Perimenopause is the time period leading up to menopause, when a woman's body begins transitioning into menopause. It typically begins in a woman's 40s, but can start as early as the 30s. Perimenopause lasts up until menopause, which is when a woman has gone 12 months without a period.
During perimenopause, estrogen and progesterone levels start to fluctuate and decline. This leads to changes in menstrual cycles, as well as various symptoms. What are some key signs of perimenopause?
- Irregular periods - This is often one of the first signs. Periods may be shorter or longer, lighter or heavier, or more or less frequent.
- Hot flashes - Sudden feelings of intense body heat, flushing, and sweating. These can last from 30 seconds to several minutes.
- Night sweats - Episodes of severe sweating at nighttime. This can disrupt sleep.
- Vaginal dryness - Declining estrogen causes the vaginal tissue to become thinner, drier, and more prone to irritation.
- Mood changes - Hormone fluctuations may lead to mood swings, anxiety, irritability, or depression.
- Trouble sleeping - Insomnia and nighttime waking can be issues due to hot flashes, night sweats, anxiety, etc.
- Fatigue - Exhaustion and low energy are common.
- Other symptoms - Headaches, joint pain, palpitations, bloating, changes in libido, memory lapses, and weight gain.
When do perimenopausal symptoms start? For most women, symptoms begin in their 40s. But they can start earlier, even in a woman's 30s. There is no way to predict exactly when it will begin. How long does perimenopause last? It typically lasts 2-8 years, but can be shorter or longer depending on the individual. The duration of perimenopause also cannot be predicted.
Some options for managing perimenopausal symptoms include hormone therapy, antidepressants, vaginal estrogen, lubricants, lifestyle changes like diet and exercise, and complementary approaches like acupuncture. It's a good idea to talk to your doctor if you're having perimenopausal symptoms that are bothersome.
*At Hormone Harmony Clinic, we specialize in helping women navigate perimenopause and menopause through customized hormone therapy plans to relieve symptoms and improve quality of life. Our experienced physicians and nurse practitioners take the time to understand your unique situation. We offer telehealth appointments for your convenience. Contact us today to learn more and schedule a consultation.*
Going through perimenopause can be challenging. But know that you're not alone! It's a natural transition that all women go through. Being informed about what to expect and having support can help you manage symptoms and stay healthy during this time of change. With the right resources, women can thrive in perimenopause and beyond.