Am I In Perimenopause? Understanding Perimenopause Symptoms

I get asked this question a lot in my online Perimenopause Health Coaching clinic: What are the actual perimenopause symptoms? Given how common this question is, I thought it would be a great idea to write a blog on the topic to help shed some light on the symptoms that many women experience during this phase.

Perimenopause is the transitional phase leading up to menopause, marking the end of a woman's reproductive years. This phase can last for several years, typically beginning in a woman’s 40s, though it can start earlier or later. During this time, women experience a variety of physical and emotional changes due to fluctuating hormone levels, particularly oestrogen and progesterone. Understanding these symptoms is crucial for navigating this period with more awareness and less stress.

What Happens During Perimenopause?

Perimenopause occurs as the ovaries begin to produce less oestrogen, which is essential for regulating the menstrual cycle. This hormonal shift leads to changes in menstrual patterns, physical health, and emotional well-being. While some women may experience only mild symptoms, others might find them disruptive.

Common Symptoms of Perimenopause

Irregular Periods

One of the first signs of perimenopause is changes in menstrual cycles. Periods may become irregular, heavier, lighter, or longer or shorter in duration. Some women may skip periods, while others might experience spotting between cycles. These changes are due to the body's fluctuating levels of oestrogen.

Hot Flashes

Hot flashes, characterized by a sudden feeling of warmth that spreads over the body, are perhaps the most recognised symptom of perimenopause. They can be accompanied by sweating, reddening of the skin, and a feeling of being overheated. These flashes occur because of changes in the hypothalamus, the brain's temperature regulation centre, which becomes more sensitive to hormonal fluctuations.

Night Sweats

Night sweats are hot flashes that occur during sleep and can lead to waking up drenched in sweat. They disrupt sleep and can lead to insomnia. Both hot flashes and night sweats are believed to result from a decline in oestrogen, affecting the body’s ability to regulate temperature.

Sleep Disturbances

Many women going through perimenopause report difficulties with sleep. These can range from trouble falling asleep to waking up frequently throughout the night. Sleep disturbances may be tied to night sweats or hot flashes but can also be linked to hormonal changes that influence sleep-wake cycles.

Mood Swings and Anxiety

Hormonal fluctuations during perimenopause can contribute to significant changes in mood. Women may experience irritability, depression, anxiety, or even mood swings like those experienced during PMS. These emotional changes can also be related to sleep disturbances or the physical discomfort of hot flashes.

Vaginal Dryness and Decreased Libido

As oestrogen levels decline, vaginal tissues can become thinner and less elastic, leading to vaginal dryness. This can make intercourse uncomfortable and reduce sexual desire (libido). Some women also report changes in sexual sensitivity. These symptoms are common but can be managed through lubricants, moisturizers, and hormone therapy in some cases.

Memory Problems and Concentration Issues

Some women notice a decrease in memory or have trouble concentrating during perimenopause. These cognitive symptoms are often referred to as "brain fog" and can be attributed to hormonal shifts. While these changes can be frustrating, they are generally temporary and improve after menopause.

Joint and Muscle Pain

Many women report experiencing new or worsening joint pain during perimenopause. This may be due to the drop in oestrogen levels, which play a role in bone and joint health. Reduced oestrogen can also increase the risk of osteoporosis, making bone strength a key consideration as women enter perimenopause.

Weight Gain

Fluctuating hormones, particularly the drop in oestrogen, can affect the way the body stores fat. Many women notice that they gain weight, particularly around the abdomen. This weight gain is thought to be influenced by both hormonal changes and a slowdown in metabolism as women age.#

Breast Tenderness

Changes in hormone levels can lead to breast tenderness or changes in breast tissue. Some women find that their breasts become more sensitive or that they notice lumps or fullness in the breast tissue, which can cause concern, though these symptoms typically resolve as hormone levels stabilize.

How Long Does Perimenopause Last?

Perimenopause generally lasts 4 to 10 years, but it can vary widely from woman to woman. The average age for menopause (the point when a woman has gone 12 months without a period) is 51, and perimenopause typically starts several years before that. The length of time spent in perimenopause and the severity of symptoms depend on genetics, lifestyle, and overall health.

If you're experiencing any of the symptoms of perimenopause, such as hot flashes, sleep disturbances, mood swings, or weight changes, you're not alone—and you don’t have to manage it on your own. Book a discovery call with me today to explore how we can work together to create a personalized plan that helps you manage these symptoms and improve your overall well-being. Whether it's through lifestyle changes, dietary adjustments, or tailored strategies, I'm here to support you on your journey through this transition. Let's discuss how we can get you feeling your best again!