Perimenopause: What Every Woman Should Know About Symptoms, Management, and Support

Whether you're just starting to experience symptoms or in the thick of it, we've got you covered with tips and advice to make this transition as smooth as possible.

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What are the first signs of perimenopause? At what age is perimenopause? How long is the perimenopause period? Can you get pregnant in perimenopause?

Hey there, ladies! Are you feeling like your body is going haywire? Welcome to our article on perimenopause!

Perimenopause is that phase in life where your body is getting ready to enter menopause and boy, can it be a wild ride! It’s when you may experience hot flashes, mood swings, irregular periods, and other symptoms that can make you feel like you’re losing your mind.

But don’t worry. We’re here to help! We’ll dive into what perimenopause is, what causes it, and what symptoms you might expect. We will also discuss ways to manage these symptoms, whether through lifestyle changes or medical interventions.

So please grab a cup of tea, sit back, and let’s navigate perimenopause together! Whether you’re just starting to experience symptoms or in the thick of it, we’ve got you covered with tips and advice to make this transition as smooth as possible.

What Is Perimenopause?

We’ve all heard of menopause. It’s typically when a woman stops menstruating and her fertility stops, but it can also be defined as the time when ovulation ceases permanently.

But what about perimenopause? What is it, and how does it relate to menopause?

Perimenopause is the period before menopause starts and ends when a woman’s body changes due to falling estrogen levels after her ovaries stop producing eggs every month. It can last several years before your periods get lighter or stop altogether.

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When Does Perimenopause Start?

At what age does perimenopause usually start?

If you’ve been wondering when perimenopause starts, the answer is: it depends.

Perimenopause typically begins in a woman’s late 30s to early 50s, with the average age of onset being around 45. However, it’s important to note that perimenopause can vary widely from person to person, and some women may start experiencing symptoms earlier or later than this average range.

The period leading up to menopause—is a gradual event that can last anywhere from a few months to several years. It begins with irregular menstrual cycles, followed by periods with shorter cycles and lighter blood flow. Over time, periods become more infrequent until they stop entirely.

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Image Source: iSTock

What Is Considered Perimenopause Age?

In most cases, perimenopause will begin between 40 and 55. However, some women start experiencing symptoms as young as their late 20s due to family history or genetics.

When it comes down to it, though, there’s no set age at which perimenopause begins or ends—it’s different for everyone! You may notice changes in your body earlier or later than expected because these changes are affected by other factors like genetics and lifestyle choices like diet and exercise regimens.

How Long Does Perimenopause Last?

Perimenopause typically lasts about 4 years on average—but everyone’s experience is different! Some women go through it faster than others; some are in their 40s when they start experiencing symptoms; others may not experience any signs until they’re in their 50s or 60s.

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How Is the Transition From Perimenopause to Menopause?

Perimenopause is the time when your body starts to go through the changes that lead up to menopause. It can last anywhere from a few years to a decade or more, and it’s characterised by periods that are less regular and less heavy than usual, as well as symptoms like hot flashes, night sweats, and mood swings.

While perimenopause is a natural part of life for many women, it can also cause stress—and we all know how much stress can affect our hormones! So what do you do if you’re going through it?

First of all, remember that this is a normal process. It’s just part of ageing—and there are lots of ways to help ease your transition into menopause. Here are some tips:

Don’t try to ignore it: If you’re feeling stressed about going through perimenopause and menopause, talk about it with your doctor or another trusted health professional who can help you get support and advice.

What Are the First Signs of Perimenopause?

The signs of perimenopause are different for everyone. Some women experience symptoms, while others do not. Some women have very mild symptoms that are barely noticeable and easily overlooked. Others have symptoms that are more pronounced and disruptive.

The most common early symptoms of perimenopause include:

    • Irregular Periods: As your body adjusts, your menstrual cycle may become unpredictable. The time between periods may vary, flow can range from light to heavy, and you might even skip some periods. If your cycle length changes by seven days or more, you could be in early perimenopause. A gap of 60 days or more between periods usually indicates late perimenopause.
    • Hot Flashes and Sleep Issues: Brace yourself for hot flashes, a common companion during perimenopause. The intensity, duration, and frequency of these fiery moments can vary. Sleep problems may also crop up, often tied to hot flashes or night sweats, but sometimes your slumber patterns can go haywire all on their own.

    • Mood Changes: Mood swings, irritability, or even an increased risk of depression might pay you a visit. Sometimes, these emotional shifts are linked to sleep disturbances caused by hot flashes, but they can also be due to factors unrelated to hormonal changes.

    • Vaginal and Bladder Changes: As estrogen levels dip, you may notice your vaginal tissues becoming less lubricated and elastic, potentially making intercourse uncomfortable. Lower estrogen levels can also leave you more susceptible to urinary or vaginal infections. Plus, the loss of tissue tone might contribute to urinary incontinence.

    • Decreasing Fertility: With irregular ovulation, your chances of conceiving decrease. However, remember that as long as you’re having periods, pregnancy is still possible. If you’re not ready for more little ones, make sure to use birth control until you’ve gone a full year without periods.

    • Changes in Sexual Function: Your sexual arousal and desire might shift during perimenopause. But if you had a satisfying sex life before, chances are it will continue during perimenopause and beyond.

    • Bone Health: With decreasing estrogen levels, your bones may start to weaken faster than they regenerate, increasing the risk of osteoporosis, a condition that makes bones more fragile.

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    • Cholesterol Levels: Watch out for changes in your cholesterol levels. Declining estrogen can lead to unfavorable alterations, like an increase in LDL cholesterol (the “bad” kind) that contributes to a higher risk of heart disease. On the flip side, HDL cholesterol (the “good” kind) tends to decrease with age, also upping the heart disease risk.

Image Source: iStock

How to Manage Perimenopause Symptoms?

Dealing with perimenopause symptoms can be tough, but there are ways to make it easier. Here are some tips to help you manage your symptoms:

  • Stay cool

Hot flashes and night sweats are common symptoms of perimenopause. Try to keep your environment cool by turning on the air conditioning or using a fan.

  • Stay active

Regular exercise can help you feel better physically and emotionally during perimenopause. Try to get at least 30 minutes of exercise most days of the week.

  • Eat well

Eating a healthy diet with plenty of fruits, vegetables, and whole grains can help you feel your best. It’s also important to limit your intake of alcohol, caffeine, and spicy foods, which can trigger hot flashes.

  • Get enough sleep

Night sweats and insomnia can make it hard to get a good night’s sleep. Try to establish a regular sleep routine and create a relaxing environment in your bedroom.

  • Talk to your doctor

If your symptoms are severe, talk to your doctor about treatment options. Hormone therapy, medications, or other treatments may be able to help you manage your symptoms and feel more like yourself again.

Remember, every woman’s experience with perimenopause is different. Don’t be afraid to experiment with different strategies to find what works best for you!

How Do You Test for Perimenopause?

Perimenopause is a natural phase of life, and no single test can definitively diagnose it. However, your doctor can help determine if you are going through perimenopause based on your symptoms and medical history.

Your doctor may also perform a physical exam, including a pelvic exam, to rule out other potential causes of your symptoms. Additionally, your doctor may order blood tests to check your hormone levels. Specifically, they may check follicle-stimulating hormone (FSH) levels and luteinizing hormone (LH), which tend to increase during perimenopause as your ovaries produce less estrogen.

It’s important to note that hormone levels can vary widely from person to person and even daily, so these tests are not always conclusive. Additionally, it can occur even if your hormone levels are within a normal range.

Ultimately, the diagnosis of perimenopause is based on a combination of your symptoms and medical history. If you’re experiencing symptoms impacting your quality of life, it’s important to talk to your doctor to determine the best course of action.

Image Source: iStock

Can You Get Pregnant in Perimenopause?

Yes, it is possible to get pregnant during perimenopause, although it becomes less likely as you get closer to menopause.

During perimenopause, your ovaries produce less estrogen, and your menstrual cycles may become irregular, making it more difficult to predict when you are ovulating. However, it’s important to remember that ovulation can still occur even if you do not have regular periods.

Suppose you want to avoid pregnancy during perimenopause. In that case, it’s important to use contraception until you have gone at least 12 consecutive months without a period, which indicates that you have reached menopause. Several types of contraception are available, including hormonal methods, barrier methods, and intrauterine devices (IUDs). Talk to your doctor about the best contraception option for you.

It’s also important to note that while the likelihood of getting pregnant during perimenopause decreases, the risk of pregnancy complications, such as miscarriage, increases as you age. If you may be pregnant during perimenopause, talk to your doctor as soon as possible to ensure a healthy pregnancy.

When to See the Doctor About Perimenopause

If you’re experiencing perimenopause symptoms that are interfering with your daily life or causing concern, it’s advisable to seek medical guidance.

You should consider seeing a doctor when you encounter symptoms such as severe hot flashes, irregular periods that last for extended periods, mood changes that significantly affect your well-being or other unusual symptoms that worry you.

Your healthcare provider can help determine if your symptoms are related to perimenopause and provide appropriate guidance, support, and treatment options to manage them effectively.

Here at theAsianparent Singapore, it’s important for us to give information that is correct, significant, and timely. But this doesn’t serve as an alternative for medical advice or medical treatment. theAsianparent Singapore is not responsible for those that would choose to drink medicines based on information from our website. If you have any doubts, we recommend consulting your doctor for clearer information.

Written by

Pheona Ilagan