Premature Perimenopause

A woman younger than 35 who is having night sweats, heavy flow, increased premenstrual symptoms, more cramps, shortening of cycles or irregular, far apart or absent periods is often considered to have Primary Ovarian Insufficiency if she has two elevated FSH blood tests. However, often it is treated like Early Menopause or Premature Menopause that may be quite inappropriate in a woman who is likely having higher than normal estrogen levels (as is true of perimenopause). Evidence suggests that this is effectively treated like highly symptomatic perimenopause (with information, a tool for self-understanding, cyclic progesterone and assistance if fertility is desired).