Perimenopause - Harmonize Health

What is perimenopause?

Perimenopause refers to the time leading up to menopause, when a woman's body makes the natural transition toward permanent infertility. It's an important transition that most women will experience in their 40s or 50s.

What happens during perimenopause?

During the perimenopausal transition, the ovaries begin to make less estrogen. This fluctuation in hormones causes changes throughout the body. Common symptoms include:

• Irregular periods: Menstrual cycles may be longer or shorter, heavier or lighter, and more or less frequent. Periods may eventually stop for months at a time.
• Hot flashes: Sudden sensations of body heat, flushing, and sweating are common. These may wake you up at night.
• Sleep problems: Insomnia, night sweats, and discomfort can disrupt sleep.
• Vaginal dryness: Lower estrogen leads to thinner, drier vaginal tissues. This can make intercourse painful.
• Mood changes: Irritability, anxiety, and depression may occur.
• Other issues: Headaches, joint pain, irregular heartbeats, urinary issues, and weight gain are also possible.

The duration and severity of symptoms varies significantly among women. For some, this transition passes by with few complaints. Others struggle with disruptive symptoms for a decade or more leading up to menopause.

When does perimenopause start?

Perimenopause typically begins in your 40s, but may start earlier or later. The first sign is usually a change in menstrual bleeding patterns. However, subtle hormonal shifts can precede or coincide with periods changes. There's no reliable lab test to determine exactly when perimenopause begins. Generally, you are in perimenopause when:

• You are still having menstrual cycles, but notice changes in frequency, flow, or other aspects of your periods
• You haven't had a period for several months, but you are under age 50

What can you do?

• Track your cycles and symptoms to identify patterns
• Exercise regularly to reduce hot flashes, mood issues, and sleep problems
• Consider hormone therapy if symptoms disrupt your quality of life
• Use lubricants/moisturizers for comfortable intercourse
• Practice good sleep habits to ensure quality rest
• Reduce stress through relaxation techniques, social support, and self-care
• Eat a balanced diet and stay hydrated

The key is being proactive by monitoring your health and discussing concerns with your healthcare provider. While menopause marks the end of fertility, it should not hamper your well-being. Understanding perimenopause empowers you to take care of your body during this transition. With some preparation, most women can pass through perimenopause while thriving in midlife.