She Strengthens

Understanding Perimenopause: Signs, Symptoms, and Management Strategies

Are you experiencing irregular periods, night sweats, and mood swings? You may be wondering if you’re entering premenopause. But here’s the thing: premenopause isn’t a real medical term. What you’re likely experiencing is perimenopause, a natural transition phase leading up to menopause.

What is Perimenopause?

Perimenopause is the period when your body prepares for menopause, characterized by a decline in estrogen production. This phase can last anywhere from a few months to 10 years, causing symptoms that range from mildly uncomfortable to severely debilitating.

Perimenopause Symptoms

So, how do you know if you’re in perimenopause? Keep an eye out for:

• Irregular periods, including heavier or lighter flows
• Hot flashes and night sweats
• Vaginal dryness, making sex painful
• Frequent urination or UTIs
• Heart palpitations, headaches, and mood swings
• Breast tenderness and acne flare-ups

When to Expect Perimenopause

Perimenopause typically starts in your late 40s or early 50s, but it can begin as early as your mid-to-late 30s. The duration of this phase varies, but it usually lasts around 4 to 10 years.

Managing Perimenopause Symptoms

While perimenopause can be challenging, there are ways to alleviate its symptoms:

• Hormone Therapy: Estrogen and progestin therapy can help manage hot flashes and night sweats. However, it comes with risks, such as heart disease, breast cancer, and blood clots.
• Prescription Medications: Antidepressants, antiseizure meds, and blood pressure meds can help with hot flashes and sleep problems. SERMs can also alleviate hot flashes and vaginal dryness.
• Lifestyle Changes: Avoiding hot flash triggers, eating a plant-based diet, exercising regularly, and managing your weight can help mitigate symptoms.
• Natural Remedies: While herbal supplements like black cohosh and isoflavones may be popular, their effectiveness and safety are still uncertain. Consult your doctor before trying any supplements.

When to Seek Medical Attention

Perimenopause is a normal part of life, but if symptoms are affecting your daily life, it’s essential to consult your OB-GYN. You should also seek medical attention if you experience:

• Extremely heavy or prolonged periods
• Significant changes to your menstrual cycle
• Severe hot flashes, mood swings, or sleep problems

By understanding perimenopause and its symptoms, you can take control of your health and navigate this transition with confidence. Remember, talking to your OB-GYN is the first step towards managing your symptoms and finding relief.