Perimenopause refers to the time leading up to menopause, when a woman's body is going through changes in preparation for the end of fertility. The hallmark of perimenopause is hormone fluctuations - especially changes in estrogen and progesterone levels. This phase usually begins in a woman's 40s, but can start earlier or later.
During perimenopause, many women experience symptoms like:
Underlying these symptoms are the hormonal shifts taking place. For example, as ovulation becomes less frequent leading up to menopause, progesterone levels fall. This can cause heavy, prolonged periods. Lower estrogen thickens vaginal walls and reduces elasticity, leading to pain with intercourse.
The duration of perimenopause varies widely. For some women this rocky transition lasts just a couple years. For others, it can drag on for over a decade! The average is about 4 years.
Diagnosis involves tracking symptoms and measuring follicle stimulating hormone (FSH) levels via blood test. As ovulation ceases in perimenopause, FSH rises.
Treatment Options for Perimenopause
The bottom line? Perimenopause can be a challenging transition. Pay attention to your body, track symptoms, get hormone levels tested, and don't hesitate to ask your healthcare provider about treatment options for this natural life stage. The right solution can help you feel more like yourself again!