What is Perimenopause?
Perimenopause refers to the transition period leading up to menopause, which is the point when a woman's menstrual periods stop permanently. The perimenopausal transition typically begins for women in their late 40s, but can start earlier or later.
During perimenopause, a woman's body begins making less of the key hormones - estrogen and progesterone - that regulate the menstrual cycle. This fluctuation in hormones causes changes in menstrual bleeding patterns, which are often the first noticeable symptoms of perimenopause.
Common perimenopausal symptoms include:
- Irregular periods: Periods may be lighter or heavier, longer or shorter, or spaced farther apart. Periods can also be skipped entirely.
- Hot flashes: Sudden feelings of body heat, flushing, sweating, and chilled sensation, especially at night.
- Sleep problems: Difficulty falling asleep and staying asleep.
- Mood changes: Irritability, anxiety, depression.
- Vaginal dryness: Discomfort during intercourse.
- Bladder control issues: Increased need to urinate, incontinence.
The duration of perimenopause varies widely. It typically lasts 4-8 years on average. Some women may only have symptoms for a few months, while others deal with perimenopausal changes for 10 years or more leading up to their final period.
There are no definitive tests to predict when perimenopause will end and the postmenopausal phase will begin. Confirmation of menopause is only possible after 12 consecutive months without a period.
The symptoms of perimenopause can significantly disrupt quality of life for some women. Lifestyle remedies like stress management, regular exercise, and dietary changes may help. Hormone therapy is also an option to relieve severe symptoms.
Every woman's experience with perimenopause is different. Working closely with your healthcare provider at Balance Clinic can help you manage this transitional life stage. Tracking your symptoms and being informed about what to expect can help you take charge of your health during the years leading up to menopause.