Perimenopause refers to the transitional period leading up to menopause, which is the point when a woman's menstrual cycles permanently stop. It's an important time to understand what's happening in your body and how to navigate changes.
During perimenopause, estrogen and progesterone levels begin to fluctuate and decline as the ovaries prepare to stop releasing eggs. This phase can begin up to 10 years before menopause but most women start to notice changes in their early 40s.
Some key signs of perimenopause include:
The exact cause is not fully understood but relates to the depletion of ovarian follicles in the ovaries. Genetics and family history play a role. Smoking may accelerate the process.
Some women sail through perimenopause while others struggle with severe symptoms impacting their quality of life. Lifestyle measures like avoiding triggers, layering clothing, using fans, practicing stress relief, and improving sleep hygiene can help. If symptoms are moderate-severe or interferring with daily life, there are medical therapies to consider. At Hormone Health Center, our caring medical team creates customized hormone therapy plans to help women thrive.
The duration varies but perimenopause usually lasts 4-8 years until menopause, which is 12 months without a period. Confirming menopause requires two blood tests 6 months apart showing high FSH levels.
The good news is perimenopause is temporary and more manageable with the right information and support. Understanding the physiology empowers you to advocate for your health during this transition. With patience and the appropriate relief strategies, most women feel significantly better over time. If you have questions about managing this phase of life, consult your doctor or clinics like Hormone Health Center for personalized care.