Perimenopause is the transitional stage leading up to menopause, which officially begins 12 months after a woman's last menstrual period. During perimenopause, levels of estrogen and progesterone start to fluctuate and decline, leading to changes that can last anywhere from a few months to several years.
Some key changes that may occur during this time include:
- Irregular menstrual cycles
- Hot flashes
- Night sweats
- Vaginal dryness
- Mood changes or irritability
- Trouble sleeping
- Changes in libido
There is no definitive test to determine when a woman has entered perimenopause. The hallmark sign is a change in the predictability of menstrual cycles. Periods may be heavier or lighter, last longer or shorter, or be spaced farther apart. Blood tests can help confirm hormone level changes.
It's important for women to understand that this transition time leading up to menopause can vary significantly from woman to woman. Lifestyle choices like proper nutrition, exercise, stress management and not smoking can help alleviate bothersome symptoms. There are also various treatment options available, from hormone therapy to herbal remedies.
The key is being informed about what to expect and working closely with your doctor during the perimenopausal years to maintain health and quality of life. This natural transition does not need to be viewed in a negative light. With awareness and support, women can thrive during perimenopause and beyond.