- Social norms influence women's health decisions and treatment options.
Impacts of Hysterectomy
- Removing ovaries during hysterectomy can lead to immediate menopause.
- Hysterectomy can impact bladder, bowel, and pelvic support.
