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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having occasional hot flashes, irregular periods, sore breasts, stomach bloating. Symptoms of menopause?

I am 51 yrs old - fit and healthy. I have had menopause type symptoms for the last year with the occasional hot flashes, and increasingly irregular periods. However for the last 3 weeks I have had very swollen breasts, sore nipples , bloating and tummy discomfort/sensitivity. I am also very bloated and feel generally uncomfortable rather like being pregnant but feel this is virtually impossible. What else could it be? The symptoms seemed to come on suddenly. Many thanks.
Mon, 25 Mar 2013
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General & Family Physician 's  Response
Hi welcome to Health care magic forum.
Thanks for calling H.C.M.
The symptoms you have mentioned as hot flashes, swollen breast, sore nipples, bloating and tummy discomfert, ect are all are considered to be due to fore coming menopause, due to sudden ceasion of the harmones released by the ovaries to maintain the menstrual cycles. and to help manage the general female health.
generally these symptoms subside naturally, but if they become unbearable you can consult a gynacologist or a endocrinalogist for treatment. You may need to undergo harmonal essay to find out the levels of estrogen etc.
You may be advised harmone replacement therapy to substitute the harmones, calcium substitutes, anxiolytics and vitamins.
Wishing for a quick recovery .
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General & Family Physician Dr. Nirmala P's  Response
Hi, the symptoms you are experiencing like irregular periods, hot flashes, breast tenderness & abdominal bloating are common menopausal symptoms. Other symptoms like fatigue, hair loss, mood swings (anxiety & depression) headache vaginal dryness, digestive problems & night sweats are also experienced by many women.
These symptoms are mainly due to hormonal imbalance & indicative of a reduction in Estrogen & Progesterone levels. If the reduction is gradual then the symptoms are mild. If it is abrupt then they result in very severe symptoms.
Periods will be highly irregular - more frequent or rare, light one month & heavy the other month, delayed one month, regular cycles from next month onwards.
Abdominal bloating & flatulence occur especially after taking food rich in lactose like diary food. Mastalgia (breast pain) can be severe, less severe, cyclical(related to menstrual cycle) or non cyclical(not related to menstrual cycle).
In case of severe vasomotor (hot flashes) & other troublesome symptoms, "hormone replacement therapy"(transdermal patches of low concentration of Estrogen) is ideal.
But, if the breast pain is severe and persisting & the abdominal bloating is troublesome then it could be due to other causes like,
1. Mastitis (inflamation of breast).
2. Uterine Fibroids.
3. Pregnancy. As long as a woman is having ovulatory cycles ( they are mostly anovulatory in perimenopausal period) she is considered fertile & so it is still a possibility for you.
Also, the probability of cancer breast/uterus should be ruled out considering your age.
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