{"id":18685,"date":"2026-10-15T08:21:00","date_gmt":"2026-10-15T05:21:00","guid":{"rendered":"https:\/\/kindora.com\/?p=18685"},"modified":"2026-10-09T10:22:53","modified_gmt":"2026-10-09T07:22:53","slug":"perimenopauza","status":"publish","type":"post","link":"https:\/\/kindora.com\/ro\/perimenopauza\/","title":{"rendered":"Perimenopauza: de ce te sim\u021bi altfel, cu ani \u00eenainte de menopauz\u0103"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33%\">\n    <div id=\"block_12b08482f15d1f6a50cc2a512b8a5427\" class=\"floating-nav-container lg:right-0 lg:left-auto lg:sticky lg:pb-3 lg:top-[125px] align wp-block-custom-blocks-floating-page-nav\">\n\n            <div class=\"floating-nav-section border border-light-gray bg-white rounded-md overflow-hidden mb-0 lg:sticky lg:top-0 z-[900]\" data-section-type=\"desktop-open\">\n            <button class=\"floating-nav-header w-full flex items-center justify-between px-5 py-2 lg:py-4 bg-white text-left cursor-pointer lg:cursor-auto outline-none\" aria-expanded=\"true\">\n                <span class=\"text-lg font-semibold\">Cuprins<\/span>\n                <svg class=\"arrow-icon flex-shrink-0 lg:hidden\" width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path d=\"M6 9L12 15L18 9\" stroke=\"#D5D5D5\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" \/>\n                <\/svg>\n            <\/button>\n\n            <div class=\"floating-nav-content bg-white pl-5 pr-5 mr-6 lg:p-0 lg:m-0\">\n                <div class=\"floating-nav flex flex-col\">\n                                            <div class=\"floating-nav__item flex-shrink-0\">\n                            <a href=\"#ce-ti-se-intampla-in-ordinea-in-care-o-observi\"\n                                class=\"floating-nav__link block lg:px-5 py-2 text-base font-medium\">\n                                Ce \u021bi se \u00eent\u00e2mpl\u0103, \u00een ordinea \u00een care o observi                            <\/a>\n                        <\/div>\n                                            <div class=\"floating-nav__item flex-shrink-0\">\n                            <a href=\"#ce-este-perimenopauza\"\n                                class=\"floating-nav__link block lg:px-5 py-2 text-base font-medium\">\n                                Ce este perimenopauza                            <\/a>\n                        <\/div>\n                                            <div class=\"floating-nav__item flex-shrink-0\">\n                            <a href=\"#de-ce-apare\"\n                                class=\"floating-nav__link block lg:px-5 py-2 text-base font-medium\">\n                                De ce apare                            <\/a>\n                        <\/div>\n                                            <div class=\"floating-nav__item flex-shrink-0\">\n                            <a href=\"#cum-recunosti-perimenopauza\"\n                                class=\"floating-nav__link block lg:px-5 py-2 text-base font-medium\">\n                                Cum recuno\u0219ti perimenopauza                            <\/a>\n                        <\/div>\n                                            <div class=\"floating-nav__item flex-shrink-0\">\n                            <a href=\"#nu-tot-ce-simti-vine-de-la-hormoni\"\n                                class=\"floating-nav__link block lg:px-5 py-2 text-base font-medium\">\n                                Nu tot ce sim\u021bi vine de la hormoni                            <\/a>\n                        <\/div>\n                                            <div class=\"floating-nav__item flex-shrink-0\">\n                            <a href=\"#ce-analize-se-fac-si-de-ce-nu-exista-un-test-simplu\"\n                                class=\"floating-nav__link block lg:px-5 py-2 text-base font-medium\">\n                                Ce analize se fac \u0219i de ce nu exist\u0103 un test simplu                            <\/a>\n                        <\/div>\n                                            <div class=\"floating-nav__item flex-shrink-0\">\n                            <a href=\"#cand-mergi-la-medic\"\n                                class=\"floating-nav__link block lg:px-5 py-2 text-base font-medium\">\n                                C\u00e2nd mergi la medic                            <\/a>\n                        <\/div>\n                                            <div class=\"floating-nav__item flex-shrink-0\">\n                            <a href=\"#ce-te-poate-ajuta\"\n                                class=\"floating-nav__link block lg:px-5 py-2 text-base font-medium\">\n                                Ce te poate ajuta                            <\/a>\n                        <\/div>\n                                            <div class=\"floating-nav__item flex-shrink-0\">\n                            <a href=\"#intrebari-frecvente\"\n                                class=\"floating-nav__link block lg:px-5 py-2 text-base font-medium\">\n                                \u00centreb\u0103ri frecvente                            <\/a>\n                        <\/div>\n                                            <div class=\"floating-nav__item flex-shrink-0\">\n                            <a href=\"#disclaimer-medical\"\n                                class=\"floating-nav__link block lg:px-5 py-2 text-base font-medium\">\n                                Disclaimer medical                            <\/a>\n                        <\/div>\n                                    <\/div>\n            <\/div>\n        <\/div>\n    \n        <\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66%\">\n<p class=\"wp-block-paragraph\">Poate c\u0103 nu s-a schimbat un singur lucru, ci mai multe, pu\u021bin c\u00e2te pu\u021bin. Ciclul nu mai vine chiar ca \u00eenainte. Somnul s-a fragmentat. Uneori \u00ee\u021bi g\u0103se\u0219ti mai greu cuvintele sau sim\u021bi c\u0103 r\u0103bdarea se termin\u0103 mai repede. \u0218i, de\u0219i fiecare schimbare \u00een parte pare u\u0219or de pus pe seama stresului, \u00eempreun\u0103 \u00eencep s\u0103 ridice o \u00eentrebare: Am intrat la perimenopauz\u0103?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Perimenopauza poate \u00eencepe cu ani \u00eenainte de ultima menstrua\u021bie \u0219i nu arat\u0103 la fel pentru toate femeile. Pentru unele, primul lucru observat este ciclul. Pentru altele sunt bufeurile, somnul sau cea\u021ba mental\u0103. Tocmai de aceea poate trece o vreme p\u00e2n\u0103 c\u00e2nd toate aceste schimb\u0103ri primesc un nume.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Perimenopauza este perioada de tranzi\u021bie dinaintea ultimei menstrua\u021bii \u0219i se \u00eencheie la 12 luni dup\u0103 aceasta. De regul\u0103, tranzi\u021bia \u00eencepe cu 4 p\u00e2n\u0103 la 8 ani \u00eenainte de ultima menstrua\u021bie. Ciclul poate veni altfel dec\u00e2t de obicei, somnul se poate \u00eentrerupe, pot ap\u0103rea bufeuri \u0219i transpira\u021bii nocturne, o dispozi\u021bie mai schimb\u0103toare \u0219i cea\u021b\u0103 mental\u0103. Menopauza se confirm\u0103 abia retrospectiv, dup\u0103 12 luni f\u0103r\u0103 menstrua\u021bie. P\u00e2n\u0103 atunci vorbim despre tranzi\u021bie, iar simptomele nu apar \u00eentr-o ordine fix\u0103. [1][6][25]<\/p>\n\n\n\n<h2 id=\"ce-ti-se-intampla-in-ordinea-in-care-o-observi\" class=\"wp-block-heading\">Ce \u021bi se \u00eent\u00e2mpl\u0103, \u00een ordinea \u00een care o observi<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Poate \u00eencepe cu un ciclu mai scurt dec\u00e2t erai obi\u0219nuit\u0103. Sau cu nop\u021bi \u00een care te treze\u0219ti la 3 \u0219i nu mai adormi. La alt\u0103 femeie, primele sunt bufeurile. La alta, cea\u021ba mental\u0103 ori senza\u021bia c\u0103 reac\u021bioneaz\u0103 mai repede \u0219i are mai pu\u021bin\u0103 r\u0103bdare. Oboseala poate fi prezent\u0103, dar nu este, \u00een sine, un semn specific al perimenopauzei. [26][44]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se poate schimba \u0219i raportul dintre gr\u0103sime \u0219i mu\u0219chi, chiar dac\u0103 c\u00e2ntarul nu arat\u0103 modific\u0103ri de greutate, \u00eens\u0103 hainele nu mai cad la fel pe corp. [39]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nu exist\u0103 o ordine documentat\u0103 \u00een care apar simptomele. Unele femei observ\u0103 \u00eent\u00e2i ciclul, altele somnul sau bufeurile, iar la unele bufeurile pot \u00eencepe c\u00e2t timp ciclul este \u00eenc\u0103 regulat. [32][33] Acest interval de schimbare este perimenopauza.<\/p>\n\n\n\n<h2 id=\"ce-este-perimenopauza\" class=\"wp-block-heading\">Ce este perimenopauza<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Perimenopauza este perioada de tranzi\u021bie din jurul ultimei menstrua\u021bii. \u00cen sistemul STRAW+10, tranzi\u021bia timpurie \u00eencepe c\u00e2nd lungimea a dou\u0103 cicluri consecutive difer\u0103 persistent cu 7 zile sau mai mult, adic\u0103 schimbarea reapare \u00een urm\u0103toarele 10 cicluri. Perimenopauza se \u00eencheie la 12 luni dup\u0103 ultima menstrua\u021bie. [1]<\/p>\n\n\n\n\t<div id=\"block_dacc39c83793304c4fda98a0c39de5d3\" class=\"align wp-block-custom-blocks-info-box-pro-tip\">\n\t\n\t<div class=\"w-full rounded-[20px] bg-custom-tertiary px-5 lg:px-10 py-4 lg:py-6 mb-5\">\n\t\t<p class=\"mb-2 text-custom-secondaryLight text-2xl font-semibold\">De re\u021binut<\/p>\n\n\t\t<div class=\"text-custom-secondaryLight text-base font-medium\">\n\t\t\t<p>Regula celor 7 zile este un criteriu de stadializare, nu un test de diagnostic. La o femeie s\u0103n\u0103toas\u0103 de peste 45 de ani, NICE spune c\u0103 perimenopauza poate fi identificat\u0103 f\u0103r\u0103 analize, din simptome vasomotorii \u0219i cicluri neregulate. [2]<\/p>\n\t\t<\/div>\n\t<\/div>\n\n\t\t<\/div>\n\n\n\n<h3 id=\"perimenopauza-premenopauza-menopauza-postmenopauza-ce-inseamna-fiecare\" class=\"wp-block-heading\">Perimenopauz\u0103, premenopauz\u0103, menopauz\u0103, postmenopauz\u0103: ce \u00eenseamn\u0103 fiecare<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Premenopauza<\/strong> este perioada reproductiv\u0103 de dinaintea menopauzei. Termenul a fost folosit \u00eens\u0103 cu sensuri diferite \u00een literatura medical\u0103. [53]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Perimenopauza<\/strong> \u00eencepe odat\u0103 cu tranzi\u021bia \u0219i se termin\u0103 la 12 luni dup\u0103 ultima menstrua\u021bie. <strong>Menopauza<\/strong> este ultima menstrua\u021bie, confirmat\u0103 retrospectiv dup\u0103 12 luni f\u0103r\u0103 s\u00e2ngerare. <strong>Postmenopauza<\/strong>, \u00een conven\u021bia STRAW+10 folosit\u0103 aici, \u00eencepe de la ultima menstrua\u021bie. [1][6]<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/kindora.com\/wp-content\/uploads\/2026\/10\/perimenopauza-etapele-tranzitiei.png\" alt=\"Schem\u0103 \u00een linie a etapelor din jurul ultimei menstrua\u021bii: perioada reproductiv\u0103, tranzi\u021bia timpurie, cu cicluri consecutive care difer\u0103 persistent cu 7 zile sau mai mult, tranzi\u021bia t\u00e2rzie, cu o pauz\u0103 de 60 de zile sau mai mult, apoi ultima menstrua\u021bie \u0219i postmenopauza. Perimenopauza se \u00eentinde de la \u00eenceputul tranzi\u021biei p\u00e2n\u0103 la 12 luni dup\u0103 ultima menstrua\u021bie\"\/><figcaption class=\"wp-element-caption\">Perimenopauza \u00eencepe cu tranzi\u021bia \u0219i se \u00eencheie la 12 luni dup\u0103 ultima menstrua\u021bie. \u00cen conven\u021bia STRAW+10, postmenopauza \u00eencepe chiar de la ultima menstrua\u021bie, deci primul an de dup\u0103 \u021bine de am\u00e2ndou\u0103.<\/figcaption><\/figure>\n\n\n\n<h3 id=\"la-ce-varsta-incepe-perimenopauza-si-cat-dureaza\" class=\"wp-block-heading\">La ce v\u00e2rst\u0103 \u00eencepe perimenopauza \u0219i c\u00e2t dureaz\u0103<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen cel mai mare studiu prospectiv pe acest subiect, v\u00e2rsta median\u0103 la care \u00eencepe perimenopauza a fost 47,5 ani, iar menopauza a ap\u0103rut la 51,3 ani. [52] \u00centr-un studiu norvegian pe 312.656 de femei, v\u00e2rsta medie la menopauza natural\u0103 a crescut de la 50,3 ani la femeile n\u0103scute \u00eentre 1936 \u0219i 1939 la 52,7 ani la cele n\u0103scute \u00eentre 1960 \u0219i 1964. [55] OMS descrie un interval global de 45 p\u00e2n\u0103 la 55 de ani. [6]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tranzi\u021bia dureaz\u0103 \u00een median\u0103 \u00eentre aproximativ 4 \u0219i 8 ani \u0219i jum\u0103tate \u0219i tinde s\u0103 fie mai lung\u0103 c\u00e2nd \u00eencepe mai devreme. [25] Fumatul o poate aduce mai devreme, iar v\u00e2rsta la care mama a intrat la menopauz\u0103 este un indiciu util. [25][57][58] Sub 40 de ani aceste schimb\u0103ri trebuie evaluate, iar \u00eentre 40 \u0219i 45 de ani merit\u0103 discutate cu medicul. [8][9]<\/p>\n\n\n\n<h2 id=\"de-ce-apare\" class=\"wp-block-heading\">De ce apare<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Perimenopauza este o perioad\u0103 \u00een care ovula\u021bia \u0219i hormonii devin mai pu\u021bin previzibili. De aceea dou\u0103 luni pot ar\u0103ta foarte diferit una de alta.<\/p>\n\n\n\n<h3 id=\"ce-se-schimba-la-estrogen-si-progesteron\" class=\"wp-block-heading\">Ce se schimb\u0103 la estrogen \u0219i progesteron<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La \u00eenceput, progesteronul devine nesigur, pentru c\u0103 ovula\u021bia devine nesigur\u0103, iar estrogenul devine haotic, nu sc\u0103zut. Sc\u0103derea real\u0103 a estrogenului apare t\u00e2rziu, \u00een ultimii doi ani \u00eenainte de ultima menstrua\u021bie. [28][29][30]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Estradiolul nu coboar\u0103 lin de la 40 de ani. R\u0103m\u00e2ne \u00een general bine p\u0103strat p\u00e2n\u0103 \u00een perimenopauza t\u00e2rzie \u0219i poate chiar s\u0103 creasc\u0103 odat\u0103 cu v\u00e2rsta p\u00e2n\u0103 la \u00eenceputul tranzi\u021biei. [30] De-a lungul tranzi\u021biei valorile variaz\u0103 mult de la o lun\u0103 la alta. [30][31] Ovula\u021bia se pierde treptat, nu brusc. [29]<\/p>\n\n\n\n<h3 id=\"ce-se-schimba-la-ciclu\" class=\"wp-block-heading\">Ce se schimb\u0103 la ciclu<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Prima modificare poate fi scurtarea ciclului. Mai t\u00e2rziu, ciclurile devin imprevizibile, mai scurte, mai lungi sau s\u0103rite. O pauz\u0103 de 60 de zile sau mai mult marcheaz\u0103 stadiul mai avansat. [1]<\/p>\n\n\n\n\t<div id=\"block_702f59b788141e24cf24644b3dc4f55a\" class=\"align wp-block-custom-blocks-fun-fact\">\n\t\n\t<div class=\"w-full rounded-[20px] bg-custom-primaryLight px-5 lg:px-10 py-4 lg:py-6 mb-5\">\n\t\t<p class=\"mb-2 text-2xl font-semibold\">Fun Fact<\/p>\n\t\t<div class=\"font-medium text-base\"><p>Modificarea ciclului st\u0103 la baza criteriilor oficiale, dar nu este obligatoriu primul semn. La aproximativ una din cinci femei, bufeurile au \u00eenceput cu circa 11 ani \u00eenainte de ultima menstrua\u021bie. [32]<\/p>\n<\/div>\n\t<\/div>\n\n\t\t<\/div>\n\n\n\n<h2 id=\"cum-recunosti-perimenopauza\" class=\"wp-block-heading\">Cum recuno\u0219ti perimenopauza<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Un singur simptom nu \u00ee\u021bi spune \u00een ce etap\u0103 e\u0219ti. Bufeurile \u0219i transpira\u021biile nocturne indic\u0103 cel mai bine tranzi\u021bia. Somnul \u00eentrerupt \u0219i cea\u021ba mental\u0103 sunt frecvente, dar apar \u0219i \u00een alte situa\u021bii. Oboseala, balonarea, poftele \u0219i c\u0103derea p\u0103rului cer mai mult\u0103 aten\u021bie la alte explica\u021bii posibile. [26][60][44]<\/p>\n\n\n\n<h3 id=\"ciclul-vine-altfel\" class=\"wp-block-heading\">Ciclul vine altfel<\/h3>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center kindora-imagine-text is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<p class=\"wp-block-paragraph\">Menstrua\u021biile mai lungi, spottingul \u0219i episoadele de s\u00e2ngerare abundent\u0103 sunt frecvente. Aproximativ o treime dintre femeile din cohorta SWAN au avut de-a lungul tranzi\u021biei cel pu\u021bin trei episoade cu trei zile sau mai mult de s\u00e2ngerare abundent\u0103. [42]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00e2ngerarea dup\u0103 12 luni f\u0103r\u0103 menstrua\u021bie, cea persistent\u0103 \u00eentre menstrua\u021bii \u0219i cea dup\u0103 contact sexual se verific\u0103 medical. [5][112]<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/kindora.com\/wp-content\/uploads\/2026\/10\/perimenopauza-calendar-ciclu-spot.png\" alt=\"Perimenopauza \u0219i ciclul: ilustra\u021bie cu o femeie \u00een pulover verde care lipe\u0219te un ab\u021bibild mic, rotund, pe un calendar de perete pres\u0103rat cu buline colorate\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 id=\"somnul-se-rupe-si-te-trezesti-noaptea\" class=\"wp-block-heading\">Somnul se rupe \u0219i te treze\u0219ti noaptea<\/h3>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center kindora-imagine-text is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/kindora.com\/wp-content\/uploads\/2026\/10\/perimenopauza-somn-noaptea-spot.png\" alt=\"Perimenopauza \u0219i somnul: ilustra\u021bie cu un dormitor lini\u0219tit noaptea, cu patul f\u0103cut, o p\u0103tur\u0103 prun\u0103, o veioz\u0103 aprins\u0103 slab \u0219i luna \u00een fereastr\u0103\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<p class=\"wp-block-paragraph\">Pe m\u0103sur\u0103 ce tranzi\u021bia avanseaz\u0103, cresc at\u00e2t dificultatea de a adormi, c\u00e2t \u0219i cea de a r\u0103m\u00e2ne adormit\u0103, dup\u0103 ajustarea pentru v\u00e2rst\u0103. Trezirile repetate \u00een timpul nop\u021bii sunt cea mai frecvent\u0103 problem\u0103 de somn \u00een ace\u0219ti ani. Bufeurile frecvente merg \u00eempreun\u0103 cu toate aceste dificult\u0103\u021bi. [35][36]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trezirile nocturne au devenit mai frecvente \u00een ansamblu de-a lungul tranzi\u021biei, iar la aproximativ una din \u0219apte femei au crescut mai mult dec\u00e2t la celelalte. [36]<\/p>\n<\/div>\n<\/div>\n\n\n\n<h3 id=\"bufeurile-si-transpiratiile-nocturne\" class=\"wp-block-heading\">Bufeurile \u0219i transpira\u021biile nocturne<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Bufeurile nu \u00eencep abia dup\u0103 menopauz\u0103. Probabilitatea lor este cea mai mare \u00een perimenopauza t\u00e2rzie, \u00eenainte de ultima menstrua\u021bie. [34] Dac\u0103 \u00eencep c\u00e2t timp ciclul este \u00eenc\u0103 regulat, pot persista mult timp. [33]<\/p>\n\n\n\n<h3 id=\"oboseala-care-nu-trece-dupa-weekend\" class=\"wp-block-heading\">Oboseala care nu trece dup\u0103 weekend<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Oboseala este frecvent\u0103 la 40 p\u00e2n\u0103 la 50 de ani, dar datele nu o arat\u0103 ca fiind mai frecvent\u0103 \u00een perimenopauz\u0103 dec\u00e2t \u00eenainte. Nu avem studiul care s\u0103 demonstreze c\u0103 tranzi\u021bia, independent de somn, stres \u0219i alte cauze, produce oboseal\u0103. [60][44]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen schimb, oboseala este legat\u0103 de menstrua\u021biile abundente sau prelungite \u00een timpul tranzi\u021biei. Dac\u0103 ambele apar \u00eempreun\u0103, pierderea de s\u00e2nge este prima cauz\u0103 de verificat. [43]<\/p>\n\n\n\n<h3 id=\"ceata-mentala\" class=\"wp-block-heading\">Cea\u021ba mental\u0103<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Cea\u021ba mental\u0103 din perimenopauz\u0103 nu este imaginat\u0103. Femeile aflate \u00een perimenopauza t\u00e2rzie au ar\u0103tat un decrement m\u0103surabil la test\u0103ri cognitive repetate, iar efectul s-a normalizat dup\u0103 tranzi\u021bie. [37] Declinul cognitiv de mai t\u00e2rziu urm\u0103re\u0219te v\u00e2rsta, nu menopauza. [38]<\/p>\n\n\n\n<h3 id=\"greutatea-si-talia-care-se-schimba-fara-sa-fi-schimbat-ceva\" class=\"wp-block-heading\">Greutatea \u0219i talia care se schimb\u0103 f\u0103r\u0103 s\u0103 fi schimbat ceva<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Tranzi\u021bia nu face c\u00e2ntarul s\u0103 urce mai repede. Ce se schimb\u0103 e compozi\u021bia corpului care poate modifica  <a href=\"https:\/\/kindora.com\/ro\/ce-este-metabolismul\/\">metabolismul energetic<\/a>: gr\u0103simea cre\u0219te mai repede, mu\u0219chii \u00eencep s\u0103 scad\u0103, iar gr\u0103simea se mut\u0103 spre abdomen. Fereastra \u00eencepe cu aproximativ doi ani \u00eenainte de ultima menstrua\u021bie \u0219i se plafoneaz\u0103 cam la doi ani dup\u0103 ea. [39][40]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Talia se modific\u0103 mai pu\u021bin dec\u00e2t gr\u0103simea abdominal\u0103 m\u0103surat\u0103 direct. [40] \u00cen jurul ultimei menstrua\u021bii cresc \u0219i colesterolul total, LDL-colesterolul \u0219i apolipoproteina B, independent de v\u00e2rst\u0103. [41]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201eAm acumulat date care arat\u0103 \u00een mod constant c\u0103 tranzi\u021bia spre menopauz\u0103 e o perioad\u0103 de schimbare pentru s\u0103n\u0103tatea cardiovascular\u0103.\u201d Traducere Kindora dup\u0103 Samar R. El Khoudary, profesor asociat de epidemiologie la University of Pittsburgh \u0219i pre\u0219edinta comitetului care a scris declara\u021bia \u0219tiin\u021bific\u0103 a American Heart Association despre tranzi\u021bia menopauzal\u0103 \u0219i riscul cardiovascular. [113]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen studiul care a urm\u0103rit femei an de an, glicemia \u0219i insulina au urmat v\u00e2rsta, nu menopauza. <a href=\"https:\/\/kindora.com\/ro\/rezistenta-la-insulina\/\">Rezisten\u021ba la insulin\u0103<\/a> nu d\u0103 simptome proprii \u0219i se identific\u0103 prin analize. [41][19]<\/p>\n\n\n\n<h3 id=\"sanii-sensibili-poftele-parul\" class=\"wp-block-heading\">S\u00e2nii sensibili, poftele, p\u0103rul<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S\u00e2nii:<\/strong> sensibilitatea apare mai des \u00een primii ani ai tranzi\u021biei \u0219i scade pe m\u0103sur\u0103 ce tranzi\u021bia avanseaz\u0103. [47]<\/li>\n\n\n\n<li><strong>Poftele:<\/strong> nu exist\u0103 dovezi c\u0103 tranzi\u021bia produce pofte independent de somn \u0219i stres. [44]<\/li>\n\n\n\n<li><strong>P\u0103rul:<\/strong> nu \u0219tim c\u00e2t din sub\u021bierea sau c\u0103derea p\u0103rului \u021bine de etap\u0103. \u00centr-o c\u0103dere difuz\u0103 se verific\u0103 \u0219i deficitul de fier, boala tiroidian\u0103, o boal\u0103 recent\u0103, o sc\u0103dere rapid\u0103 \u00een greutate sau stresul. [66]<\/li>\n\n\n\n<li><strong>Balonarea:<\/strong> este des pus\u0103 pe seama perimenopauzei. Balonarea nou\u0103, persistent\u0103 \u0219i frecvent\u0103 se evalueaz\u0103 medical, pentru alte cauze. [5]<\/li>\n<\/ul>\n\n\n\n<h3 id=\"cum-iti-simti-starea-si-rabdarea\" class=\"wp-block-heading\">Cum \u00ee\u021bi sim\u021bi starea \u0219i r\u0103bdarea<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Iritabilitatea, anxietatea \u0219i dispozi\u021bia sc\u0103zut\u0103 sunt mai frecvente \u00een perimenopauz\u0103, mai ales \u00een ultimii ani dinaintea ultimei menstrua\u021bii, iar riscul scade din nou dup\u0103 menopauz\u0103. Asta nu \u00eenseamn\u0103 c\u0103 totul vine de la hormoni. \u00centr-o sintez\u0103 a studiilor longitudinale, contribu\u021bia hormonilor, a\u0219a cum au fost m\u0103sura\u021bi, a fost mic\u0103, iar depresia la v\u00e2rsta mijlocie are mai mul\u021bi factori. [45] Riscul unui episod de depresie propriu-zis\u0103 este de 2 p\u00e2n\u0103 la 4 ori mai mare \u00een perimenopauz\u0103 \u0219i \u00een postmenopauza timpurie. [46] Dac\u0103 ai mai avut depresie, spune-i medicului de la primele semne, e cel mai puternic factor de risc. Tratamentele dovedite sunt psihoterapia \u0219i antidepresivele, iar NICE recomand\u0103 terapia cognitiv-comportamental\u0103 pentru dispozi\u021bia sc\u0103zut\u0103 sau anxietatea legate de menopauz\u0103. [26][15][2]<\/p>\n\n\n\n<h2 id=\"nu-tot-ce-simti-vine-de-la-hormoni\" class=\"wp-block-heading\">Nu tot ce sim\u021bi vine de la hormoni<\/h2>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center kindora-imagine-text is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<p class=\"wp-block-paragraph\">Tranzi\u021bia produce pu\u021bine simptome care s\u0103 fie numai ale ei. Cea mai mare parte din ce observi, oboseala, somnul prost, dispozi\u021bia sc\u0103zut\u0103, anxietatea, cea\u021ba mental\u0103, durerile articulare, apare \u00een multe alte situa\u021bii de la v\u00e2rsta mijlocie. De aceea aceste simptome ridic\u0103 \u00eentreb\u0103ri, nu le r\u0103spund. Excep\u021bia sunt bufeurile \u0219i transpira\u021biile nocturne, care indic\u0103 destul de specific tranzi\u021bia. [26][60][68]<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/kindora.com\/wp-content\/uploads\/2026\/10\/perimenopauza-mai-multe-cauze-spot.png\" alt=\"Ilustra\u021bie cu patru cercuri colorate legate de o linie sub\u021bire, \u00een care apar profilul unei femei, un creier, un mu\u0219chi l\u00e2ng\u0103 o articula\u021bie \u0219i c\u00e2teva celule\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 id=\"tiroida\" class=\"wp-block-heading\">Tiroida<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Boala tiroidian\u0103 \u0219i tranzi\u021bia \u00eempart multe simptome, inclusiv schimb\u0103ri ale ciclului, dispozi\u021biei, somnului, p\u0103rului, libidoului \u0219i for\u021bei musculare. Societatea European\u0103 de Menopauz\u0103 spune explicit c\u0103 diferen\u021bierea poate fi dificil\u0103. [11]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Senza\u021bia de frig, constipa\u021bia, vocea r\u0103gu\u0219it\u0103, pielea uscat\u0103 \u0219i \u00eengro\u0219at\u0103 sau umflarea g\u00e2tului pot orienta discu\u021bia spre tiroid\u0103, dar nu sunt o list\u0103 de diagnostic. Simptomele singure nu tran\u0219eaz\u0103. C\u00e2nd exist\u0103 suspiciune, medicul poate verifica func\u021bia tiroidian\u0103 prin analize de s\u00e2nge. [68][11]<\/p>\n\n\n\n<h3 id=\"feritina-scazuta-si-menstruatiile-abundente\" class=\"wp-block-heading\">Feritina sc\u0103zut\u0103 \u0219i menstrua\u021biile abundente<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Menstrua\u021biile abundente sunt frecvente \u00een tranzi\u021bie \u0219i pot merge \u00eempreun\u0103 cu oboseala. [42][43] Deficitul de fier este frecvent la femeile care menstrueaz\u0103. Pragul la care apare deficitul este \u00een discu\u021bie: analizele recente, pe date americane, situeaz\u0103 \u00eenceputul deficitului de fier la o feritin\u0103 mai mare dec\u00e2t pragul clasic al OMS, ceea ce \u00eenseamn\u0103 c\u0103 o parte dintre femeile considerate f\u0103r\u0103 deficit dup\u0103 pragul vechi \u00eel au deja. [110][111]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Exist\u0103 \u0219i o implica\u021bie practic\u0103. La femei care \u00eenc\u0103 menstruau, f\u0103r\u0103 anemie, dar cu feritin\u0103 sc\u0103zut\u0103, fierul a redus oboseala mai mult dec\u00e2t placebo \u00een 12 s\u0103pt\u0103m\u00e2ni. [75] Ghidul recomand\u0103 hemogram\u0103 la femeile cu menstrua\u021bii abundente. Feritina se interpreteaz\u0103 \u00eempreun\u0103 cu medicul, nu dup\u0103 un prag luat de pe internet. [4]<\/p>\n\n\n\n<h3 id=\"stresul-cronic-si-cortizolul\" class=\"wp-block-heading\">Stresul cronic \u0219i cortizolul<\/h3>\n\n\n\n    <div id=\"block_58970ec910d6d2cd2c7a7bf6319f7679\" class=\"align wp-block-custom-blocks-info-box-highlight\">\n\n\t<div class=\"grid grid-cols-12 mb-5 gap-4\">\n\t\t\n<div class=\"col-span-12  bg-custom-primaryLight border border-custom-primaryLight rounded-[20px] py-6 px-5 lg:py-8 lg:px-7 lg:pb-10\">\n\t<h4 class=\"text-custom-primaryDark mb-3\">Oboseala suprarenal\u0103<\/h4>\n\t<div class=\"info-box-highlight-content font-medium text-custom-primaryDark \">\n\t\t<p>\u201eOboseala suprarenal\u0103\u201d nu este o afec\u021biune medical\u0103 demonstrat\u0103. O analiz\u0103 sistematic\u0103 a 58 de studii nu a g\u0103sit suport pentru acest diagnostic, iar testele de cortizol salivar comercializate \u00een acest scop nu sunt validate. [76]<\/p>\n\t<\/div>\n<\/div>\t<\/div>\n\n    <\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Nu \u0219tim dac\u0103 tranzi\u021bia schimb\u0103 \u00een mod consistent <a href=\"https:\/\/kindora.com\/ro\/cortizolul\/\">cortizolul<\/a>. [77] \u0218tim \u00eens\u0103 c\u0103 stresul actual, \u00eenc\u0103 nerezolvat, a fost asociat cu aproximativ 21% mai multe bufeuri. Este o asociere, nu dovada c\u0103 stresul le cauzeaz\u0103. [50]<\/p>\n\n\n\n<h3 id=\"ovarele-polichistice\" class=\"wp-block-heading\">Ovarele polichistice<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Sindromul ovarelor polichistice \u0219i perimenopauza pot \u00eensemna ambele cicluri neregulate, dar evolu\u021bia lor nu este aceea\u0219i. La femeile cu SOPC, ciclurile tind s\u0103 devin\u0103 mai regulate odat\u0103 cu v\u00e2rsta. [78]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ciclurile care devin neregulate pentru prima dat\u0103 dup\u0103 40 de ani nu sugereaz\u0103, de obicei, un SOPC nou. La aceast\u0103 v\u00e2rst\u0103, SOPC este aproape \u00eentotdeauna un diagnostic deja existent. [10][78] Cele dou\u0103 situa\u021bii pot coexista, iar cauza se clarific\u0103 \u00eempreun\u0103 cu medicul.<\/p>\n\n\n\n<h2 id=\"ce-analize-se-fac-si-de-ce-nu-exista-un-test-simplu\" class=\"wp-block-heading\">Ce analize se fac \u0219i de ce nu exist\u0103 un test simplu<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Peste 45 de ani, la o femeie altfel s\u0103n\u0103toas\u0103 cu simptome tipice, ghidurile recomand\u0103 ca diagnosticul de perimenopauz\u0103 s\u0103 fie clinic. AMH, inhibina, estradiolul, num\u0103r\u0103toarea foliculilor antrali sau volumul ovarian nu sunt recomandate pentru a confirma etapa. [2][8]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">FSH, hormonul foliculostimulant, poate fluctua mult de la un ciclu la altul. La fel \u0219i estradiolul. O singur\u0103 recoltare este un instantaneu al unei perioade instabile. Un rezultat normal nu exclude perimenopauza, iar unul crescut nu o dovede\u0219te singur. [1][28]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00centre 40 \u0219i 45 de ani, medicul poate lua \u00een considerare FSH atunci c\u00e2nd simptomele \u0219i ciclul ridic\u0103 aceast\u0103 suspiciune. Pe contracep\u021bie hormonal\u0103, m\u0103surarea hormonilor nu ofer\u0103 informa\u021bia necesar\u0103 pentru a stabili stadiul. Alte analize se aleg pentru cauzele care trebuie excluse, nu exist\u0103 un \u201epanel de perimenopauz\u0103\u201d standard. [2][8][16]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Testele de acas\u0103 nu rezolv\u0103 problema. Kiturile urinare m\u0103soar\u0103 FSH, dar autoritatea american\u0103 de reglementare precizeaz\u0103 c\u0103 ele nu detecteaz\u0103 menopauza sau perimenopauza, iar colegiul britanic de obstetric\u0103 \u0219i ginecologie recomand\u0103 s\u0103 nu fie folosite pentru diagnostic. [17][18] Testele de estradiol din saliv\u0103 nu au fost validate riguros. \u00centr-o analiz\u0103 pe peste 1.200 de participante, valorile din saliv\u0103 au prezis slab faza ciclului, \u00een timp ce cele din s\u00e2nge au prezis-o bine. [80]<\/p>\n\n\n\n    <div id=\"block_5f05254255ea8b52792ca1eae6e8e01a\" class=\"align wp-block-custom-blocks-info-box-tips\">\n\n\t\n<div class=\"col-span-12 md:col-span-6 rounded-[20px] bg-custom-primaryLight relative p-8 pt-[200px] overflow-hidden\">\n\t<img decoding=\"async\" src=\"https:\/\/kindora.com\/wp-content\/themes\/kindora-v2_child\/assets\/images\/logo-new-primary.svg\" class=\"w-[340px] absolute -top-28 -right-28\" \/>\n\t<h2 class=\"text-custom-primaryDark font-italic\">\n\t\tC\u00e2nd prime\u0219ti rezultatele\t<\/h2>\n\n\t<hr color=\"#518F51\" class=\"border-custom-primaryDark max-w-[340px] mb-3\" \/>\n\t<div class=\"text-custom-primaryDark\">\n\t\t<p>Valorile de referin\u021b\u0103 sunt tip\u0103rite pe buletinul t\u0103u, l\u00e2ng\u0103 rezultat, \u0219i ele se aplic\u0103 laboratorului t\u0103u: intervalele difer\u0103 de la un laborator la altul, pentru c\u0103 difer\u0103 metoda de analiz\u0103. Pentru hormonii sexuali conteaz\u0103 \u0219i ziua din ciclu \u00een care s-a f\u0103cut recoltarea. Nu exist\u0103 un \u201einterval normal pentru perimenopauz\u0103\u201d, pentru c\u0103 tocmai oscila\u021bia valorilor e tr\u0103s\u0103tura acestei etape. Rezultatul \u00eel interpreteaz\u0103 medicul, \u00eempreun\u0103 cu ce sim\u021bi \u0219i cu povestea ta.<\/p>\n\t<\/div>\n<\/div>\n    <\/div>\n\n\n\n<h2 id=\"cand-mergi-la-medic\" class=\"wp-block-heading\">C\u00e2nd mergi la medic<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Merit\u0103 evaluate \u00een mod special:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>orice s\u00e2ngerare dup\u0103 12 luni f\u0103r\u0103 menstrua\u021bie \u0219i s\u00e2ngerarea dup\u0103 contact sexual [5][112]<\/li>\n\n\n\n<li>menstrua\u021biile abundente \u00eempreun\u0103 cu oboseal\u0103, situa\u021bie \u00een care hemograma este prima verificare [4][43]<\/li>\n\n\n\n<li>ciclurile neregulate, bufeurile sau dificultatea de a r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 sub 40 de ani. \u00centre 40 \u0219i 45 de ani, simptomele de acest fel merit\u0103 \u0219i ele discutate cu medicul [8][9]<\/li>\n\n\n\n<li>balonarea nou\u0103 \u0219i persistent\u0103, de peste 12 ori pe lun\u0103, mai ales dup\u0103 50 de ani, dac\u0103 apare cu sa\u021bietate precoce, apetit sc\u0103zut, dureri abdominale sau pelvine ori urin\u0103ri mai frecvente [5]<\/li>\n\n\n\n<li>un nodul sau o umfl\u0103tur\u0103 la s\u00e2n ori axil\u0103, schimb\u0103ri ale pielii, formei, m\u0103rimii, mamelonului sau secre\u021bii mamelonare. Durerea de s\u00e2n singur\u0103 nu este, de obicei, un semn de cancer [114]<\/li>\n\n\n\n<li>sfor\u0103it puternic, pauze observate ale respira\u021biei, sunete de sufocare \u00een somn, durere de cap la trezire sau oboseal\u0103 marcat\u0103 ziua, semne care pot indica apnee \u00een somn [115]<\/li>\n\n\n\n<li>apari\u021bia brusc\u0103 sau agravarea rapid\u0103 a p\u0103rului pe fa\u021b\u0103 sau corp dup\u0103 menopauz\u0103 [10]<\/li>\n\n\n\n<li>dispozi\u021bia persistent sc\u0103zut\u0103, pierderea interesului pentru lucruri care \u00ee\u021bi f\u0103ceau pl\u0103cere sau g\u00e2ndurile de autov\u0103t\u0103mare. Riscul de episod depresiv este mai mare \u00een ace\u0219ti ani [15][46], de aceea, pentru a men\u021bine o calitate bun\u0103 a vie\u021bii, recomand\u0103m s\u0103 discu\u021bi cu un medic psihiatru.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Un test de menopauz\u0103 f\u0103cut acas\u0103 nu \u00ee\u021bi spune dac\u0103 po\u021bi renun\u021ba la contracep\u021bie. [17]<\/p>\n\n\n\n<h2 id=\"ce-te-poate-ajuta\" class=\"wp-block-heading\">Ce te poate ajuta<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Pentru somn, p\u00e2rghia cu cele mai bune date este terapia cognitiv-comportamental\u0103 pentru insomnie. Pentru mu\u0219chi \u0219i os, antrenamentul de for\u021b\u0103. Suplimentele pot avea un loc, \u00een func\u021bie de simptom \u0219i de popula\u021bia \u00een care au fost studiate. [81][90]<\/p>\n\n\n\n<h3 id=\"somnul-miscarea-si-mesele\" class=\"wp-block-heading\">Somnul, mi\u0219carea \u0219i mesele<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Terapia cognitiv-comportamental\u0103 pentru insomnie, TCC-I<\/strong>, este o terapie structurat\u0103 pentru factorii care \u00eentre\u021bin insomnia. La femei peri- \u0219i postmenopauzale a avut cele mai bune rezultate dintre interven\u021biile comparate, cu efect men\u021binut la \u0219ase luni. [81][82][83]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Studiile au m\u0103surat rezultatele la 8 s\u0103pt\u0103m\u00e2ni de tratament, iar diferen\u021ba fa\u021b\u0103 de comparator s-a men\u021binut la 6 luni. Sfaturile obi\u0219nuite de igien\u0103 a somnului, singure, au avut un efect mic \u00eentr-un studiu randomizat. [82][83]<\/p>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center kindora-imagine-text is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/kindora.com\/wp-content\/uploads\/2026\/10\/perimenopauza-antrenament-forta-spot.png\" alt=\"Ilustra\u021bie cu trei femei de v\u00e2rste diferite \u00eentr-o sal\u0103 de sport luminoas\u0103, care fac fand\u0103ri cu gantere u\u0219oare \u0219i r\u00e2d \u00eempreun\u0103\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<p class=\"wp-block-paragraph\">Mi\u0219carea aerobic\u0103 poate ajuta somnul \u0219i starea general\u0103, dar nu s-a dovedit tratament pentru bufeuri. [85][87] Pentru mu\u0219chi \u0219i os, antrenamentul de for\u021b\u0103 are date mai solide. La femei dup\u0103 menopauz\u0103 cu mas\u0103 osoas\u0103 sc\u0103zut\u0103, antrenamentul intens a crescut densitatea osoas\u0103. [90][91] La femei \u00een perimenopauz\u0103 \u0219i la \u00eenceputul postmenopauzei, un studiu-pilot de 9 luni cu antrenament greu de for\u021b\u0103 \u0219i impact a crescut for\u021ba maxim\u0103, masa muscular\u0103 \u0219i densitatea osoas\u0103 lombar\u0103 fa\u021b\u0103 de grupul de control. Studiul a fost mic, de fezabilitate. [92] Dac\u0103 ai osteoporoz\u0103 sau o fractur\u0103 vertebral\u0103, stabile\u0219te cu medicul cum \u00eencepi antrenamentul. [90]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tiparul mediteraneean poate ajuta bufeurile u\u0219oare, dar nu avem suport ca tratament general al simptomelor moderate sau severe. [12]<\/p>\n<\/div>\n<\/div>\n\n\n\n<h3 id=\"unde-ajuta-suplimentele-si-unde-nu\" class=\"wp-block-heading\">Unde ajut\u0103 suplimentele \u0219i unde nu<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Cimicifuga, black cohosh:<\/strong> dovada este inconsistent\u0103. Cea mai recent\u0103 meta-analiz\u0103, pe 22 de studii \u0219i 2.310 femei, a g\u0103sit un efect mic asupra bufeurilor \u0219i un efect mic spre moderat asupra simptomelor de menopauz\u0103 \u00een ansamblu. O analiz\u0103 Cochrane anterioar\u0103, pe 16 studii, nu a g\u0103sit nicio diferen\u021b\u0103 fa\u021b\u0103 de placebo pe frecven\u021ba bufeurilor. [100][101] A fost asociat\u0103 rar cu leziuni grave ale ficatului. Dac\u0103 apare \u00eeng\u0103lbenirea pielii sau a ochilor, opre\u0219te-o \u0219i mergi prompt la medic. [21]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Genisteina \u0219i izoflavonele:<\/strong> pentru bufeuri, patru studii necombinate \u00een meta-analiz\u0103 au ar\u0103tat c\u0103 extractele cu peste 30 mg de genistein\u0103 pe zi au redus consistent frecven\u021ba bufeurilor. Analiza a notat \u0219i un efect placebo puternic, iar multe studii au fost mici. [103] Izoflavonele ca grup nu au redus bufeurile, dar au avut efect pe scorul global de simptome \u0219i, separat, pe cefalee, palpita\u021bii, simptome psihosociale \u0219i depresie, \u00eentr-o meta-analiz\u0103 mic\u0103 pe femei \u00een perimenopauz\u0103. [102] Dac\u0103 ai avut un cancer sensibil la hormoni sau urmezi tratament hormonal pentru el, nu lua extracte concentrate f\u0103r\u0103 acordul medicului. [13]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ashwagandha:<\/strong> are date pe femei \u00een perimenopauz\u0103. \u00centr-un studiu randomizat de 8 s\u0103pt\u0103m\u00e2ni pe 100 de femei cu simptome climacterice, un extract de r\u0103d\u0103cin\u0103, 300 mg de dou\u0103 ori pe zi, a redus scorul total de simptome fa\u021b\u0103 de placebo. Autorii l-au descris ca op\u021biune pentru simptome u\u0219oare spre moderate. [106] Un al doilea studiu, pe 60 de femei de 45 p\u00e2n\u0103 la 55 de ani, a mers \u00een aceea\u0219i direc\u021bie. [107] Efectul asupra hormonilor tiroidieni nu a fost evaluat \u00een aceste studii.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/kindora.com\/ro\/nutrienti\/magneziu\/\">Magneziul<\/a>:<\/strong> nu a fost studiat la femei \u00een perimenopauz\u0103. La femei dup\u0103 menopauz\u0103, cu istoric de cancer de s\u00e2n, un studiu randomizat pe 289 de femei nu a g\u0103sit efect pe bufeuri \u0219i nici pe m\u0103surile de calitate a vie\u021bii. [96] Pentru insomnie, TCC-I are date mai bune.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/kindora.com\/ro\/creatina\/\">Creatina<\/a>:<\/strong> la femei dup\u0103 menopauz\u0103 poate ajuta masa muscular\u0103 \u0219i for\u021ba \u00eempreun\u0103 cu antrenamentul de rezisten\u021b\u0103. Nu a modificat densitatea osoas\u0103 \u00een ansamblul studiilor. [97] Antrenamentul r\u0103m\u00e2ne p\u00e2rghia principal\u0103.<\/p>\n\n\n\n    <div id=\"block_394aa883c38c7b2822e53437e901bbec\" class=\"align wp-block-custom-blocks-info-box-highlight\">\n\n\t<div class=\"grid grid-cols-12 mb-5 gap-4\">\n\t\t\n<div class=\"col-span-12  bg-custom-primaryLight border border-custom-primaryLight rounded-[20px] py-6 px-5 lg:py-8 lg:px-7 lg:pb-10\">\n\t<h4 class=\"text-custom-primaryDark mb-3\">Rezultate negative<\/h4>\n\t<div class=\"info-box-highlight-content font-medium text-custom-primaryDark \">\n\t\t<p>Nu toate suplimentele folosite \u00een perioada aceasta au ar\u0103tat beneficii \u00een studii. Omega-3 nu a \u00eembun\u0103t\u0103\u021bit somnul, uleiul de primul\u0103 nu a redus bufeurile, iar DHEA nu a \u00eembun\u0103t\u0103\u021bit calitatea vie\u021bii. [81][13][109]<\/p>\n\t<\/div>\n<\/div>\t<\/div>\n\n    <\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Pentru maca, datele nu permit \u00eenc\u0103 o concluzie clar\u0103. Nu \u0219tim dac\u0103 ajut\u0103. [105]<\/p>\n\n\n\n    <div id=\"block_946a51a00c1e308b7d4b73f30f283a8a\" class=\"align wp-block-custom-blocks-info-box-highlight\">\n\n\t<div class=\"grid grid-cols-12 mb-5 gap-4\">\n\t\t\n<div class=\"col-span-12  bg-custom-secondaryLight rounded-[20px] py-6 px-5 lg:py-8 lg:px-7 lg:pb-10\">\n\t<h4 class=\"text-custom-secondary mb-3\">Sun\u0103toarea \u0219i medicamentele<\/h4>\n\t<div class=\"info-box-highlight-content font-medium text-custom-secondary \">\n\t\t<p>Mai sunt \u0219i c\u00e2teva lucruri care \u021bin de siguran\u021b\u0103. Sun\u0103toarea poate sc\u0103dea eficien\u021ba mai multor medicamente, inclusiv a pilulelor contraceptive. Dac\u0103 folose\u0219ti contracep\u021bie hormonal\u0103 sau iei alte tratamente, nu o lua f\u0103r\u0103 s\u0103 vorbe\u0219ti cu medicul. [22]<\/p>\n\t<\/div>\n<\/div>\t<\/div>\n\n    <\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Produsele cu \u201ewild yam\u201d au fost g\u0103site uneori f\u0103r\u0103 extractul declarat \u0219i, \u00een unele cazuri, cu steroizi nedeclara\u021bi. The North American Menopause Society recomand\u0103 evitarea lor. [13]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DHEA este un precursor hormonal, nu un supliment obi\u0219nuit. \u00cen studii a produs mai des efecte de tip androgenic dec\u00e2t placebo \u0219i se ia doar cu medicul. \u00cen aceea\u0219i analiz\u0103, DHEA a \u00eembun\u0103t\u0103\u021bit func\u021bia sexual\u0103 fa\u021b\u0103 de placebo. Pe simptomele de menopauz\u0103, rezultatele au fost inconsistente. [109]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00cen sarcin\u0103, al\u0103ptare \u0219i la copii, dozele le stabile\u0219te medicul.<\/p>\n\n\n\n<h3 id=\"ce-tine-de-discutia-cu-medicul\" class=\"wp-block-heading\">Ce \u021bine de discu\u021bia cu medicul<\/h3>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center kindora-imagine-text is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<p class=\"wp-block-paragraph\">Terapia hormonal\u0103 este una dintre op\u021biunile descrise de ghiduri, al\u0103turi de tratamente nehormonale \u0219i variante f\u0103r\u0103 medicamente. Decizia este individualizat\u0103 \u0219i luat\u0103 \u00eempreun\u0103 cu medicul, \u00een func\u021bie de severitatea simptomelor, v\u00e2rst\u0103, timpul de la ultima menstrua\u021bie, istoricul personal \u0219i familial, riscul de fractur\u0103, ce ai \u00eencercat deja \u0219i preferin\u021bele tale. Ea se reevalueaz\u0103 \u00een timp. [2][14]<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NICE recomand\u0103 ca terapia cognitiv-comportamental\u0103 specific\u0103 menopauzei s\u0103 fie luat\u0103 \u00een considerare pentru bufeuri \u0219i transpira\u021bii nocturne sup\u0103r\u0103toare, al\u0103turi de terapia hormonal\u0103 sau \u00een locul ei, la femeile care nu o pot sau nu vor s\u0103 o ia. [3][116] Exist\u0103 \u0219i op\u021biuni nehormonale pe baz\u0103 de re\u021bet\u0103, iar alegerea se face \u00eempreun\u0103 cu medicul. [13]<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/kindora.com\/wp-content\/uploads\/2026\/10\/perimenopauza-intrebari-medic-spot.png\" alt=\"Perimenopauza, \u00eentreb\u0103ri pentru medic: ilustra\u021bie cu m\u00e2inile unei femei care noteaz\u0103 \u00eentr-un caiet deschis, pe un birou cu pixuri \u0219i noti\u021be adezive\"\/><\/figure>\n<\/div>\n<\/div>\n\n\n\n\t<div id=\"block_106705467f9165d0d8f6f8aa6af48f7a\" class=\"align wp-block-custom-blocks-info-box-pro-tip\">\n\t\n\t<div class=\"w-full rounded-[20px] bg-custom-tertiary px-5 lg:px-10 py-4 lg:py-6 mb-5\">\n\t\t<p class=\"mb-2 text-custom-secondaryLight text-2xl font-semibold\">De re\u021binut<\/p>\n\n\t\t<div class=\"text-custom-secondaryLight text-base font-medium\">\n\t\t\t<p>Terapia hormonal\u0103 nu este o metod\u0103 de contracep\u021bie. Dac\u0103 e\u0219ti \u00eenc\u0103 \u00een perimenopauz\u0103 \u0219i nu vrei o sarcin\u0103, ai nevoie \u00een continuare de contracep\u021bie, iar cele dou\u0103 se discut\u0103 \u00eempreun\u0103 cu medicul. [2][16]<\/p>\n\t\t<\/div>\n\t<\/div>\n\n\t\t<\/div>\n\n\n\n<h2 id=\"intrebari-frecvente\" class=\"wp-block-heading\">\u00centreb\u0103ri frecvente<\/h2>\n\n\n\n    <div id=\"block_f7f672f1cd1894e7804e136c273335a5\" class=\"align wp-block-custom-blocks-faq\">\n\n\t\t\t\n\t\t\t<div class=\"schema-faq wp-block-yoast-faq-block\">\n\t\t\t\t<div class=\"schema-faq-section\">\n\t\t\t\t\t<strong class=\"schema-faq-question\">Ce este perimenopauza?<\/strong>\n\t\t\t\t\t<div class=\"schema-faq-answer\">\n\t\t\t\t\t\t<p>Este perioada \u00een care \u00eencep semnele tranzi\u021biei spre menopauz\u0103 \u0219i care se \u00eencheie la 12 luni dup\u0103 ultima menstrua\u021bie. [1][6]<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\n\t\t\t<div class=\"schema-faq wp-block-yoast-faq-block\">\n\t\t\t\t<div class=\"schema-faq-section\">\n\t\t\t\t\t<strong class=\"schema-faq-question\">La ce v\u00e2rst\u0103 \u00eencepe perimenopauza?<\/strong>\n\t\t\t\t\t<div class=\"schema-faq-answer\">\n\t\t\t\t\t\t<p>\u00cen cel mai mare studiu prospectiv pe acest subiect, v\u00e2rsta median\u0103 la care \u00eencepe perimenopauza a fost 47,5 ani, iar menopauza a ap\u0103rut la 51,3 ani. [52] Sub 40 de ani sau \u00eentre 40 \u0219i 45 de ani, simptomele merit\u0103 evaluate medical. [8][9]<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\n\t\t\t<div class=\"schema-faq wp-block-yoast-faq-block\">\n\t\t\t\t<div class=\"schema-faq-section\">\n\t\t\t\t\t<strong class=\"schema-faq-question\">C\u00e2t dureaz\u0103 perimenopauza?<\/strong>\n\t\t\t\t\t<div class=\"schema-faq-answer\">\n\t\t\t\t\t\t<p>Tranzi\u021bia p\u00e2n\u0103 la ultima menstrua\u021bie dureaz\u0103 \u00een median\u0103 \u00eentre aproximativ 4 \u0219i 8 ani \u0219i jum\u0103tate \u0219i tinde s\u0103 fie mai lung\u0103 c\u00e2nd \u00eencepe mai devreme. Perimenopauza se \u00eencheie la 12 luni dup\u0103 ultima menstrua\u021bie. [25][1]<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\n\t\t\t<div class=\"schema-faq wp-block-yoast-faq-block\">\n\t\t\t\t<div class=\"schema-faq-section\">\n\t\t\t\t\t<strong class=\"schema-faq-question\">Care e diferen\u021ba dintre perimenopauz\u0103 \u0219i premenopauz\u0103?<\/strong>\n\t\t\t\t\t<div class=\"schema-faq-answer\">\n\t\t\t\t\t\t<p>Premenopauza este, \u00een sensul recomandat, perioada reproductiv\u0103 de dinaintea menopauzei. Perimenopauza este tranzi\u021bia din jurul ultimei menstrua\u021bii. [53][1]<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\n\t\t\t<div class=\"schema-faq wp-block-yoast-faq-block\">\n\t\t\t\t<div class=\"schema-faq-section\">\n\t\t\t\t\t<strong class=\"schema-faq-question\">Cum \u0219tiu c\u0103 sunt la perimenopauz\u0103 \u0219i nu altceva?<\/strong>\n\t\t\t\t\t<div class=\"schema-faq-answer\">\n\t\t\t\t\t\t<p>Peste 45 de ani, ghidurile permit diagnosticul clinic c\u00e2nd apar simptome vasomotorii \u0219i cicluri neregulate. Restul simptomelor pot avea \u0219i alte cauze. [2][26]<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\n\t\t\t<div class=\"schema-faq wp-block-yoast-faq-block\">\n\t\t\t\t<div class=\"schema-faq-section\">\n\t\t\t\t\t<strong class=\"schema-faq-question\">Exist\u0103 un test care s\u0103 \u00eemi spun\u0103 sigur?<\/strong>\n\t\t\t\t\t<div class=\"schema-faq-answer\">\n\t\t\t\t\t\t<p>Nu. O singur\u0103 analiz\u0103 hormonal\u0103 nu tran\u0219eaz\u0103 perimenopauza, iar testele de acas\u0103 cu FSH nu o diagnosticheaz\u0103. [1][17][18]<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\n\t\t\t<div class=\"schema-faq wp-block-yoast-faq-block\">\n\t\t\t\t<div class=\"schema-faq-section\">\n\t\t\t\t\t<strong class=\"schema-faq-question\">De ce am luat \u00een greutate f\u0103r\u0103 s\u0103 schimb nimic?<\/strong>\n\t\t\t\t\t<div class=\"schema-faq-answer\">\n\t\t\t\t\t\t<p>Cre\u0219terea \u00een greutate la v\u00e2rsta mijlocie urmeaz\u0103 \u00een mare parte \u00eenaintarea \u00een v\u00e2rst\u0103. \u00cen tranzi\u021bie se schimb\u0103 specific raportul dintre gr\u0103sime \u0219i mu\u0219chi, f\u0103r\u0103 accelerarea ritmului \u00een care urc\u0103 greutatea. [39]<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\n\t\t\t<div class=\"schema-faq wp-block-yoast-faq-block\">\n\t\t\t\t<div class=\"schema-faq-section\">\n\t\t\t\t\t<strong class=\"schema-faq-question\">Mai pot r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 \u00een perimenopauz\u0103?<\/strong>\n\t\t\t\t\t<div class=\"schema-faq-answer\">\n\t\t\t\t\t\t<p>Da. Perimenopauza nu \u00eenseamn\u0103 infertilitate. \u0218ansa de sarcin\u0103 scade cu v\u00e2rsta, dar nu ajunge la zero: la 40 p\u00e2n\u0103 la 44 de ani probabilitatea anual\u0103 este de aproximativ 10 p\u00e2n\u0103 la 20%, iar \u00eentre 45 \u0219i 49 de ani de aproximativ 12%. Sarcina spontan\u0103 devine rar\u0103 dup\u0103 50 de ani. Contracep\u021bia r\u0103m\u00e2ne necesar\u0103 p\u00e2n\u0103 la menopauz\u0103, iar terapia hormonal\u0103 nu este contraceptiv. C\u00e2nd \u0219i cum se poate opri contracep\u021bia depinde de v\u00e2rst\u0103, metoda folosit\u0103 \u0219i timpul de la ultima menstrua\u021bie. Regulile le stabile\u0219te medicul. [16]<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t\n    <\/div>\n\n\n\n<h2 id=\"concluzie\" class=\"wp-block-heading\">Concluzie<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Perimenopauza poate \u00eencepe cu ani \u00eenainte de ultima menstrua\u021bie \u0219i nu arat\u0103 la fel la toate femeile. Unele schimb\u0103ri, inclusiv cea\u021ba mental\u0103 \u0219i fereastra de modificare a compozi\u021biei corporale, nu continu\u0103 la nesf\u00e2r\u0219it. [37][39] \u021aine un jurnal al ciclului \u0219i al simptomelor, discut\u0103 cu medicul ce alt\u0103 cauz\u0103 poate coexista \u0219i \u00eencepe cu p\u00e2rghiile care au cele mai bune date pentru problema care te deranjeaz\u0103 cel mai mult.<\/p>\n\n\n\n<h2 id=\"disclaimer-medical\" class=\"wp-block-heading\">Disclaimer medical<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Acest articol are scop informativ \u0219i nu \u00eenlocuie\u0219te consulta\u021bia, diagnosticul sau tratamentul recomandat de medic.<\/p>\n\n\n\n<h3 id=\"revizuit-medical\" class=\"wp-block-heading\">Revizuit medical de<\/h3>\n\n\n\n    <div id=\"block_7d3b4d9d30c9e4b963d46e65f5dcfad3\" class=\"align wp-block-custom-blocks-expert-card\">\n\n\t\t\t\n\t\t\n<div class=\"grid grid-cols-12 space-y-8 border p-3 pb-6 rounded-[20px] h-full\">\n\t<div class=\"col-span-12\">\n\t\t\t\t\t<a href=\"https:\/\/kindora.com\/ro\/experti\/andreea-manea\/\" class=\"block hover:opacity-90 transition-opacity\">\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"550\" height=\"420\" src=\"https:\/\/kindora.com\/wp-content\/uploads\/2024\/09\/andreea-manea-expert-kindora-1-550x420.jpg\" class=\"attachment-recipe-featured size-recipe-featured wp-post-image\" alt=\"dr Andreea Manea, medic nutritionist\" \/>\t\t\t<\/a>\n\t\t\t<\/div>\n\t<div class=\"col-span-12 px-3\">\n\t\t\t<h3 class=\"mb-2\">Dr. Andreea Manea-Sandu<\/h3>\n\t\t<p class=\"text-custom-secondary font-medium mb-2\">\n\t\t\tExpert Kindora &#8211; Medic Specialist Endocrinolog\t\t<\/p>\n\t\t<div class=\"mb-5 text-justify\">\n\t\t\tMedic specialist endocrinolog \u0219i nutri\u021bionist, cu competen\u021be \u00een psihoterapie cognitiv comportamental\u0103 \u0219i medic endocrinolog \u00een preg\u0103tire. Ea este absolvent\u0103 a Universit\u0103\u021bii de Medicin\u0103 \u0219i Farmacie \u201eDr. Carol Davila\u201d. Andreea s-a confruntat cu probleme ponderale \u00een &#8230;\t\t<\/div>\n\n\t\t<div class=\"flex flex-col-reverse lg:flex-row lg:justify-between lg:items-center\">\n\n\t\t\t\t\t\t\t\n\t\t\t\t<a  target=\"_self\"  href=\"https:\/\/kindora.com\/ro\/experti\/andreea-manea\/\" class=\"bg-custom-dark hover:bg-custom-darker text-white font-semibold hover:no-underline rounded-md px-4 py-2 flex items-center justify-center text-lg transition-colors\">\n\tCunoa\u0219te expertul<\/a>\t\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t<div class=\"flex space-x-4 pe-5 items-center mb-6 lg:mb-0\">\n\t\t\t\t\t\n\t\t\t\t\t\t<a target=\"_blank\" href=\"http:\/\/linkedin.com\/in\/valentina-andreea-manea-sandu-8a3477300\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"29\" height=\"29\" src=\"https:\/\/kindora.com\/wp-content\/uploads\/2024\/09\/linkedin-icon.svg\" class=\"w-9 rounded-none\" alt=\"\" \/>\t\t\t\t\t\t<\/a>\n\n\t\t\t\t\t\n\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.facebook.com\/andreea.manea.54\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"30\" height=\"30\" src=\"https:\/\/kindora.com\/wp-content\/uploads\/2024\/09\/facebook-icon.svg\" class=\"w-9 rounded-none\" alt=\"\" \/>\t\t\t\t\t\t<\/a>\n\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t<\/div>\n<\/div>\t\t\n\t\n    <\/div>\n\n\n\n<h2 id=\"surse\" class=\"wp-block-heading\">Surse<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>[1] <a href=\"https:\/\/doi.org\/10.1016\/j.fertnstert.2012.01.128\" target=\"_blank\" rel=\"noopener\">Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, Sherman S, Sluss PM, de Villiers TJ. <em>Executive summary of the Stages of Reproductive Aging Workshop +10 (STRAW+10).<\/em> Fertil Steril 2012;97(4):843\u2013851. 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PMID 22310622.<\/a><\/li>\n\n\n\n<li>[2] <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng23\/chapter\/recommendations\" target=\"_blank\" rel=\"noopener\">NICE. <em>Menopause: identification and management.<\/em> NG23.<\/a><\/li>\n\n\n\n<li>[3] <a href=\"https:\/\/www.nice.org.uk\/news\/articles\/discussion-aid-to-support-clinical-conversations-about-hrt-published-alongside-updated-guidance\" target=\"_blank\" rel=\"noopener\">NICE. <em>Anun\u021b de actualizare, noiembrie 2024.<\/em><\/a><\/li>\n\n\n\n<li>[4] <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng88\/chapter\/recommendations\" target=\"_blank\" rel=\"noopener\">NICE. <em>Heavy menstrual bleeding: assessment and management.<\/em> NG88.<\/a><\/li>\n\n\n\n<li>[5] <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng12\/chapter\/recommendations-organised-by-site-of-cancer\" target=\"_blank\" rel=\"noopener\">NICE. <em>Suspected cancer: recognition and referral.<\/em> NG12.<\/a><\/li>\n\n\n\n<li>[6] <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/menopause\" target=\"_blank\" rel=\"noopener\">World Health Organization. <em>Menopause<\/em> fact sheet, 16 octombrie 2024.<\/a><\/li>\n\n\n\n<li>[8] <a href=\"https:\/\/doi.org\/10.1093\/ejendo\/lvaf206\" target=\"_blank\" rel=\"noopener\">Lumsden MA, Dekkers OM, Faubion SS, et al. <em>European Society of Endocrinology clinical practice guideline for evaluation and management of menopause and the perimenopause.<\/em> Eur J Endocrinol 2025;193(4):G49\u2013G81. 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Ciclul nu mai vine chiar ca \u00eenainte. Somnul s-a fragmentat. Uneori \u00ee\u021bi g\u0103se\u0219ti mai greu cuvintele sau sim\u021bi c\u0103 r\u0103bdarea se termin\u0103 mai repede. \u0218i, de\u0219i fiecare schimbare \u00een parte pare u\u0219or de pus pe seama stresului, \u00eempreun\u0103 \u00eencep s\u0103 ridice [&hellip;]<\/p>\n","protected":false},"author":805,"featured_media":18692,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_glsr_average":0,"_glsr_ranking":0,"_glsr_reviews":0,"footnotes":""},"categories":[63,287],"tags":[],"class_list":["post-18685","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-parerea-expertului","category-sanatate-metabolica"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v28.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Perimenopauza: semnele care apar \u00eenainte de menopauz\u0103<\/title>\n<meta name=\"description\" content=\"Vezi ce semne apar \u00een perimenopauz\u0103, de ce nu tot ce sim\u021bi vine din hormoni \u0219i c\u00e2nd mergi la medic. 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