Perimenopause is the transition before menopause. It often begins in a woman’s 40s, when estrogen and progesterone levels fluctuate. These changes can affect periods, sleep, mood, and overall well-being.
1. Irregular periods: Periods may become shorter, longer, heavier, lighter, or less predictable.
2. Hot flashes and night sweats: Sudden waves of heat can cause flushing and sweating, and disturb sleep.
3. Mood changes: You may experience irritability, anxiety, or low mood.
4. Sleep problems: You may find it harder to fall asleep or stay asleep.
5. Brain fog: You may struggle to focus or remember details.
6. Vaginal dryness: Changing estrogen levels can cause dryness, irritation, and discomfort during sex.
7. Changes in sex drive: Sexual desire may increase or decrease.
8. Weight changes: Some women gain weight, particularly around the waist.
As the ovaries change with age, hormone production becomes less predictable. This affects ovulation and menstrual cycles. Symptoms differ for each woman.
Eat balanced meals, stay active, and maintain a regular sleep schedule. Limit caffeine or alcohol if they worsen symptoms. If symptoms affect daily life, ask a doctor about treatment.
Seek medical advice if symptoms are difficult to manage, periods become unusually heavy, or bleeding occurs between periods. Any bleeding after 12 months without a period needs prompt medical assessment. Other conditions can cause similar symptoms.
Perimenopause can affect periods, sleep, mood, and vaginal health. A healthcare professional can assess your symptoms and discuss suitable care.
Can you get pregnant during perimenopause? Yes. Ovulation may still occur, so pregnancy is possible. Discuss contraception with your healthcare professional.
A symptom diary can help your doctor.