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I’m a 37 yr old female who believes I’m in perimenopause. I’m on the pill and my bloodwork comes back saying that my hormone levels are normal, but yet I’ve had hot flashes for 5 yrs and I keep getting dizzy spells and bad bouts of nausea. Is this normal and do you think I’m in perimenopause?

Menopause in modern women occurs at approximately the age of 50-52 years. By definition, a woman is menopausal if she has no menses for a period of 12 months and all other medical reasons have been excluded. There are no current roles for blood tests in the diagnosis of menopause. Hormone levels fluctuate daily based on a variety of factors; they are a poor indicator of menopause and should not be used to diagnose menopause. Therefore, just because your blood hormone levels are normal does not exclude the possibility of menopause and the only way to accurately diagnose menopause is if you haven’t menstruated within the last 12 months.

If you are indeed menstruating regularly but are having dizzy spells, bouts of nausea, and hot flashes, then it is unlikely you are undergoing menopause. You should be evaluated by your primary care physician for medical conditions that could be contributing to your symptoms such as endocrine, gastrointestinal, or cardiac issues.

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