Perimenopause is the natural transition time leading up to menopause, when a woman's body begins preparing for the end of fertility. This transition typically starts in a woman's 40s, but can begin as early as the 30s. Perimenopause lasts up until menopause, which is marked by 12 consecutive months without a period.
The hallmark sign of perimenopause is irregular periods. Menstrual cycles may lengthen or shorten, periods may be lighter or heavier, and women may skip periods altogether. Why the irregularity? Hormone levels fluctuate during the perimenopausal transition. Estrogen levels decline while levels of follicle stimulating hormone (FSH) rise as the ovaries prepare to stop releasing eggs.
These hormonal shifts can trigger various symptoms. Many women experience hot flashes, sudden sweating and flushing. Sleep problems like insomnia are also common. Some women may deal with mood changes, irritability, anxiety, and depression. Vaginal dryness and discomfort with intercourse can occur as estrogen declines.
To manage symptoms, regular exercise and stress reduction techniques like yoga and meditation can help. Eating a healthy diet, limiting alcohol, and avoiding trigger foods like spicy foods, caffeine, and alcohol may ease hot flashes. Vaginal moisturizers and lubricants can improve vaginal dryness. Hormone therapy is also an option for symptom relief.
The perimenopausal transition can last 4-8 years on average. There are a few key milestones:
| Milestone | Description |
|---|---|
| Early perimenopause | Irregular cycles begin |
| Late perimenopause | Missed periods for 2 months |
| Menopause | 12 consecutive months without a period |
This natural transition may be associated with some uncomfortable symptoms, but perimenopause is not an illness or disorder. With a healthy lifestyle and symptom management, women can thrive during the transition to menopause. Be patient with your body and talk to your doctor if you have any concerns. You've got this!
| Symptom | Management |
|---|---|
| Hot flashes | Avoid triggers, dress in layers |
| Sleep problems | Establish a relaxing bedtime routine |
| Mood changes | Regular exercise, stress reduction techniques |
| Vaginal dryness | Vaginal moisturizers and lubricants |
At Rebalance Hormone Clinic, our experts provide personalized care for perimenopausal and menopausal women. We offer bioidentical hormone therapy to get your hormones back in balance and relieve troublesome symptoms. Contact us today for a consultation!