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Your symptom checklists- perimenopause and menopause

1. Perimenopause is different from menopause

Menopause refers to a single episode in a woman's life, her "last" period and the end of female reproduction . Menopause is confirmed when a woman has gone one full year without having a period. The day after that one-year mark, she's now postmenopausal yet people refer to it as menopause. Typically, this occurs around age 52 but the age range runs 40–60, with many who experience it earlier or later.

Although perimenopause is defined as the time before "the change," its starting point isn't so definitive. It's a nebulous concept and you enter into it gradually and come out of it gradually. So, there is no easy, identifying place of how or when it starts. It can last for 8-10 years

Perimenopause is a result of a woman's aging ovaries, specifically when the coordinated patterns of the hormones estrogen and progesterone begin to vary, throwing the delicate system out of balance. It may take a while to detect symptoms, with a period still evident (although possibly shorter in duration, not as regular for instance), and then you may start to notice other small changes or not until you suddenly do...

Perimenopause can start when a woman is in her 30s or 40s, but the 40s are more common. It typically lasts 6–10 years and the experience varies considerably for many.

Perimenopause is marked by a drop in estrogen which is the main female hormone produced by the ovaries. The estrogen levels can also go up and down more sporadically than they do in a typical 28-day cycle. This can cause irregular periods and other symptoms.

During the final stages of perimenopause, your body will produce less and less estrogen. Despite the sharp drop in estrogen, it’s still possible to get pregnant. Perimenopause can last for as little as a few months and as long as 4 years

.

Menopause officially kicks in when the ovaries produce so little estrogen that eggs are no longer released. This also causes your period to stop

.

Your doctor will diagnose menopause once you haven’t had a period for a full year.

You may enter menopause earlier than normal

if you:

have a family history of early menopause

are a smoker

have had a hysterectomy or oophorectomy

have undergone cancer treatments.

Can you tell by a blood test if I am in perimenopause?

Most people can tell by the symptoms that they've started menopause. If you have worries about irregular periods or hot flashes, talk with your healthcare professional.

Tests most often aren't needed to diagnose menopause. But sometimes, your healthcare professional may suggest blood tests to check your levels of:

Follicle-stimulating hormone (FSH) and estrogen (estradiol).

FSHgoes up and estrogen goes down during menopause. Because hormones go up and down during perimenopause, it can be hard to tell from these tests whether you're in menopause.

Thyroid-stimulating hormone (TSH). Overactive thyroid, called hyperthyroidism, can cause symptoms like those of menopause.

You can get home tests to check FSH levels in your urine without a prescription. The tests show whether you have higher FSH levels. This might mean that you're in perimenopause or menopause, But FSH levels rise and fall during your menstrual cycle. So home FSH tests can't really tell you whether you're in menopause.

Symptoms of perimenopause and menopause


When hormone levels begin to decline in the lead-up to menopause, every system that has hormone receptors registers the change, including your brain. Ongoing fluctuation in hormone levels during this time can cause a range of symptoms, which may vary greatly between women and even change over time. Symptoms can range from mild to severe, and while some women may not experience many symptoms, others may experience a variety of issues that can significantly impact their quality of life. Even minor symptoms can have a major effect, especially if they persist over time. The long-term effects of menopause include an increased risk of osteoporosis and cardiovascular disease. If you are experiencing symptoms, it is important to discuss them with your GP or gynaecologist to explore appropriate management strategies.

As estrogen levels drop, you might start experiencing symptoms of menopause. Some of these can occur while you’re still at the perimenopause stage.

night sweats

hot flashes

depression

anxiety

irritability and mood swings

insomnia

fatigue

dry skin

vaginal dryness

frequent urination

Cholesterol

Perimenopause and menopause can also increase cholesterol levels. This is one reason why women in postmenopause are at an even higher risk for heart disease.

Continue to have your cholesterol levels measured at least once a year.

When to call a doctor

You don’t necessarily have to call your doctor to obtain a perimenopause or menopause diagnosis but you should see your your doctor if the symptoms of either perimenopause or menopause become severe enough to interfere with your daily life.

For a checklist on what to ask and discuss with your doctor, refer to our website at "What to discuss with your GP"

For details on Treatment options to ease your symptoms refer to our website "Treatment options"

Potential treatments to ease the symptoms

There are various ways to treat the symptoms of menopause, again often depending on the severity of the symptoms. Lifestyle changes outlined on this website including strategies such as exercise, nutrition, stress reduction techniques, sleep help strategies often help many menopause symptoms but, subject to obtaining your own independent medical advice, the following prescription and over-the-counter (OTC) treatments may available for perimenopause and menopause.

Treatment

Menopause treatments aim to ease symptoms and prevent or manage ongoing conditions that may happen with aging. Any treatment will depend on the person, their family history and medical background, the medication they are already having, their mental health, the severity of their symptoms and their own independent doctor's advice.

Below however are some of the more common treatments used to ease symptoms:

Hormone therapy.

Estrogen therapy works best for easing menopausal hot flashes. It also eases other menopause symptoms and slows bone loss.

Your healthcare professional may suggest estrogen in the lowest dose and for the time needed to relieve your symptoms. It's best used by people who are younger than 60 and within 10 years of the onset of menopause. If you still have your uterus, you'll need progestin with estrogen. Estrogen also helps prevent bone loss. Long-term use of hormone therapy may have some heart disease and breast cancer risks. But starting hormones around the time of menopause has shown benefits for some people. Talk with your healthcare professional about whether hormone therapy may be safe for you.

Vaginal estrogen.

To relieve vaginal dryness, you can apply estrogen to the vagina using a vaginal cream, tablet or ring. This treatment gives you a small amount of estrogen, which the vaginal tissues take in. It can help ease vaginal dryness, pain with intercourse and some urinary symptoms.

Medications to help prevent bone thinning osteoporosis.

Your healthcare professional might suggest medicine to prevent or treat osteoporosis. Several medicines can help reduce bone loss and risk of fractures. Your healthcare professional also might prescribe vitamin D supplements to help strengthen bones.

Oral contraceptives

Heavy or irregular periods and hot flashes may benefit from this medicine that evens out hormonal fluctuations.

Menopausal hormonal therapy

: (Formerly known as HRT) Like oral contraceptives, this is a low dose of hormones to supplement estrogen levels. It helps with hot flashes, night sweats, insomnia, emotional issues and vaginal dryness.

Low-dose antidepressants

Selective serotonin reuptake inhibitors (SSRIs) like Prozac may relieve hot flashes, mood swings and irritability by modifying the brain signals.

Counselling, Menopause Coaches, Psychologist

Brain fog, anxiety, depression, dependence on alcohol, sleep issues - cognitive behaviour and other talking therapy with a qualified psychologist

Lifestyle changes

A healthier diet with less animal fat and processed sugar, exercise, relaxation techniques such as meditation, yoga, and a consistent sleep schedule may relieve some of the symptoms, including weight gain, irritability and insomnia.

Vaginal lubricants

For vaginal irritations, use water-based vaginal lubricants or prescription vaginal creams

Allied health services and holistic integrative therapy

Acupuncture, naturopathy, breathwork, nutritionists, psychologists, counsellors, hypnosis, dermatologist, pelvic floor exercise support, yoga, thi chai mindfulness techniques and massages.

Talk with other people

Reach out and be open about it with others in your life and stay connected socially with people. Don't forget this affects 50% of the population and we can openly chat about our labours, pregnancy, periods etc!


Various supplements may be of help but there is unfortunately little evidence to prove:

Ginseng

St Johns Wart

Melatonin

Symptom outline

  • Hot Flushes

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Night Sweats

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Sleep Disorders

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Mood Swings

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Irritability

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Vaginal changes

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Low Libido

    met consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Fatigue

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Weight Gain

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Muscle Tension

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Memory Loss

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Breast Pain & Tenderness

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Bloating

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Lack of Concentration

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • skin issues

    amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Irregular Periods

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Hormonal Headaches

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Heart Palpitations

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Hair Loss

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Osteoporosis

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Panic Disorder

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Dizziness/faint

    Dizziness/faint Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Digestive Problems

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque. Digestive Problems

  • Burning Tongue

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.Burning Tongue

  • Increased Allergies

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Sleep Disorders

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • anxiety/depression

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • Sleep Disorders

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • digestive issues

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • tinnitus

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • dry, itchy eyes, ears, skin

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • loss of confidence/self esteem

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

  • quickly angered/rage

    Lorem ipsum dolor sit amet consectetur. Aliquam odio enim pharetra et. Diam varius magna lobortis consequat id pharetra. At ac eu nulla faucibus ullamcorper. Elit varius malesuada egestas pretium eget sit bibendum urna scelerisque.

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De Facto relationships in Australia

De Facto relationships in Australia

October 02, 20245 min read

If a de facto couple separate, there are very strict requirements to be satisfied before they can make a financial or parenting order in the Family Court after separation.”

A de facto relationship is defined in Australia as a relationship between two individuals, who may be of the same or opposite sex, who have a relationship as a couple, are not legally married or related by family, and live together on a genuine domestic basis.

De Facto Relationship

De facto relationships can be extremely varied and there is no set checklist of factors to prove that a couple is living in a de facto relationship, but the following is usually taken into consideration when assessing whether the couple is considered to be in a De facto relationship:

  •      Are the couple living together?

  •    How long have the couple been living together?

  •    Do they have a sexual relationship?

  •   Are they financially independent or do they share bank accounts, own property together, share weekly living expenses like electricity and gas and other utilities and insurance?

  •    Do their family and friends consider them a couple?

  •    Is there a mutual commitment between them?

  •    Do they have any children which they care for and support?

If a de facto couple separate, there are very strict requirements to be satisfied before they can make a financial or parenting order in the Family Court after separation. The Family Court does not apply to de facto relationships unless the court is satisfied that the following applies:

1.     The relationship broke down after 1 March 2009 or 1 July 2010 (South Australia) AND

2.      They  were in a genuine de facto relationship with each other (not legally married) and it has now broken down, AND

3.      They have a geographical connection to the participating jurisdiction, AND

4.      They must also meet one of the following criteria:

  • The period for the de facto relationship was for at least 2 years, OR

  • There is a child in the de facto relationship, OR

  • The de facto relationship is registered with the Department of Births, Deaths and Marriages under a prescribed law of a particular Australian State or Territory. De facto partners often register to show commitment to one another as well as to make it easier to prove they are in a relationship for financial matters such as tax and superannuation purposes, Centrelink and other government payments. Please note, different registration requirements may apply for each State and Territory of Australia, OR

  • If in a de facto relationship for less than 2 years, when assessing their property or custodial claims, it is recognised that a significant contribution was being made by one party and the failure to issue an order would result in a serious misjustice to the person applying for the order.

Parties who are separating from a de facto relationship can apply to the Family Court, using the same forms as a married couple, to have their financial and parenting matters determined in the same way as married couples.  De facto financial orders must be applied for within two years of the last breakdown of the relationship (ie date of separation). They must apply to the courts to get permission for an extension, if beyond two years.

Before a court can make a parenting order, the parties must show they have made a genuine attempt to resolve the disputes via family dispute resolution, which is a process in which an accredited family dispute practitioner helps people resolve disputes relating to separation or divorce.

Once family dispute resolution has been attempted, a section 601 certificate will usually be issued unless there are unique circumstances such as family violence or child abuse by a party or risk of it.

Date of Separation importance

The specific date of separation becomes important especially for property settlement as well as for child support payments and Centrelink entitlements. It is the day the two individuals stop living together as a couple. If there are disputes over the date, the parties can provide evidence such as receipts for short term leases or accommodation, separation of finances, notification of government social services of the separation, informing family and friends.

If the separated couple continue to live in the same residence for various reasons including financial, children or for convenience, the law will usually require supporting evidence (by sworn written statements referred to as affidavits) that the parties were actually separated whilst living under the same roof. If the date remains in dispute, the court will have to make their own judgment based on all the facts.

If there have been any attempts to reconcile during the separation period, then provided it is for no more than 3 months, the length of the first separation can be then added to the subsequent separation period.  However, if the reconciliation is for more than 3 months then the date of separation begins from the end of the last reconciliation.

How to protect your assets from a de facto relationship

A Binding Financial Agreement (BFA) is often the most effective way as it considers what each person brings into the relationship, their contribution during the relationship and other conditions such as children of the relationship.

De Facto separation and your Will

In many states of Australia, it should be noted that separating from your de facto partner will not change your Will and any gift in your Will to your ex-de facto partner would likely still be valid on your death, even if you have separated and divided up your assets. It is highly recommended that you get legal advice about your relevant jurisdiction’s requirements,  amending your Will and any future claims that your ex-de facto may still have on your estate, for example if they were being financially maintained by you at the time of your passing or they are the parent of your child, who is still a minor they may still be entitled to a claim even if your will is amended.


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