About 1/3 of the women in perimenopausal period do not have subjective symptoms because of neural and endocrine auto-regulation. In about 2/3 of the women there appear a series of symptoms due to deficiency of sexual hormone known as perimenopausal syndrome, usually occurring in women aging from 45 to 55. The incidence is about 85 %. About 25 % cases are severe. There is difference in the onset due to individual difference. In serious cases, treatment is necessary. This syndrome can also be caused by operation or actinotherapy or chemotherapy.

Key points for diagnosis
(1) Flushed cheeks, tidal fever, sweating, aversion to cold after sweating, palpitation and chest oppression, dizziness and tinnitus, headache and insomnia, or pain in the waist, back and joints, dry and itching skin as well as emotional changes like depression, anxiety, susceptibility to irritability and even emotional disorders in climacterium or after removal of ovary followed by disorder of menstruation or menopause.

(2) FSH and LH have obviously increased, but E2 has decreased.

(3) This syndrome should be differentiated from angina pectoris, primary hypertension, perimenopausal psychosis, benign and malignant tumor of genitalia, urethrocystitis and hyperplasic arthritis.

In TCM, a disease or a symptom might be caused by one pathogenic factor, even two or three pathogenic factors. When diagnosing a disease or a symptom, TCM doctors must follow the principle of "Syndrome Dfferentiation", and then "Suit the Remedy to the Case". In order to gain a more definite and valuable diagnosis, it's important and necessary for the doctor to learn the detailed health information of the patient, including his/her disease duration, age, sex, height, weight, family history, urine, stool, diet, sleep, sweat, energy, mood (emotion), as well as the tongue conditions and the palm conditions, etc. If you would want our expert to create a TCM diagnosis, you're welcome to contact us.