Dizziness
Sudden spells of lightheadedness, feeling off-balance, or full room-spinning vertigo.
Biological Mechanism
Multiple pathways: Estrogen affects inner ear fluid homeostasis. Furthermore, vasomotor instability (flushing) can cause sudden, transient drops in blood pressure upon standing (orthostatic hypotension).
Common Misdiagnoses
BPPV (Benign Paroxysmal Positional Vertigo), Anemia, Dehydration
Evidence-Based Treatments
- 01Hydration and Electrolytes
Crucial for maintaining blood volume to counteract orthostatic drops.
- 02HRT
By resolving vasomotor instability, overall hemodynamic stability improves.
Practical Management & Strategies
3 AM Insomnia: Why You’re Awake and How to Get Back to Sleep
The '3 AM Wide Awake' Club is a hallmark of the perimenopause transition. We explain the neurochemical cause and how to fix it.
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Heart Palpitations: When It’s Hormones and When to See a Doctor
Sudden racing or fluttering in your chest can be alarming. Learn how perimenopause affects your heart rhythm and when to seek medical advice.
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Magnesium for Menopause: Which Form Is Right for Your Symptoms?
Magnesium is the swiss-army knife of menopause relief, but the form you choose matters. Learn which type fixes sleep vs. digestion.
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