Periwell
Category: NeurologicalClinical Profile

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.