Perimenopause: What Are the Symptoms?

What is Perimenopause?

Perimenopause is a natural part of a woman's life as she approaches menopause. During perimenopause, the body goes through a series of small changes in preparation for the big transition ahead.

Perimenopause is the transition period before menopause, when the body gradually begins to decrease the production of oestrogen. It is usually seen as the start of menopause.

Perimenopause is characterised by changes in the female reproductive system, especially in the ovaries. The quantity and quality of eggs begin to decrease, resulting in irregular periods.

Symptoms such as hot flushes, night sweats, mood swings and sleep problems may also occur. These symptoms can be disruptive and affect a woman's quality of life.

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What is The Normal Perimenopause Age​?

Every woman is different and therefore the onset of perimenopause is very individual.

For most women, perimenopause usually occurs in their 40s. However, some women may experience symptoms of perimenopause as early as their 30s.

The duration of perimenopause can vary, but it usually lasts for several years. Some women can experience symptoms for up to 10 years before they reach menopause.

What Are the Typical Signs Perimenopause​?

Perimenopause is an individual process and the symptoms and duration can vary from woman to woman. The challenges you face during this period of life are due to the gradual decrease in oestrogen levels in the body, creating a hormonal imbalance in the body.

Here are some of the most common signs of perimenopause:

1. Irregular periods: This is one of the first signs of perimenopause. Menstruation can become irregular, both in frequency and intensity. There may be a longer or shorter time between periods and bleeding may be lighter or heavier than normal.
2. Hot flashes and night sweats: Hot flushes are one of the most well-known symptoms of perimenopause. Sudden hot sensations that spread throughout the body and can be very uncomfortable. Night sweats can also occur and make it difficult to get a good night's sleep. Read more in the article: Night Sweats: 6 Common Reasons for Sweaty Nights
3. Mood swings: Hormonal changes can affect mood and many women experience mood swings during perimenopause. This can include irritability, anxiety, sadness or depression. Read more in the article: Mood Swings in Females: Here Are the Reasons
4. Sleep problems: Many women experience sleep problems during perimenopause, whether it's difficulty falling asleep, frequent awakenings during the night or early morning awakenings. This can lead to fatigue and reduced energy levels during the day.
5. Weight gain: Hormonal changes can also affect the body's metabolism and lead to weight gain, especially around the waist. This can be frustrating for many women and can affect their self-esteem and body image.
6. Vaginal dryness: During perimenopause, women may experience vaginal dryness, which can lead to discomfort during intercourse.
7. Loss of sex drive: Hormonal changes can also affect women's sex drive and cause them to lose interest in sex. This can be a challenge for relationships and requires communication and understanding between partners.
8. Concentration and memory problems: Some women experience this during perimenopause. It can include difficulty concentrating, forgetting things or having difficulty finding the right words.
9. Fatigue and low energy: Hormonal changes can also affect energy levels, and many women experience fatigue and low energy during perimenopause. This can affect the ability to perform daily activities and impact quality of life.
10. Sore breasts: Some women experience breast tenderness or soreness during perimenopause. It can be uncomfortable and affect daily life.

It's important to take extra care of yourself during this period. Remember that perimenopause is a natural part of a woman's life cycle and it's important to be open and honest about the symptoms you experience.

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It is also important to distinguish between perimenopause and other medical conditions that can cause similar symptoms. Seek medical help if you experience worrying symptoms or if symptoms become too bothersome and affect quality of life.

How Do You Cope With the Perimenopause Symptoms?

Although perimenopause is a natural phase in a woman's life, the symptoms can be difficult to manage. Here are some tips to relieve and manage premenopausal symptoms:

1. Stay active: Regular physical activity can help relieve symptoms like hot flashes and mood swings. Try to get at least 30 minutes of moderate physical activity every day.
2. Eat a sensible diet: A healthy and balanced diet can help reduce symptoms and maintain a healthy weight. Try to include foods rich in calcium, vitamin D and omega-3 fatty acids.
3. Managing stress: Stress can worsen perimenopause symptoms. Try relaxation techniques such as yoga, meditation or deep breathing to reduce stress levels.
4. Sleep hygiene: Sleep problems are common during perimenopause. Maintain a regular sleep schedule, avoid caffeine and electronic devices before bedtime, and create a calm and comfortable sleeping environment.
5. Hormone replacement therapy: Hormone replacement therapy (HRT) can be an effective treatment to relieve severe perimenopause symptoms. This should be discussed with your doctor to determine if it is right for you.
6. Natural remedies: Certain natural remedies such as soya products, red clover and sage can also help relieve some perimenopausal symptoms. Read more in the article: Phytoestrogens​: Your Natural Aid During Menopause

Remember that perimenopause is a natural part of life and it's important to listen to your body and take care of yourself.