Perimenopause refers to the time leading up to menopause, when a woman's body is making the natural transition toward permanent infertility. The perimenopause phase can begin up to 10 years before menopause starts, but symptoms often begin 2-8 years beforehand.
During perimenopause, estrogen and progesterone levels become irregular and begin to decline as the ovaries age and ovulation becomes more unpredictable. Common symptoms include:
- Hot flashes and night sweats
- Vaginal dryness
- Irregular periods
- Mood changes like depression or anxiety
- Trouble sleeping
- Loss of libido
- Headaches
- Fatigue
The duration and severity of symptoms varies significantly among women. While perimenopause signals the impending end of fertility,
pregnancy is still possible until menstruation has been fully absent for 12 straight months. Birth control is recommended if pregnancy is not desired.
There are a few key differences between perimenopause and menopause:
Perimenopause
- Estrogen levels fluctuating
- Periods may be lighter or heavier
- Pregnancy possible but not likely
Menopause
- Estrogen levels consistently low
- No menstrual periods for 12 months
- Pregnancy not possible
Some women confuse perimenopause with premature ovarian failure or premature menopause, which is menopause occurring before age 40.
Managing perimenopause symptoms involves maintaining a healthy lifestyle, with regular exercise, stress reduction, avoiding smoking, etc. Hormone therapy or certain medications may provide relief too. Pay attention to your body and discuss any concerning symptoms with your healthcare provider at Revival Medical Clinic.
While challenging for some, perimenopause is a normal transition marking the midpoint of a woman's life. With awareness and preventative care, most women can navigate "the change of life" smoothly.