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  • Heart Palpitations:  As mentioned above, a drop in estrogen can cause your endorphins, the brain's natural chemicals that elevate mood or kill pain, to fall.  Your brain interprets this drop as “trouble”, and sends out a shot of adrenaline, the fight-or-flight hormone, and your heart starts pounding.   The fight-or-flight hormone is a great thing when you are on a camping trip and a snake slithers by the tent.  But, during menopause, heart palpitations can be scary, and happen at inappropriate times.  Of course, if you suspect heart disease or it runs in your family, it is best to have these heart palpitations checked out by your doctor.  But if it is attributed to perimenopause or menopause, get your estrogen levels monitored.
  • Migraine Headaches:  If migraine headaches are new to you, or only happened during the first few days of your period or during ovulation it indicates that you are responding to low estrogen levels.  During perimenopause these fluctuating levels in estrogen may trigger more migraines than you experienced during a normal cycle.  Your blood vessels constrict during migraines, and estrogen can dilate those blood vessels.  For some women balancing their hormones alleviates their migraines.  But for others, HRT makes it worse.  The good news is those migraines that appeared during menopause will probably disappear during post menopause.  But the medical community is still trying to figure out the connection of female hormones and migraines.
  • Memory Lapses:  Have you been at the mall doing chores when you received a call from a friend who has been waiting an hour for you to arrive, and you completely forgot?  Or say the same thing a couple of times, but forgot you said it earlier only to be corrected by your listener? Often short-term memory loss can be experienced when estrogen levels are low.  In the brain, estrogen helps the connection of neurons, nerve cells that transmit information from one memory storage area to another.  And estrogen also assists in growing new neurons.  So when your estrogen levels are declining your memory connections aren’t always transmitting clearly.  You are not crazy; ask for support from your loved-ones to nurture you through your forgetful moments.  It is no fun to be punished for forgetting something.  And HRT can help you if you are experiencing this symptom as well as keeping your mind stimulated.  It will help your brain create new neural connections. 
  • Hot Flashes and Night Sweats:  The number one symptom that most people associate with menopause is the dreaded hot flash.  Those not experiencing it think it’s funny.  There is nothing funny about suddenly feeling flush and overcome with perspiration, dizziness and heart palpitations.  Or being disturbed from a good nights sleep with a hot flash (aka night sweats) that sends you to the bathroom to splash cool water on your face and change into a dry nightgown.  When your estrogen levels suddenly plunge it creates a hot flash.  Just as with mood swings and heart palpitations, when your estrogen quickly falls your brain pumps out adrenaline, which triggers the fight-or-flight signal, and you begin to sweat. It is declining estrogen and unneeded surges of adrenaline that make you wish you could wring yourself out after a hot flash.  I recommend wearing cotton clothing and bringing a fresh blouse when you leave the house.  In the winter layer your clothes by wearing a cotton tank top under your wool sweaters.  In the summer, enjoy a cotton sundress and keep a stylish fan handy in your handbag for instant hot flash relief. 
  • Sleep Problems:  If you are experiencing night sweats it is no surprise you are not sleeping at night.  You wake up tossing and turning in “the wet spot”, one that was unfortunately not the result of a wild night with your husband.  A sleepless night will promise you a day of irritability and mood swings.  But many women have sleep problems because the drop in estrogen levels affects their serotonin levels.  Estrogen is responsible for making serotonin, a neurotransmitter that most likely contributes to the regulation of sleep, appetite, and mood. It is also associated with a number of other functions, including the regulation of body temperature.  It starts becoming obvious how our hormones play a big role in our bodies.

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