Perimenopause
Learn the basics of perimenopause physiology, identify hormone patterns with Mira. Gain practical insights from real case reports to enhance patient care.
Reproductive Hormone Overview
During perimenopause, ovulatory dysfunction often signals the beginning of the transition, typically leading to a decline in progesterone levels, followed by irregular estrogen production from the ovaries. This dysfunction is marked by a poor progesterone response, resulting in disrupted hormone patterns.
Overview
In this video, Christina Saldanha provides a brief introduction to ovarian hormones, explaining both those produced by the ovaries and those produced by the brain that act on the ovaries. She covers key hormones such as estrogen, progesterone, testosterone, AMH, FSH, and LH, offering valuable insights into their roles in reproductive health.
Overview
In this video, Christina explains the biphasic menstrual cycle, covering the follicular and luteal phases, including the process of ovulation. She discusses follicular development, the release of the egg during ovulation, the production of progesterone by the corpus luteum post-ovulation, and what constitutes a normal cycle length and amount of bleeding.
Overview
In this video, Christina Saldanha covers period changes during early and late perimenopause, including potential risks such as polyps, fibroids, worsening endometriosis, anemia, and cancer. She also explains what constitutes irregular bleeding and when further investigation is warranted to ensure proper care for women in perimenopause.
Overview
In this video, Christina Saldanha provides an in-depth explanation of hot flashes, including what they are, when they are typically worse, and how they present. She explores the relationship between hot flashes and estrogen levels, their origins in the brain, and the impact they have on sleep and mood. Christina also covers the prevalence of hot flashes, who is most affected, and how long they generally last. Additionally, she discusses other potential causes of hot flashes that should be ruled out and reviews the most effective treatment options for managing this symptom.
Overview
In this video, Christina Saldanha discusses how depression can worsen during perimenopause, exploring the link between vasomotor symptoms (VMS) and depression. She also addresses how perimenopause may exacerbate PTSD symptoms and offers insights into managing these mental health challenges during this transitional phase. This video provides valuable information for providers to better understand and support patients experiencing emotional changes during perimenopause.
Overview
In this video, Christina Saldanha explains menopause and perimenopause, including their definitions, typical onset age, and how long perimenopause can last. She discusses the different types of menopause and how menopause should be viewed as a transition along a spectrum. Christina also explores the health implications associated with each stage and provides specific details on the different types of menopause, offering valuable insights for providers in managing patient care during these transitions.
Overview
In this video, Christina Saldanha discusses the importance of understanding perimenopause and menopause, emphasizing the individualized nature of the experience for each woman. She highlights the lack of awareness among both patients and providers, and the significant impact these transitions can have on women's lives. Christina also addresses the fact that many women will spend over half of their lives in menopause, and the estimated financial loss due to missed work and healthcare costs related to menopause symptoms. This video provides valuable insights for providers on the need for better awareness and support.