Ahh, the menopause journey. No clear starting or ending point, odd diversions, and an estimated time of arrival that could span years. Menopause is certainly a trip. And needless to say, you could use some turn-by-turn directions.
First Point of Interest: Perimenopause
Ready, set, perimenopause. In this phase, your body will start providing helpful physical clues that the menopause process is starting. And it can still be years before your last menstrual period.
Some common, normal signs include irregular periods, hot flashes, vaginal dryness, sleep disturbances, and mood swings—all results of unevenly changing levels of ovarian hormones (estrogen) in your body. Read more about how you’ll know you’re near menopause.
Pit Stop: Check your Contraception Options
Trip Tip: In perimenopause, there is still a slight chance you could become pregnant. So if you’d rather not go down that road, birth control is recommended until one year after your last period. Five effective options for midlife women include:
- Birth control pills, patches, or rings—added benefits include regular cycles and decreased bleeding, hot flashes and ovarian/uterine cancer risk.
- Progestin-alone pills, implants and injections—an option for those with a history of certain cancers, heart disease, high blood pressure, diabetes, blood clots, obesity, and smoking.
- Intrauterine devices with or without hormones—safe, highly effective, convenient, and long-term.
- Sterilization (Tubal ligation, fallopian tube inserts, or vasectomy for men)—low risk, effective, and permanent.
- Barrier methods (condoms, diaphragm, spermicide)—condoms are the only method than provides some protection from HIV and other sexually transmitted infections.
