
A doctor's consultation in Germany lasts an average of only eight minutes. That's very little time for such a complex topic as perimenopause. Think about what you'd like to discuss in advance to make the most of your time. Here's how to do it right:
• Note cycle and changes
• Track symptoms and time of onset
• Prepare questions
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Why preparing for your gynecologist appointment is so important
Perimenopause is a time of change—not only physical, but often emotional as well. Many women notice the first signs, often unable to identify them, and unsure of what questions to ask their gynecologist.
A well-prepared gynecologist appointment can help you gain clarity, talk specifically about your symptoms, and find customized solutions for you. To be as well prepared as possible, you should gather some information and organize your thoughts in advance.

Here are the most important steps to make your next appointment efficient and stress-free:
Document cycles – detect changes early
Your cycle provides many clues as to whether you are in perimenopause. Even if you have had regular cycles, changes can occur during perimenopause. Documenting these changes carefully will help your gynecologist make an informed assessment.
It is best to note down over three months:
How long is your cycle? (Counts from the first day of your period to the first day of your next period.)
How heavy or light is your bleeding?
Is there any intermenstrual bleeding or particularly severe discomfort?
What accompanying symptoms occur?
Especially important: Pay attention to changes!
Was your cycle more regular or longer in the past?
Has your period become heavier or lighter?
Have any new symptoms arisen that were not present before?
This information will help your gynecologist better assess your hormone status and suggest further tests if necessary.
Document symptoms – What bothers you the most?
In addition to cycle changes, many other symptoms can indicate menopause. Some are subtle and develop gradually, while others appear suddenly and intensely.
Note which symptoms bother you most and when they occur.
Are they noticeable every day or only in certain phases?
Are there specific triggers, such as stress, diet, or lack of sleep?
Have they increased over the last few months?
Typical symptoms that can occur in your mid-30s/early 40s:
Migraine or headache
Loss of libido or changes in sex life
Internal aggression, irritability or sudden outbursts of anger
Mood swings, emotional instability or depressive phases
Sleep disturbances, restless sleep or night sweats
Hot flashes and sudden sweating
Dry skin and mucous membranes
Important: Not every woman experiences all of these symptoms. Every body reacts differently. Therefore, it's all the more important to consciously document your personal changes so that you can discuss solutions in a targeted manner and any possible therapy can be tailored to your individual needs.
Questions for the gynecologist
Do you already have specific questions on your mind? Is there something specific you'd like to discuss with your doctor? Write it down so you don't forget anything.
Here are some possible questions you can ask your doctor:
How do I know that I am actually entering menopause?
What examinations or tests can give me more clarity?
What are some ways to relieve my symptoms naturally?
Which hormonal or non-hormonal therapies are suitable for me?
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What changes in my body can I expect in the next few years?
Is there anything I should pay particular attention to?
What role do diet and exercise play?
Are there certain vitamins, minerals or other dietary supplements that might be useful?
Tip: Some doctors are short on time. If you feel like you can't answer all your questions, ask for additional advice or consider seeing a gynecologist specializing in menopause/hormone issues.
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