During menopause, which is now called perimenopause, trembling is normal if it is caused by reduced hormone levels. It is also important to rule out idiopathic tremor, Parkinson’s syndrome, cardiovascular disease, and other abnormalities that cause shaking.
In perimenopausal women, the decline of ovarian function and the decrease of estrogen level in the body may lead to autonomic dysfunction, over-excitement of sympathetic nerves, and increased excitability of nerves in the body, resulting in the symptom of shivering, which is a normal physiological reaction in the perimenopausal period, and it is usually normal. In addition, the following abnormalities need to be ruled out:
1. Idiopathic tremor: It is a kind of involuntary body tremor whose cause is still unclear, and is usually thought to be related to genetic and environmental factors. It is manifested as trembling of body parts, such as hands, head, neck, legs, trunk and other parts of the body, and can also be seen in the whole body trembling.
2. Parkinson’s syndrome: mostly related to head trauma, infection, medication, metabolic diseases, which manifests itself as trembling of various parts of the body at rest, and some patients may also experience muscle tonus, decreased mobility, and unstable posture and gait.
3. Cardiovascular and cerebrovascular diseases: cardiovascular and cerebrovascular diseases, such as coronary heart disease, cerebral thrombosis, etc., will lead to insufficient blood supply to the myocardium and brain, resulting in myocardial and cerebral ischemia, hypoxia, which affects the functioning of the nervous system, resulting in the symptoms of shivering in patients.
Patients with symptoms of generalized shivering, whether physiological or pathological, it is recommended to seek timely medical attention to identify the cause and take necessary measures under the guidance of a professional doctor.