Perimenopause is the natural transitional phase before menopause, when a woman's body gradually starts producing less estrogen and hormonal shifts begin. It typically starts in the mid-to-late 40s, but can begin earlier.
๐ What Happens During Perimenopause?
Hormones—especially estrogen and progesterone—fluctuate irregularly, which causes changes in your menstrual cycle and a variety of physical and emotional symptoms.
๐ฉธ Common Signs of Perimenopause
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Irregular periods
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Cycles may become longer, shorter, heavier, or lighter.
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Hot flashes and night sweats
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Sleep disturbances
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Trouble falling or staying asleep.
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Mood swings or anxiety
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Decreased libido
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Vaginal dryness or discomfort
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Breast tenderness
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Brain fog or forgetfulness
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Weight gain, especially around the midsection.
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Increased PMS-like symptoms
๐งฌ Key Hormonal Changes
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Estrogen levels fluctuate unpredictably.
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Progesterone declines as ovulation becomes less regular.
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FSH (follicle-stimulating hormone) rises as the ovaries respond less.
๐ How Long Does It Last?
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Perimenopause can last 4 to 10 years, ending when you’ve gone 12 consecutive months without a period—this marks menopause.
๐ฉบ How Is Perimenopause Diagnosed?
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Primarily based on symptoms and age.
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Blood tests may measure FSH, estrogen, and thyroid hormones, but levels can vary daily.
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A healthcare provider can help rule out other causes (like thyroid issues).
✅ What Can Help Manage Symptoms?
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Lifestyle changes: Regular exercise, a healthy diet, sleep hygiene.
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Stress reduction: Meditation, yoga, or therapy.
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Supplements: Magnesium, B-complex, omega-3s (ask your doctor).
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Hormone therapy (HRT): For moderate to severe symptoms.
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Non-hormonal options: Like SSRIs, sleep aids, or vaginal moisturizers.