New Perimenopause Clinic to Open in Tartu for Women Over 45

Tartu University Hospital is set to launch a specialized clinic dedicated to perimenopause, aiming to offer early support for women navigating this often-underdiscussed life stage. The new reception will provide much-needed assistance as women experience the physical and mental shifts leading up to menopause.

Dr. Made Laanpere, a senior lecturer in obstetrics and gynecology at the hospital, highlighted that perimenopause, the transitional period before the final menstrual period, is a natural phase for all women. However, she noted a societal tendency to remain silent about it, leaving many women without adequate knowledge or support. "Perimenopause is accompanied by deafening silence. It is not discussed in society, in families, or with friends, and a medical professional may be the only person to whom one can confide their worries," she stated.

While 'menopause' is often used broadly, Dr. Laanpere clarified that it medically refers only to the last menstrual period, typically occurring around age 51 in Estonian women. The transition, however, spans years before and after this event, affecting women between 46 and 56. During this time, ovarian function gradually declines, leading to unstable estrogen levels. This hormonal fluctuation impacts the entire body, as estrogen plays a crucial role in cardiovascular, bone, joint, skin, and brain health.

Symptoms can be diverse and individual, commonly including hot flashes, night sweats, sleep disturbances, mood swings, and cognitive difficulties often referred to as 'brain fog.' Dr. Laanpere observed that many women do not connect these changes to hormonal fluctuations, potentially exacerbating their distress. These can include unexplained weight gain or joint pain, even with a healthy lifestyle.

To address these issues, the clinic will offer menopausal hormone therapy, which Dr. Laanpere described as the most effective way to alleviate symptoms. By understanding that these changes are hormonal, medical professionals can provide targeted treatment and support, helping women manage the transition more comfortably.