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Can Norethisterone and Serelys tablets help cure perimenopausal symptoms in a 52-year-old female?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 52-year-old female. I have had very light periods three times in the past year. The last one has been on and off over the past five days. I have very little blood loss and mild pain. I have just started taking DIM 250 mg capsules. I suffer from hot flashes, headaches, bloating, etc. I have been taking Norethisterone tablets and Serelys tablets, so would these help with perimenopause symptoms? I have also been taking vitamin B tablets for fatigue.

Answered by Dr. Uzma Arqam

Education:

MBBS

Professional Bio:

Dr Uzma Arqam is an Obstetrician and Gynecologist with clinical experience of 21 years in handling patients. She completed her Diploma in Gynecology And Obstetrics at Royal College of Physicians, Ireland, University of Dublin, and MBBS at the University of Karachi. Currently, she is practicing in Rauha Consultant Clinics, in Karachi, Sindh, Pakistan. She is more interested in treating gynaecology cases of different ages of women to guide them have health precautions and daily life tips to prevent long-term effects developed with or without ageing.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Thank you for your query.

You are in menopausal age. The average age of menopause is 51 years and you may have perimenopausal symptoms like hot flashes, absence of menses, joint pain, etc. I suggest you to follow a few instructions mentioned below.

  1. You can have vitamin B complex as it is really helpful.
  2. You can have evening primrose oil capsules that help delay aging.
  3. Daily walking, yoga, and exercises help in maintaining proper joint function.
  4. Have a healthy diet.
  5. Norethisterone is a progesterone-only pill that when taken cyclically will give you withdrawal bleeding.
  6. If evening primrose oil does not work then you can have hormonal replacement therapy.
  7. Do not take hormonal replacement therapy for a long time as it can give side effects like breast cancer, endometrial cancer, etc.
  8. You can have cyclic short-term hormonal replacement therapy as it is better to have it for a short duration cyclically and recurrently.
  9. With time you might have delayed and scanty periods and may be absent for a few months first and then could stop.
  10. You should have a complete checkup for your medical issues and regular follow-ups.
  11. For now, you can try vitamin B complex and evening primrose oil and after menopause, you can have hormonal support in case of extreme symptoms. If symptoms aggravate you can have a follow-up after two to four months.
  12. Kindly consult a specialist, talk to them, and take medications with their consent.

    I hope this has helped you.

    Thank you.

Answered by Dr. Uzma Arqam
Medically reviewed by iCliniq medical review team
Published At March 22, 2023
Reviewed At October 13, 2023

Education:

MBBS

Professional Bio:

Dr Uzma Arqam is an Obstetrician and Gynecologist with clinical experience of 21 years in handling patients. She completed her Diploma in Gynecology And Obstetrics at Royal College of Physicians, Ireland, University of Dublin, and MBBS at the University of Karachi. Currently, she is practicing in Rauha Consultant Clinics, in Karachi, Sindh, Pakistan. She is more interested in treating gynaecology cases of different ages of women to guide them have health precautions and daily life tips to prevent long-term effects developed with or without ageing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr Uzma Arqam is an Obstetrician and Gynecologist with clinical experience of 21 years in handling patients. She completed her Diploma in Gynecology And Obstetrics at Royal College of Physicians, Ireland, University of Dublin, and MBBS at the University of Karachi. Currently, she is practicing in Rauha Consultant Clinics, in Karachi, Sindh, Pakistan. She is more interested in treating gynaecology cases of different ages of women to guide them have health precautions and daily life tips to prevent long-term effects developed with or without ageing.

This doctor is not available for online consultations on the platform anymore.

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