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Peri-Menopause and Menopause – Part 2

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Yesterday, we looked at a fellow sister-in-Christ’s experience with peri-menopause and menopause and gleaned wisdom from her journey.

Today, I am going to talk about some medical ideas you can talk with your doctor about and some spiritual ideas for handling this phase of life.  Some women start peri-menopause as early as in their 30s.  Some don’t start until their late 40s or 50s.  Most go through several years of symptoms of peri-menopause as our bodies begin turning off the flow of estrogen that has been regulating our menstrual cycle since the onset of puberty.

This post is not a replacement for talking with your doctor.  If you are experiencing medical problems, please see your MD, call  your pharmacist or call and talk to your nurse at your doctor’s office!


HERE IS WHAT WEBMD has to say:

Perimenopause, or menopause transition, is the stage of a woman’s reproductive life that begins several years before menopause, when the ovaries gradually begin to produce less estrogen. It usually starts in a woman’s 40s, but can start in a woman’s 30s or even earlier.

Perimenopause lasts up until menopause, the point when the ovaries stop releasing eggs. In the last one to two years of perimenopause, this decline in estrogen accelerates. At this stage, many women experience menopausal symptoms.

How Long Does Perimenopause Last?

The average length of perimenopause is four years, but for some women this stage may last only a few months or continue for 10 years. Perimenopause ends the first year after menopause (when a woman has gone 12 months without having her period).

What Are the Signs of Perimenopause?

You may recognize perimenopause when you begin experiencing some or all of the following symptoms:

Can I Get Pregnant If I Am Perimenopausal?

Yes. Despite a decline in fertility during the perimenopause stage, you can still become pregnant. If you do not want to become pregnant, you should continue to use some form of birth control until you reach menopause (you have gone 12 months without having your period).

Are There Treatments That Can Reduce the Symptoms Associated With Perimenopause?

Many women experience relief from hot flashes after taking low-dose birth control pills for a short period of time. Other options that may control hot flashes include the birth control skin patch, vaginal ring, and progesterone injections. Certain women should not use birth control hormones, so talk to your doctor to see if they are right for you.



I am going to describe what some women do to treat peri-menopause.  Please talk with your own doctor to decide what is best for you.   I cannot diagnose or prescribe anything for anyone.  Hopefully, this post will give you some ideas to talk with your doctor about.  I cannot guarantee safety and/or efficacy of any of these options.  Please do your own research!

Doctors used to give almost all perimenopausal women estrogen and/or progesterone hormones.  It was thought for decades that these things were ultimately helpful for women in many ways.  Unfortunately, a huge long term study revealed that giving estrogen supplements increased the risk of cardiac problems and other health problems.  Some women still do use hormone replacement therapy (HRT) – but smokers should not use it and women with family history of breast cancer should not use it.


  • There are some disposable patches called i-Cool that you can try during hot flashes – or you can keep ice packs in the freezer and use those when a hot flash happens.  It should bring a good bit of relief.
  •  Some natural treatment options discussed on


  • Sometimes low dose birth control pills are used temporarily.  Sometimes anti-depressants are used for awhile.  Be sure you read the warnings and the patient leaflet information before taking birth control pills or anti-depressants.  There are important things you need to know before starting on these medications!
  • Some women try Saint John’s Wort (it can interact with birth control pills) – please check with your MD before starting this herbal therapy.
  • Some women believe that taking a Vitamin B complex or just Vitamin B6 seems to help.
  • Getting outside in the sunshine can be very helpful!
  • Exercising can actually help many kinds of depression.  Shoot for 30 minutes 5 days/week.


        FROM WEBMD:

Declining estrogen levels associated with menopause can cause more than those pesky hot flashes. They can also make a woman feel like she is in a constant state of PMS (premenstrual syndrome). Unfortunately, these emotional changes are a normal part of menopause.

Some of the emotional changes experienced by women undergoing perimenopauseor menopause can include:

  • Irritability
  • Feelings of sadness
  • Lack of motivation
  • Anxiety
  • Aggressiveness
  • Difficulty concentrating
  • Fatigue
  • Mood changes
  • Tension

If you are feeling irritable and sad, there is a good chance it could be related to menopause, but the above listed symptoms are not linked only to menopause. There are a number of conditions that can cause you to feel downright irritable. Tell your doctor how you are feeling, so he or she can rule out other medical or psychiatric conditions.

How Can I Cope With the Emotional Changes of Menopause?

Irritability and feelings of sadness are the most common emotional symptoms of menopause. Often, they can be managed through lifestyle changes, such as learning ways to relax and reduce stress.

Here are some tips that may make it easier for you to handle your fluctuating emotions:

  • Exercise and eat healthy.
  • Find a self-calming skill to practice, such as yoga, meditation, or rhythmic breathing. (From Peacefulwife – PRAY, MEMORIZE and MEDITATE on GOD’S WORD!)
  • Avoid tranquilizers and alcohol.
  • Engage in a creative outlet that fosters a sense of achievement.
  • Stay connected with your family and community.
  • Nurture your friendships.

Although depression is not caused by menopause, some women exhibit the symptoms of depression during this time. If you are feeling increasingly unable to cope, see your doctor. He or she may be able to recommend medicine, such as antidepressants, or therapy that can get you through this rough time.



  • lubricants – ie: KY Jelly, Astroglide, apply before/during intercourse. (Only use water-based lubricants, never Vaseline!)
  • Replens – a long-acting lubricant – supposed to last several days.
  • Vagifem – a prescription  vaginal estrogen tablet
  • Estring – a prescription vaginal ring


  • Seek God’s wisdom and direction along with your husband’s input – is there a ministry God desires you to be involved in now that you have more time?
  • Are there young wives who could use a godly mentor?
  • How does your husband want to use this time?  Could you spend more time enjoying each other?
  • Spend more time with God and in His Word.
  • Take time to exercise and eat right and take good care of your health.
  • Become a prayer warrior, bringing the needs of others to the Lord.


  • seek a godly mentoring wife who will pray with you and be a shoulder to cry on when you are feeling overwhelmed
  • SING praises to God all day long in your heart and out loud whenever possible.  Listen to worship music as much as you can.
  • spend time in prayer, studying God’s Word, seeking God with all your heart
  • learn to lean on His wisdom and not your own understanding!
  • if your husband is spiritually/emotionally stable, learn to depend on his assessment of situations and trust his judgment when your hormones have you feeling very upset.
  • Learn to trust God and embrace any suffering as something He can and will use to make you more mature, holy and Christ-like.  This is a perfect time to read James 1 and I Peter, Romans 8-12 and the Psalms.  It’s also an incredible time to learn about God’s sovereignty and study Isaiah, Jeremiah and the Old Testament Prophets.
  • Understand that your feelings and emotions can and will lie to you and your heart can deceive you.   Trust in God not in self!
  • This is a fantastic time to develop true humility.
  • Daily dying to self is very necessary!
  • Keep Christ first by a mile in your life!  Desire Him and Him alone.  Be content in Him.  Only He can truly satisfy!
  • Live in total submission to Jesus – giving Him this time and seeking His greatest glory in it.
  • Focus on asking God to cultivate in you the inner beauty that is so precious to Him – a gentle and peaceful (still) spirit that does what is right and… that does not give way to hysterical fear.  I Peter 3
  • Focus on meeting your husband’s needs and be conscious about being friendly in your tone of voice and facial expressions.  Develop a servant’s heart.

How about you?

Have you gone through peri-menopause or menopause and have some pearls of wisdom to share with the other ladies?  Let’s support one another and pray for each other through these difficult times.

9 thoughts on “Peri-Menopause and Menopause – Part 2

  1. I highly recommend researching bio-identical hormone therapy. The negative side-effects of the chemical hormones most MDs prescribe are not found with the bio-identical type of therapy. Finding a doctor knowledgable in this area can sometimes be a challenge, but more and more doctors are educating themselves about this. I just randomly googled a resource to find a doctor in your area, and this site looks good–It lists each doctor’s experience with bio-identical hormones and direct contact info without pushing any specific brand of product:

    If you want to do your own research (which is a good idea in order to better communicate with your doctor), Suzanne Somers has some good reading on the subject. Her book The Sexy Years specifically discusses hormones during the peri-menopausal/menopausal years. You might be able to find it at your local library.

    Also, the book Trim Healthy Mama by Serene Allison and Pearl Barrett has several excellent chapters about bio-identical hormones, not just for women, but for men too! This book is super beneficial, as well, for weight loss and healthy eating for the whole family. I’ve enjoyed the information and recipes especially for keeping my blood sugar stabilized while not having to deny myself satisfying, yummy foods (without using harmful chemical sweeteners.)

  2. I just wanted to share my experience with menopause to show that each woman’s experience will be different. In my peri-menopausal years I did experience some emotion and slight depression that I do believe was hormones. I also experienced the irregular periods that could be spaced anywhere from two weeks to four months and could be extremely light or extremely heavy!

    But other than that, I can honestly say I sailed through it. If I ever had a hot flash, I didn’t know it. I am 57 years old and it’s been 2 1/2 years since my last period. I am a much calmer and peaceful person than I used to be. I have so much more self-confidence than I used to. I know who I am and I like who I am. In my younger years I was very self-conscience and unsure of myself. My husband and I enjoy our sex life just as much if not more than we always have. I still feel attractive to him, I have not noticed any drastic changes in my body or skin. I have never experienced any pain during intercourse. Yes, I do have less vaginal lubrication, but only on the outside and the lubricant I like, after trying all the others is coconut oil! It is completely natural, has no smell, no taste, is easy to use and is even good for you!

    I just want younger women to know that every woman’s menopause is going to be unique to her just like every woman’s labor is different. You may have some difficulties that a doctor can help you with or you may sail through it like I did!

  3. I want to say that hormones for me have been the hardest to deal with. I am only 34 yrs old and I just had my 3rd son 3 yrs ago. I always struggle through my pregnancies with hormones but the post partum hormones are even worse. Since I nurses him until he was 13 mo, I didn’t have a period. I was exhausted and emotionally drained and throw in hormonal fluctuations, I was a mess. Fast forward to now, my son is 3, and I still have hormonal problems and normal cycle related problems. I recently went to the Happy Hormone Cottage, and found out my estrogen is high and my progesterone is really low. It probably describes a lot of why I feel the way I do. I feel like I’m in peri- menopause and when I talk to my Obgyn, they just say that’s normal. I struggle so much with keeping my hormones balanced so I’m hoping this new place can help because I’m sinning everyday in this area. I sometimes don’t even know I’m angry until later. These topics have been so helpful and maybe when I hit menopause I will actually feel normal. Thanks for all your work and research. At least I don’t feel alone in this journey.

  4. Thanks so much for your entries on this subject. They are very helpful. As I posted on your other entry, I have been going through this for several years. I think people who have stressful jobs or stressful lives may have a much more difficult time coping. I am trying to find outlets such as exercise to help me as I have a very stressful job. While I don’t think stress causes my symptoms, I do think times of high stress makes my symptoms seem worse or more difficult to cope with.

  5. I feel as if I am probably experiencing perimenopause. This is adding up to be a very difficult spot on the road of life. I too find myself extremely moody and become angered easily is seems. I feel depressed and “on the verge of tears” a lot – and end up feeling guilty because “I’m a Christian, I shouldn’t be acting this way, should I? What is wrong with me!?” I try to be positive but feel like I always end up leaning toward the negative. Sometimes I wonder why in the world anyone would want to be around me. I find myself continually searching my heart, trying to figure out if I have some hidden sin in my heart which is affecting my physical and emotional states…when maybe it’s just a stage of life that I’m going through. Maybe I’m OK after all. After reading your posts, I’m feeling like I’m just in this perimenopause stage and that I just need to hang on and continue to trust and depend upon God to bring me through…and be patient with myself. It’s very frustrating…and I think even more so whenever I try to figure it all out.

    1. Michelle,

      We are experiencing a lot of mood changes with our daughter – and something I noticed is that if I can get her to focus on worshipping and singing to God, it helps SO MUCH! I know this helps me when I am a hormonal mess, too.

      Check out the post I just put up and try focusing on praising God. Your feelings may not be telling you the truth, but you can look to the Rock and He will speak truth to you.

      You may also want to search “PMS” to see how I handle my hormonal days now. Maybe it will be a blessing?

      Praying for God’s wisdom for you and your husband. Sending you the biggest hug!

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