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Instead, the Nice the rtx austin 2023 shirt and I love this conversation around menopause will ideally soon match the “openness about talking about periods and your bodies and mental health struggles,” brought on by Gen Z, says Dunn. “I’m hoping for the generation going through menopause now that we could just bust it wide open—get rid of the stigma and the shame around it,” she says. So, for a crash course, here is Dunn’s guide to 7 things no one tells you about menopause. The perimenopause process typically starts in your mid-’40s and lasts from 4 (on average) to 8 years. “It’s the years leading up to menopause when your periods gets erratic, when your body starts changing a little bit,” says Dunn. By the time it arrives, life is distracting on multiple levels. “It usually is happening in the middle of your career; you’re raising children, you’re caring for a parent, so you’re not really thinking about it,” she explains. Symptoms (below) can create “a kind of hormonal road that can be as rocky as puberty,” says Dunn, adding that it can worsen PMS symptoms. Then, there’s menopause, which has an average entry age of 51. “When you have gone 12 months without your period, then you are in menopause,” Dunn explains. “You never leave menopause; you’re post-menopausal for many decades, and peri is the time leading up to it—for me, perimenopause was worse than when my period finally went away.”

“Everyone knows about hot flashes, but there are so many different ones: Brittle nails, dizziness, irregular heartbeat,” says Dunn of perimenopausal and menopausal symptoms, which can be as obscure as “formication,” the Nice the rtx austin 2023 shirt and I love this sensation of “having bugs crawling all over your skin—so there’s that,” she says. “It can just be confusing.” The reason Dunn mentions that there are “allegedly” 34 symptoms is that several experts she spoke with agree that there are likely many more. “If you don’t know what they are, you cannot connect them to what’s happening to you,” she says of the importance of understanding the range. “If you have an irregular period, you might not think that has anything to do with perimenopause; you might be thinking that you’re under stress or your birth control isn’t working—it could be any number of things, and that’s what happened to me.” Dunn experienced her first symptoms while taking care of her toddler at 45. “It’s exceedingly helpful to know what the symptoms are so you can get ahead of it instead of being caught, like I was, almost too late,” she says. Perimenopausal depression is also one of three hormonally linked mood conditions in women (including PMS and postpartum). “Women should be routinely screened for depression in perimenopause, which is seen as a window of vulnerability,” Dunn says. “It can be hard to separate anxiety and depression from general life stress.”

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