{"id":104972,"date":"2026-07-17T19:29:30","date_gmt":"2026-07-17T19:29:30","guid":{"rendered":"https:\/\/youzum.net\/theres-a-lot-of-hype-around-perimenopause-dont-buy-it\/"},"modified":"2026-07-17T19:29:30","modified_gmt":"2026-07-17T19:29:30","slug":"theres-a-lot-of-hype-around-perimenopause-dont-buy-it","status":"publish","type":"post","link":"https:\/\/youzum.net\/es\/theres-a-lot-of-hype-around-perimenopause-dont-buy-it\/","title":{"rendered":"There\u2019s a lot of hype around perimenopause. Don\u2019t buy it."},"content":{"rendered":"
<\/div>\n

Perimenopause has entered the chat. Perimenopause\u2014and its better-known relative, menopause\u2014used to be considered taboo. Not anymore, thanks at least in part to TV doctors and social media influencers. Perhaps it\u2019s my age, but these days, both my algorithm and my conversations with friends increasingly swing toward perimenopause.<\/p>\n

Menopause is defined as the life stage that occurs a year after a person has had their last period. Perimenopause is the sometimes years-long period before that point, which can also feature all the symptoms we\u2019d typically associate with menopause.<\/p>\n

Today, information about perimenopause is more prevalent and accessible than ever. If you\u2019re a woman in your 40s and you\u2019re not feeling 100%, chances are there\u2019ll be someone online ready to tell you you\u2019re in perimenopause. And that you might want to start spending your money on blood tests, apps, and supplements or demanding hormone replacement therapy. But as regular readers might have guessed by this point, it\u2019s not that simple.<\/p>\n

Perimenopause tends to start around the age of 46 or 47. It\u2019s during this time that many women start to experience some symptoms like hot flashes, irregular or unusually heavy periods, or anxiety, for example. And it can be heavy going. \u201cOften symptoms are at their worst in the perimenopause,\u201d says Mary Ann Lumsden, former president of the International Menopause Society.<\/p>\n

That\u2019s because hormones can fluctuate wildly. Levels of estrogen, progesterone, luteinizing hormone, and follicle-stimulating hormone can roller-coaster before leveling off after menopause. And that\u2019s why, despite what some marketers will claim, there is no test for perimenopause<\/em>.<\/p>\n

\u201cYou can\u2019t interpret hormone [measures] because they change so much,\u201d <\/strong>says Lumsden. \u201cAnd that is quite normal.\u201d<\/p>\n

That doesn\u2019t mean women should have to put up with symptoms. But exactly how those symptoms are treated is another topic that has been clouded by misinformation.<\/p>\n

Last week, I told a friend about some unusually bad pelvic pain I\u2019d experienced. Her immediate advice was to find out if I was perimenopausal and, if I was, to request hormone replacement therapy (HRT) as soon as possible. If my doctor wouldn\u2019t prescribe it, she continued, I should simply find another doctor who would.<\/p>\n

This line of thinking has been heavily promoted on social media platforms<\/strong>, says Paula Briggs, a former chair of the British Menopause Society who currently leads the menopause service at Liverpool Women\u2019s Hospital. But it\u2019s not helpful.<\/p>\n

HRT is essentially designed to top up or replace hormones like estrogen and progesterone, which naturally decline around menopause. There are lots of different drugs that can be taken in lots of different ways and at various doses.<\/p>\n

While it does come with some risks and won\u2019t suit everyone, HRT can be immensely helpful for many menopausal women. Not only can it help with many of the common symptoms of menopause, but it can also help prevent osteoporosis and maintain muscle strength.<\/p>\n

But these drugs were trialed in, and approved for, menopausal<\/em> women, says Lumsden. <\/strong>They won\u2019t have the same effects in perimenopausal women. \u201cIf you give standard HRT, it may well get swamped by [the woman\u2019s] own hormone production,\u201d she says.<\/p>\n

HRT can also cause abnormal bleeding in perimenopausal women, says Briggs.<\/p>\n

She\u2019s concerned about the messaging on perimenopause that is being promoted on social media. Particularly worrisome, she says, is the way younger women are being encouraged to assume they are perimenopausal and seek out HRT treatment.<\/p>\n

\u201cIt\u2019s almost cult-like, this idea that everybody must have HRT,\u201d she says.<\/strong><\/p>\n

And then there are the supplements. There\u2019s been an explosion in marketing for vitamins and supplements specifically targeted to middle-aged and menopausal women. But the evidence for these, too, is either limited or nonexistent. \u201cI can\u2019t see a mechanism for a lot of them,\u201d says Lumsden.<\/p>\n

Women who take these supplements don\u2019t always know what they\u2019re getting. Some of Lumsden\u2019s patients have told her they take testosterone supplements to manage their symptoms. But blood tests revealed no increase in testosterone levels. \u201cWhatever they\u2019re getting, it\u2019s not testosterone,\u201d she says.<\/p>\n

At any rate, not all the symptoms women experience in midlife can be blamed on hormones. The lengthy lists of perimenopause symptoms shared on social media include fatigue, brain fog, aches and pains, digestive issues, and more. \u201cThese do not link closely to the obvious menstrual cycle changes and hormone changes \u2026 across menopause,\u201d says Nanette Santoro, a professor of obstetrics and gynecology at the University of Colorado Anschutz who studies menopause.<\/p>\n

If you\u2019re experiencing any symptoms, it\u2019s worth getting them checked out to make sure they\u2019re not being caused by something else.<\/strong> My own pelvic pain, for example, is almost definitely the result of endometriosis\u2014a condition that can be made worse<\/em> by HRT, Lumsden tells me.<\/p>\n

At any rate, by the time women reach their 40s, many are already juggling care for children and aging parents, often while holding down a job (and dealing with pressures from societies that don\u2019t appear to value older women). It\u2019s an exhausting time\u2014and not all of that exhaustion can be blamed on hormones.<\/p>\n

As Santoro puts it: \u201cAttributing everything unpleasant that happens to a woman over 35 to perimenopause is not based on any scientific evidence.\u201d<\/p>\n

This article first appeared in The Checkup,\u00a0<\/em>MIT Technology Review\u2019s\u00a0weekly biotech newsletter. To receive it in your inbox every Thursday, and read articles like this first,\u00a0<\/em>sign up here<\/em><\/a>.<\/em><\/p>","protected":false},"excerpt":{"rendered":"

Perimenopause has entered the chat. Perimenopause\u2014and its better-known relative, menopause\u2014used to be considered taboo. Not anymore, thanks at least in part to TV doctors and social media influencers. Perhaps it\u2019s my age, but these days, both my algorithm and my conversations with friends increasingly swing toward perimenopause. Menopause is defined as the life stage that occurs a year after a person has had their last period. Perimenopause is the sometimes years-long period before that point, which can also feature all the symptoms we\u2019d typically associate with menopause. Today, information about perimenopause is more prevalent and accessible than ever. If you\u2019re a woman in your 40s and you\u2019re not feeling 100%, chances are there\u2019ll be someone online ready to tell you you\u2019re in perimenopause. And that you might want to start spending your money on blood tests, apps, and supplements or demanding hormone replacement therapy. But as regular readers might have guessed by this point, it\u2019s not that simple. Perimenopause tends to start around the age of 46 or 47. It\u2019s during this time that many women start to experience some symptoms like hot flashes, irregular or unusually heavy periods, or anxiety, for example. And it can be heavy going. \u201cOften symptoms are at their worst in the perimenopause,\u201d says Mary Ann Lumsden, former president of the International Menopause Society. That\u2019s because hormones can fluctuate wildly. Levels of estrogen, progesterone, luteinizing hormone, and follicle-stimulating hormone can roller-coaster before leveling off after menopause. And that\u2019s why, despite what some marketers will claim, there is no test for perimenopause. \u201cYou can\u2019t interpret hormone [measures] because they change so much,\u201d says Lumsden. \u201cAnd that is quite normal.\u201d That doesn\u2019t mean women should have to put up with symptoms. But exactly how those symptoms are treated is another topic that has been clouded by misinformation. Last week, I told a friend about some unusually bad pelvic pain I\u2019d experienced. Her immediate advice was to find out if I was perimenopausal and, if I was, to request hormone replacement therapy (HRT) as soon as possible. If my doctor wouldn\u2019t prescribe it, she continued, I should simply find another doctor who would. This line of thinking has been heavily promoted on social media platforms, says Paula Briggs, a former chair of the British Menopause Society who currently leads the menopause service at Liverpool Women\u2019s Hospital. But it\u2019s not helpful. HRT is essentially designed to top up or replace hormones like estrogen and progesterone, which naturally decline around menopause. There are lots of different drugs that can be taken in lots of different ways and at various doses. While it does come with some risks and won\u2019t suit everyone, HRT can be immensely helpful for many menopausal women. Not only can it help with many of the common symptoms of menopause, but it can also help prevent osteoporosis and maintain muscle strength. But these drugs were trialed in, and approved for, menopausal women, says Lumsden. They won\u2019t have the same effects in perimenopausal women. \u201cIf you give standard HRT, it may well get swamped by [the woman\u2019s] own hormone production,\u201d she says. HRT can also cause abnormal bleeding in perimenopausal women, says Briggs. She\u2019s concerned about the messaging on perimenopause that is being promoted on social media. Particularly worrisome, she says, is the way younger women are being encouraged to assume they are perimenopausal and seek out HRT treatment. \u201cIt\u2019s almost cult-like, this idea that everybody must have HRT,\u201d she says. And then there are the supplements. There\u2019s been an explosion in marketing for vitamins and supplements specifically targeted to middle-aged and menopausal women. But the evidence for these, too, is either limited or nonexistent. \u201cI can\u2019t see a mechanism for a lot of them,\u201d says Lumsden. Women who take these supplements don\u2019t always know what they\u2019re getting. Some of Lumsden\u2019s patients have told her they take testosterone supplements to manage their symptoms. But blood tests revealed no increase in testosterone levels. \u201cWhatever they\u2019re getting, it\u2019s not testosterone,\u201d she says. At any rate, not all the symptoms women experience in midlife can be blamed on hormones. The lengthy lists of perimenopause symptoms shared on social media include fatigue, brain fog, aches and pains, digestive issues, and more. \u201cThese do not link closely to the obvious menstrual cycle changes and hormone changes \u2026 across menopause,\u201d says Nanette Santoro, a professor of obstetrics and gynecology at the University of Colorado Anschutz who studies menopause. If you\u2019re experiencing any symptoms, it\u2019s worth getting them checked out to make sure they\u2019re not being caused by something else. My own pelvic pain, for example, is almost definitely the result of endometriosis\u2014a condition that can be made worse by HRT, Lumsden tells me. At any rate, by the time women reach their 40s, many are already juggling care for children and aging parents, often while holding down a job (and dealing with pressures from societies that don\u2019t appear to value older women). It\u2019s an exhausting time\u2014and not all of that exhaustion can be blamed on hormones. As Santoro puts it: \u201cAttributing everything unpleasant that happens to a woman over 35 to perimenopause is not based on any scientific evidence.\u201d This article first appeared in The Checkup,\u00a0MIT Technology Review\u2019s\u00a0weekly biotech newsletter. To receive it in your inbox every Thursday, and read articles like this first,\u00a0sign up here.<\/p>","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_pvb_checkbox_block_on_post":false,"footnotes":""},"categories":[52,5,7,1],"tags":[],"class_list":["post-104972","post","type-post","status-publish","format-standard","hentry","category-ai-club","category-committee","category-news","category-uncategorized","pmpro-has-access"],"acf":[],"yoast_head":"\nThere\u2019s a lot of hype around perimenopause. 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Don\u2019t buy it."}]},{"@type":"WebSite","@id":"https:\/\/yousum.gpucore.co\/#website","url":"https:\/\/yousum.gpucore.co\/","name":"YouSum","description":"","publisher":{"@id":"https:\/\/yousum.gpucore.co\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/yousum.gpucore.co\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/yousum.gpucore.co\/#organization","name":"Drone Association Thailand","url":"https:\/\/yousum.gpucore.co\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/yousum.gpucore.co\/#\/schema\/logo\/image\/","url":"https:\/\/youzum.net\/wp-content\/uploads\/2024\/11\/tranparent-logo.png","contentUrl":"https:\/\/youzum.net\/wp-content\/uploads\/2024\/11\/tranparent-logo.png","width":300,"height":300,"caption":"Drone Association Thailand"},"image":{"@id":"https:\/\/yousum.gpucore.co\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/DroneAssociationTH\/"]},{"@type":"Person","@id":"https:\/\/yousum.gpucore.co\/#\/schema\/person\/97fa48242daf3908e4d9a5f26f4a059c","name":"admin NU","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/yousum.gpucore.co\/#\/schema\/person\/image\/","url":"https:\/\/youzum.net\/wp-content\/uploads\/avatars\/2\/1746849356-bpfull.png","contentUrl":"https:\/\/youzum.net\/wp-content\/uploads\/avatars\/2\/1746849356-bpfull.png","caption":"admin NU"},"url":"https:\/\/youzum.net\/es\/members\/adminnu\/"}]}},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"admin NU","author_link":"https:\/\/youzum.net\/es\/members\/adminnu\/"},"rttpg_comment":0,"rttpg_category":"<a href=\"https:\/\/youzum.net\/es\/category\/ai-club\/\" rel=\"category tag\">AI<\/a> <a href=\"https:\/\/youzum.net\/es\/category\/committee\/\" rel=\"category tag\">Committee<\/a> <a href=\"https:\/\/youzum.net\/es\/category\/news\/\" rel=\"category tag\">News<\/a> <a href=\"https:\/\/youzum.net\/es\/category\/uncategorized\/\" rel=\"category tag\">Uncategorized<\/a>","rttpg_excerpt":"Perimenopause has entered the chat. Perimenopause\u2014and its better-known relative, menopause\u2014used to be considered taboo. Not anymore, thanks at least in part to TV doctors and social media influencers. Perhaps it\u2019s my age, but these days, both my algorithm and my conversations with friends increasingly swing toward perimenopause. Menopause is defined as the life stage that…","_links":{"self":[{"href":"https:\/\/youzum.net\/es\/wp-json\/wp\/v2\/posts\/104972","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/youzum.net\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/youzum.net\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/youzum.net\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/youzum.net\/es\/wp-json\/wp\/v2\/comments?post=104972"}],"version-history":[{"count":0,"href":"https:\/\/youzum.net\/es\/wp-json\/wp\/v2\/posts\/104972\/revisions"}],"wp:attachment":[{"href":"https:\/\/youzum.net\/es\/wp-json\/wp\/v2\/media?parent=104972"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/youzum.net\/es\/wp-json\/wp\/v2\/categories?post=104972"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/youzum.net\/es\/wp-json\/wp\/v2\/tags?post=104972"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}