Perimenopause

What is perimenopause? Pre-menopause is commonly referred to as perimenopause, the transitional phase leading up to menopause. It’s when your ovaries gradually start producing less estrogen. This phase can last several years until your periods stop completely (menopause).

At what age does it start?

• Usually begins in your 40s, but can start as early as the mid-30s.
• The average age is around 45.
• It continues up to menopause, which typically occurs at an average age of 51.

Early signs and symptoms of pre-menopause These symptoms happen because of fluctuating (often dropping) estrogen and progesterone levels: Irregular periods

• Periods may come earlier or later than usual.
• They might be lighter or heavier. Hot flashes & night sweats
• Sudden warmth in the upper body, often with sweating and flushing. Mood changes
• Increased irritability, anxiety, or mild depression. Sleep disturbances
• Trouble falling or staying asleep, often due to night sweats. Decreased fertility
• Ovulation becomes more unpredictable. Vaginal dryness & discomfort during sex
• Lower estrogen can reduce vaginal lubrication. Lower libido
• Less interest in sex is common. Urinary changes
• More frequent or urgent urination, or increased risk of UTIs. Breast tenderness Memory lapses or trouble concentrating
• Sometimes called “brain fog.” Headaches or worsening migraines

Important note Not everyone experiences all of these symptoms, and their severity varies widely. Some women breeze through with hardly any noticeable changes.