{"id":19,"date":"2024-05-21T09:02:13","date_gmt":"2024-05-21T09:02:13","guid":{"rendered":"https:\/\/longevity.ee\/avaleht\/"},"modified":"2025-11-17T11:01:18","modified_gmt":"2025-11-17T11:01:18","slug":"avaleht","status":"publish","type":"page","link":"https:\/\/longevity.ee\/en\/","title":{"rendered":""},"content":{"rendered":"<div class=\"wp-block-group alignfull has-tertiary-background-color has-background is-layout-flow wp-container-core-group-is-layout-05437650 wp-block-group-is-layout-flow\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--60);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--60);padding-left:var(--wp--preset--spacing--30)\">\n<h2 class=\"wp-block-heading\">Welcome \u2014 Let\u2019s Talk Honestly About Perimenopause<\/h2>\n\n\n\n<div class=\"wp-block-media-text is-vertically-aligned-top\" style=\"margin-right:0;margin-left:0;padding-top:0;padding-right:0;padding-bottom:0;padding-left:0;grid-template-columns:20% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/longevity.ee\/wp-content\/uploads\/2025\/10\/Mari-Laasma-1024x1024.png\" alt=\"\" class=\"wp-image-652 size-full\" srcset=\"https:\/\/longevity.ee\/wp-content\/uploads\/2025\/10\/Mari-Laasma-1024x1024.png 1024w, https:\/\/longevity.ee\/wp-content\/uploads\/2025\/10\/Mari-Laasma-300x300.png 300w, https:\/\/longevity.ee\/wp-content\/uploads\/2025\/10\/Mari-Laasma-150x150.png 150w, https:\/\/longevity.ee\/wp-content\/uploads\/2025\/10\/Mari-Laasma-768x768.png 768w, https:\/\/longevity.ee\/wp-content\/uploads\/2025\/10\/Mari-Laasma-1536x1536.png 1536w, https:\/\/longevity.ee\/wp-content\/uploads\/2025\/10\/Mari-Laasma-2048x2048.png 2048w, https:\/\/longevity.ee\/wp-content\/uploads\/2025\/10\/Mari-Laasma-12x12.png 12w, https:\/\/longevity.ee\/wp-content\/uploads\/2025\/10\/Mari-Laasma-1320x1320.png 1320w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p>Hello, I\u2019m Dr. Mari Laasma, a physician and surgeon, and the founder of the Dr. Mari Laasma Laser Therapy &amp; Aesthetic Clinic.<br>When a woman reaches her 40s, the body and mind may start sending \u201cnew messages\u201d suddenly and loudly: hot flashes, waking at night, anxiety, trouble concentrating, \u201cbrain fog,\u201d weight gain despite being active, mood swings, and changes in libido. Many ask: \u201cIs this perimenopause? Is this normal?\u201d The answer is \u2014 yes, it can be a completely normal part of life\u2019s natural transition, and help is available. <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/menopause\" target=\"_blank\" rel=\"noopener\" title=\"\">World Health Organization<\/a><\/p>\n\n\n\n<p>In Estonia, this topic has long been kept quietly \u201cunder the table.\u201d Meanwhile, globally there\u2019s growing recognition that perimenopause and menopause affect health, work, relationships, and quality of life \u2014 and that supportive information and evidence-based treatment make a big difference. This page was created to offer a safe, clear, science-based starting point for anyone seeking answers.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is perimenopause?<\/h2>\n\n\n\n<p>Perimenopause is the transition before menopause when ovarian hormone levels begin to fluctuate. Menstrual cycles may become irregular and typical symptoms can appear. Menopause is confirmed when there has been no menstrual period for 12 consecutive months. The average age at menopause is around 51. After menopause comes postmenopause. <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/menopause\" target=\"_blank\" rel=\"noopener\" title=\"\">World Health Organization<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Checklist: <br>\u201cCould this be perimenopause?\u201d<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cycle changes (shorter\/longer cycles, skipped months)<\/li>\n\n\n\n<li>Hot flashes and\/or night sweats<\/li>\n\n\n\n<li>Sleep problems, early-morning awakenings<\/li>\n\n\n\n<li>Mood and anxiety fluctuations<\/li>\n\n\n\n<li>Concentration and memory difficulties (\u201cbrain fog\u201d)<\/li>\n\n\n\n<li>Vaginal dryness or pain with intercourse<\/li>\n\n\n\n<li>Decreased libido<\/li>\n\n\n\n<li>Muscle and joint aches, headaches<\/li>\n\n\n\n<li>Weight gain or a change in fat distribution (e.g., more around the abdomen)<\/li>\n<\/ul>\n\n\n\n<p>You don\u2019t have to have all symptoms at once, and their intensity varies from person to person. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why does this happen?<\/h2>\n\n\n\n<p>Beyond fertility, estrogen and progesterone also affect <strong>the bones, cardiovascular system, brain, skin, and mucous membranes<\/strong>. When hormone levels fluctuate during the transition and then decline more permanently, the changes described above can occur.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What do international guidelines say about treatment options?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hormone therapy (HT\/HRT)<\/strong> is the most effective treatment for relieving hot flashes and genitourinary symptoms (vaginal dryness, bladder and urinary issues) and helps prevent bone loss and reduce fracture risk. The decision is individualized, taking into account age, time since the last period, health risks, and preferences.<\/li>\n\n\n\n<li><strong>The \u201ctiming hypothesis\u201d<\/strong>starting earlier (typically before age 60 or within about 10 years of menopause) is associated with a more favorable risk\u2013benefit profile; at the same time, guidelines emphasize that the primary goal of therapy is symptom relief, not the primary prevention of chronic disease.<\/li>\n\n\n\n<li><strong>Non-hormonal options<\/strong> (lifestyle measures and, if needed, medications) are alternatives for those who cannot or do not wish to use HT. Structure, sleep, stress management, regular exercise (including strength training), balanced nutrition, and quitting smoking significantly support well-being and long-term health.<\/li>\n\n\n\n<li>It\u2019s also important to understand <strong>limitations<\/strong>U.S. preventive guidelines do not recommend using HT for the primary prevention of chronic diseases (e.g., heart disease, diabetes) for \u201cgeneral benefit\u201d; the role of HT is primarily symptom relief and bone-loss prevention based on individual risk. <\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Being honest about risks<\/h2>\n\n\n\n<p>HT risks depend on the type of preparation, dose, route of administration, duration of use, and more. It\u2019s important always to discuss risks such as breast cancer, thrombosis, stroke, and gallbladder disease. However, for most healthy, symptomatic women under 60, the benefits outweigh the risks when therapy is appropriately selected and monitored. <\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Lifestyle that truly helps<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sleep and stress:<\/strong> aim for a regular sleep rhythm; improve sleep hygiene and explore stress-management techniques.<\/li>\n\n\n\n<li><strong>Exercise:<\/strong> at least 150 minutes of moderate aerobic activity per week + strength training twice weekly (for bones and muscles <strong>essentia<\/strong>).<\/li>\n\n\n\n<li><strong>Nutrition:<\/strong> a protein-rich diet with vegetables and fruits, whole grains, and quality fats; increase vitamin D and calcium if needed.<\/li>\n\n\n\n<li><strong>Habits:<\/strong> stop smoking; keep alcohol moderate or consider avoiding it.<\/li>\n<\/ul>\n\n\n\n<p>This is the foundation that supports both daily well-being and long-term health \u2014 regardless of your treatment choices.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When to see a doctor?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>If symptoms interfere with sleep, work, or relationships<\/li>\n\n\n\n<li>If you experience bleeding after menopause<\/li>\n\n\n\n<li>If you develop new severe headaches, chest pain, shortness of breath, or signs of thrombosis \u2014<\/li>\n<\/ul>\n\n\n\n<p>please seek medical care immediately.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Invitation to a consultation<\/h2>\n\n\n\n<p>If you feel this topic speaks to you, book an appointment at my clinic and let\u2019s discuss it together.<br>If you wish, <strong>gynecologist Dr. Lasarus Mitrofanoff<\/strong> can see you in our clinic - more info about him is available <a href=\"https:\/\/www.mlilukliinik.ee\/et\/kliinikust\/lasarus-mitrofanoff\/11\" title=\"\">here<\/a><strong><a href=\"https:\/\/www.mlilukliinik.ee\/et\/kliinikust\/lasarus-mitrofanoff\/11\">.<\/a><\/strong><\/p>\n\n\n\n<p>I\u2019ve seen the immense relief women feel when they finally have clarity and support. Perimenopause and menopause do not have to be a \u201csilent suffering\u201d \u2014 let\u2019s make this a conscious and supported journey.<\/p>\n\n\n\n<p>Warmly,<br><strong>Dr. Mari Laasma<\/strong><br>Physician and Surgeon, <a href=\"http:\/\/mlilukliinik.ee\" title=\"\">Dr. Mari Laasma Laser Therapy &amp; Aesthetic Clinic<\/a><\/p>\n<\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Tere tulemast \u2013 r\u00e4\u00e4gime p\u00e4riselt perimenopausist Tere, mina olen dr Mari Laasma, arst ja kirurg ning Dr. Mari Laasma Laserravi- ja Ilukliiniku asutaja.Kui naine j\u00f5uab 40+ ikka, v\u00f5ivad kehast ja enesetundest \u201cuued s\u00f5numid\u201d tulla korraga ja valjusti: kuumahood, \u00f6ised \u00e4rkamised, \u00e4revus, keskendumisraskus, \u201cajuudu\u201d, kaalut\u00f5us hoolimata liikumisest, tuju k\u00f5ikumine, libiido muutused. Paljud k\u00fcsivad: \u201cKas see ongi [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"no-title-sticky-header","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-19","page","type-page","status-publish","hentry"],"aioseo_notices":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/longevity.ee\/en\/wp-json\/wp\/v2\/pages\/19","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/longevity.ee\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/longevity.ee\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/longevity.ee\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/longevity.ee\/en\/wp-json\/wp\/v2\/comments?post=19"}],"version-history":[{"count":67,"href":"https:\/\/longevity.ee\/en\/wp-json\/wp\/v2\/pages\/19\/revisions"}],"predecessor-version":[{"id":1033,"href":"https:\/\/longevity.ee\/en\/wp-json\/wp\/v2\/pages\/19\/revisions\/1033"}],"wp:attachment":[{"href":"https:\/\/longevity.ee\/en\/wp-json\/wp\/v2\/media?parent=19"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}