- Dee
- Nov 12, 2024
- 4 min read
Updated: Jun 9
What is Perimenopause?
Perimenopause is the transitional phase that leads up to menopause, typically beginning in a woman’s 40s, though it can start as early as her 30s. During this period, ovaries start to produce less estrogen, resulting in hormonal changes that can lead to a variety of physical and emotional symptoms.
Unlike menopause, which officially occurs after 12 consecutive months without a menstrual period, perimenopause can last from a few months to several years. Each woman’s experience is unique, but understanding this phase is crucial for our overall well being.

Common Symptoms
The experience of perimenopause is different for everyone, but some common symptoms include:
1. Irregular Periods
One of the first signs you may notice is changes in your menstrual cycle. Periods might become more frequent or take longer between cycles. According to research, about 75% of women report some irregularity in their periods as they approach menopause. This unpredictability is normal, but it can be inconvenient.
2. Hot Flashes
Hot flashes are sudden feelings of warmth that can occur at any time, often leading to sweating. Tracking these episodes can help you recognize potential triggers, such as certain foods, stressful situations, or even your sleep environment.
3. Mood Swings
Many women report feeling more forgetful, irritable, anxious, or down during perimenopause. Hormonal shifts can affect your emotions, so keeping a mood journal can be incredibly helpful. By writing down your experiences, you may start to notice patterns that can help you manage your feelings better.

Less Common Symptoms to Consider
In addition to common symptoms, some women may encounter less typical signs during perimenopause. Recognizing these can help you stay informed and prepared.
1. Changes in Libido
You might notice fluctuations in your sexual desire, with some women experiencing a decrease in libido. Research indicates that up to 50% of women report changes in sexual interest during this time. Open discussions with your partner and trying options like personal lubricants can positively impact your intimacy.
2. Sleep Disturbances & Insomnia
Hormonal changes can lead to sleep issues, including difficulty falling asleep or staying asleep. If you find yourself feeling fatigued during the day, consider assessing your bedtime routine and sleep environment. If you don't have a routine, you may need to implement one for quality sleep.
3. Breast Tenderness
Hormonal fluctuations can cause changes in your breasts, leading to tenderness similar to what some women feel during their menstrual cycle.
4. Digestive Issues
During perimenopause, many women experience digestive issues due to hormonal changes. As estrogen and progesterone levels fluctuate, it can affect the gut in various ways. Some might notice more bloating, indigestion, or even heartburn. The digestive system might slow down, leading to constipation or discomfort after eating. These changes are often temporary but can be frustrating. Stress, sleep disturbances, and diet also play a role, as they can all worsen digestive symptoms during this time. It’s important to stay mindful of diet, drink plenty of water, and manage stress to help keep things moving smoothly.
Preparing for Changes Ahead
Taking steps to prepare can significantly improve your experience through perimenopause. Here are some practical ways to make this transition smoother:
1. Track Your Symptoms
Maintaining a symptom diary can offer vital insight into your body’s changes. This should include noting your menstrual cycle, mood shifts, and new physical symptoms.
2. Stay Active
Regular exercise comes with many benefits, like balancing hormones and reducing stress. Aim for at least 30 minutes of moderate aerobic exercise 5 times a week.
3. Consider Dietary Changes
A balanced diet can ease some symptoms. Focus on incorporating more fruits, vegetables, whole grains, and healthy fats into your meals. Studies suggest that reducing caffeine and alcohol intake can significantly ease anxiety and reduce the frequency of hot flashes. Visit our food & recipe section for some lighter meal ideas. Track meals in a journal to help establish patterns if experiencing new food aversions or bowel irregularities.
4. Get Educated
Knowledge is empowering. Informing yourself about perimenopause can alleviate fears. Read articles, join informative workshops, or participate in support groups. The more you understand what’s happening in your body, the better prepared you will feel.
5. Consult with Professionals
Having a team of supportive healthcare providers can be incredibly beneficial. Discuss your symptoms with your doctor and consider hormone therapy if necessary. Engaging with a woman's health professional can also provide additional support during this transition.
Embracing the Journey
Perimenopause can be a complex time filled with changes, but it doesn't have to be overwhelming. By understanding your body, tracking symptoms, making lifestyle adjustments, and seeking professional guidance, you can navigate this period with confidence. Remember, you are not alone, and there are resources available to help you along the way.
Taking charge of your health during this natural phase is crucial. Embrace these changes and, most importantly, be gentle with yourself.
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