Dr. Elizabeth Boham

Yeah. For women, when they're on the birth control pill or if they've been on it a long time, they have a slightly higher risk. And, you know, so that's something we got to pay attention to. Not everybody handles the hormones in the birth control pills the same.

Right, migraines too, absolutely. So you want to ask, well, why is there that imbalance in the hormones and what may be out of balance for that woman? I think perimenopause is such an interesting time where we get a lot of women who come in to the office at that time because they're just feeling so crummy.

Right, migraines too, absolutely. So you want to ask, well, why is there that imbalance in the hormones and what may be out of balance for that woman? I think perimenopause is such an interesting time where we get a lot of women who come in to the office at that time because they're just feeling so crummy.

Right, migraines too, absolutely. So you want to ask, well, why is there that imbalance in the hormones and what may be out of balance for that woman? I think perimenopause is such an interesting time where we get a lot of women who come in to the office at that time because they're just feeling so crummy.

Perimenopause is the timeframe between when your cycles are normal and you can easily get pregnant and menopause. So perimenopause are those years, you know, it can be like 10, 13 years of perimenopause, and it can occur anytime. You can go into menopause anytime between 45 and 55. That's typical.

Perimenopause is the timeframe between when your cycles are normal and you can easily get pregnant and menopause. So perimenopause are those years, you know, it can be like 10, 13 years of perimenopause, and it can occur anytime. You can go into menopause anytime between 45 and 55. That's typical.

Perimenopause is the timeframe between when your cycles are normal and you can easily get pregnant and menopause. So perimenopause are those years, you know, it can be like 10, 13 years of perimenopause, and it can occur anytime. You can go into menopause anytime between 45 and 55. That's typical.

And that perimenopause can be 10, 6 to 10 to 13 years beforehand before you actually go into menopause is considered perimenopause. And it just means, yeah, I mean, there's just, the hormones are not as regular and consistent, right? So what happens a lot in perimenopause is during those years, women will have what are called anovulatory cycles. So

And that perimenopause can be 10, 6 to 10 to 13 years beforehand before you actually go into menopause is considered perimenopause. And it just means, yeah, I mean, there's just, the hormones are not as regular and consistent, right? So what happens a lot in perimenopause is during those years, women will have what are called anovulatory cycles. So

And that perimenopause can be 10, 6 to 10 to 13 years beforehand before you actually go into menopause is considered perimenopause. And it just means, yeah, I mean, there's just, the hormones are not as regular and consistent, right? So what happens a lot in perimenopause is during those years, women will have what are called anovulatory cycles. So

So they don't ovulate every time they have a monthly cycle. Right. And so those anovulatory cycles, meaning no ovulation that month, results in less progesterone being produced in the body.

So they don't ovulate every time they have a monthly cycle. Right. And so those anovulatory cycles, meaning no ovulation that month, results in less progesterone being produced in the body.

So they don't ovulate every time they have a monthly cycle. Right. And so those anovulatory cycles, meaning no ovulation that month, results in less progesterone being produced in the body.

Right. You think of it as, you know, when you're having regular cycles with ovulation, you have estrogen and progesterone and they sort of balance each other out. And then when you're in those perimenopausal years, you're going to have so many women will have cycles where they don't have that cycle. progesterone spike.

Right. You think of it as, you know, when you're having regular cycles with ovulation, you have estrogen and progesterone and they sort of balance each other out. And then when you're in those perimenopausal years, you're going to have so many women will have cycles where they don't have that cycle. progesterone spike.

Right. You think of it as, you know, when you're having regular cycles with ovulation, you have estrogen and progesterone and they sort of balance each other out. And then when you're in those perimenopausal years, you're going to have so many women will have cycles where they don't have that cycle. progesterone spike.

So it feels like their body feels like it's higher in estrogen because they don't have that progesterone to balance it off. And so you feel like you have high estrogen. And like you mentioned, you get more breast tenderness or more clotting or heavier bleeding. And the low progesterone makes us often feel crummy. So you can be more irritable. You can just, you know, cranky.

So it feels like their body feels like it's higher in estrogen because they don't have that progesterone to balance it off. And so you feel like you have high estrogen. And like you mentioned, you get more breast tenderness or more clotting or heavier bleeding. And the low progesterone makes us often feel crummy. So you can be more irritable. You can just, you know, cranky.

So it feels like their body feels like it's higher in estrogen because they don't have that progesterone to balance it off. And so you feel like you have high estrogen. And like you mentioned, you get more breast tenderness or more clotting or heavier bleeding. And the low progesterone makes us often feel crummy. So you can be more irritable. You can just, you know, cranky.

Harder time sleeping because progesterone really is a calming hormone. It helps us, helps women, helps people sleep better. So when it's low, many times you don't sleep as well. You'll have irregular sleep patterns where you've never had that before. Yeah. And, and, and you just feel more irritable and cranky and, and, and it's no fun.