Perimenopause: Signs, Symptoms and Support
You’ve likely heard of the term menopause - but what about perimenopause? What’s the difference and what does it mean? You’re not alone in your confusion. In this blog, we explore perimenopause including when it begins, what’s happening in your body and what signs to look out for.
What exactly is perimenopause?
Perimenopause is sometimes referred to as the ‘menopausal transition’. Menopause marks one year since your last period and marks the end of your reproductive years. Perimenopause is the gradual journey leading up to this point. It can last anywhere between a few months and 8 years. During this time, your ovaries gradually slow their hormone production. This triggers lots of different changes in your body, way beyond your menstrual cycle.
What age does perimenopause begin?
Perimenopause typically begins sometime in your 40’s, with the average age being around 47. For some people, signs of perimenopausal changes can begin in their mid 30’s. It’s important to remember that each person’s journey is unique; with different time scales and symptoms in the lead up to menopause.
What happens during perimenopause?
Perimenopause symptoms are the result of hormonal changes. As your ovaries gradually decrease their function, they produce less of the key sex hormones: estrogen and progesterone. Both of these hormones are essential for regulating your menstrual cycle. As production levels change and these hormones become imbalanced, your cycle will likely become irregular.
However, perimenopause is about so much more than irregular periods. Estrogen is also responsible for stabilizing your mood, maintaining your bone density and the health of both your vaginal and urinary tracts. On the other hand, progesterone is responsible for promoting regular sleep cycles. As each of these hormones fluctuate and decrease, you’ll likely notice changes across your body and wellbeing.
Symptoms of Perimenopause to look out for:
Because perimenopause is so different for each person, it can be difficult to spot the signs. Looking out for these symptoms can help you know when to seek support.
Hot flashes - Hot flashes are perhaps the most recognizable sign of perimenopause. They can come on quickly and last for up to five minutes. The number and intensity of hot flashes will vary between individuals.
Mood changes - Hormonal fluctuations can make your mood feel unstable. You may notice mood swings, irritability and even depression. These changes can be subtle and are often overlooked or attributed to other external factors.
Sleep disturbances - Broken sleep cycles and night sweats can disturb your sleep. This is often put down to stress but should be taken seriously as a sign of perimenopause. Getting enough rest is important to help manage your other symptoms.
Changes in your period - Irregular periods are often the first sign of perimenopause. They can become heavier, lighter or more unpredictable. This is a clear sign that your ovaries are reducing their normal function and struggling to maintain a regular response cycle.
Vaginal dryness and discomfort - Reduced estrogen levels can cause vaginal dryness and discomfort, especially during sex. This symptom is often kept quiet due to shame. However, sexual wellness is a key part of your overall health and there are treatment options out there if you speak to your healthcare provider.
Urinary tract infections - UTIs are often overlooked when it comes to perimenopause but hormonal changes can make your urinary tract more susceptible to infection. If you’re experiencing frequent UTIs, it may be a sign that you’re entering perimenopause.
How can I get support for perimenopause?
Navigating perimenopause can be confusing and lonely but remember - there’s no shame in seeking support.
Knowledge is power: understanding the signs and symptoms to look out for can empower you to take control of your perimenopause journey.
Seek community: talk to friends and family, engage with online support groups and find others who’re sharing your experiences.
Talk to a doctor: if you’re experiencing any of the above symptoms it’s a good idea to speak to your healthcare provider. They may be able to test your hormone levels and recommend specific treatments based on your individual symptoms.
With the right education and support, perimenopause doesn’t have to be scary. For more information on women’s health, check out the MyUTI Education Centre.
