Perimenopause

What is perimenopause?

Perimenopause refers to the time leading up to menopause, when a woman's body begins transitioning to permanent infertility. It typically begins for women in their late 30s to late 40s.

During perimenopause, estrogen and progesterone levels start to fluctuate and decline. This leads to changes in menstruation and various physical and emotional symptoms. Key changes include:

• Irregular periods: Cycles may lengthen or shorten, get heavier or lighter, or become unpredictable. Periods may eventually stop for months at a time.


• Hot flashes: Sudden feelings of body heat, flushing, and sweating are common. These may wake women up at night.


• Vaginal dryness: Lower estrogen can cause the vagina to be less lubricated and elastic. This can make intercourse painful.


• Mood changes: Shifting hormones may cause irritability, anxiety, or depression. Sleep problems are also common.


• Other issues: Headaches, urinary issues, weight gain, and loss of breast fullness may also occur.

Diagnosing perimenopause involves tracking symptoms and conducting blood tests to measure hormone levels over time. Due to individual variation, there is no standard age or clear indicators for when this transition begins and ends.

Treatment focuses on relieving symptoms. Lifestyle measures like staying active, managing stress, and eating healthy can help. Vaginal moisturizers and lubricants may improve comfort. In some cases, low-dose birth control pills or hormone therapy with estrogen/progestin may be used short-term.

I hope this overview on perimenopause helps provide clarity on this important life transition! The healthcare professionals at Optimal Health Hormone Clinic are experts in hormone health and can help guide you through perimenopause with compassionate care. Schedule a consultation to discuss your symptoms and treatment options today!