First Signs of Perimenopause – What to Expect

BlogMenopause

Written by

Catherine Smith

Published on

July 24, 2024
Blonde middle aged woman with closed eyes

Perimenopause usually starts in your 40s, sometimes earlier. This phase can last 2 to 8 years, and is a time of hormonal changes. Your body is getting ready for the end of your reproductive years.

When going through perimenopause, you might experience symptoms such as mood swings, night sweats, hot flashes, and vaginal dryness. These symptoms can be mild or can really affect your life.

Knowing the signs of perimenopause and its symptoms helps you manage this change. If you’re just beginning or have been experiencing symptoms for a while, this guide offers insights and advice for this phase of your life.

Key Takeaways

  • Perimenopause usually lasts 2 to 8 years

  • Common symptoms include hot flashes, mood changes, and night sweats

  • The average age of menopause in the UK is 51

  • Hormone replacement therapy is an effective treatment for many symptoms

  • Lifestyle changes can help manage perimenopausal symptoms

  • Regular exercise and a healthy diet are beneficial during this transition

  • Consult your healthcare provider for personalised advice and treatment options

What is Perimenopause: Defining the Transition

Perimenopause is a phase in a woman’s life that signals the end of her reproductive years. It usually begins in their 40s and can last from a few months to several years. Your body changes a lot during this time as it gets ready for menopause.

At the start of perimenopause, hormone levels go up and down, especially oestrogen. These changes can lead to symptoms and changes in your cycle.

As you go through perimenopause, you might see changes in your periods. They could become irregular, heavier, or lighter. But, it’s important to know that you can still get pregnant during this time. The end of perimenopause is when you haven’t had a period for 12 months in a row.

First Signs of Perimenopause

The initial signs of perimenopause often involves changes in your menstrual cycle. You might notice your periods become irregular, lasting longer or shorter than usual. This irregularity comes from changes in how your ovaries work.

Hot flashes are another common early symptom. You may feel sudden warmth spreading through your upper body and face, sometimes with sweating. These can happen during the day or at night, affecting your sleep.

Vaginal dryness is a less talked-about but important symptom. You might feel discomfort or notice changes in your intimate health. Mood swings and changes in emotional well-being are also common during this time.

Other symptoms include joint pains, weight gain, and headaches. Some women report memory issues or brain fog and anxiety. It’s important to note that these symptoms can vary in intensity and duration for each individual.

If you’re worried about any changes, talking to a healthcare provider. They can help confirm if you’re in perimenopause by discussing your symptoms and possibly carrying out some blood tests to check your hormone levels..

Hormonal Changes During Perimenopause

Perimenopause brings big changes to your hormone levels. Your body goes through ups and downs with these changes. Oestrogen, the main female hormone, starts to swing wildly. This makes your periods unpredictable and affects your health.

With oestrogen going down, your body makes more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). These changes touch different parts of your health. You might see changes in your periods, bone strength, and heart health. 

Diagnosing Perimenopause: When to Consult a Healthcare Provider

Diagnosing perimenopause can be tricky because hormone levels change and symptoms vary. If you’re experiencing symptoms like those mentioned above, seeing a healthcare provider is the first step. They can figure out if you’re in perimenopause and check for other health issues.

Healthcare providers look at your symptoms, medical history, age, and do a physical check-up. They might also do blood tests to check hormone levels, like (FSH)..

If your symptoms are really affecting your life or you’re worried about changes in your periods, seek medical advice. Women under 45 with worrying symptoms should see a doctor quicker.

Most women go through symptoms while still having periods. Symptoms can start months or years before periods stop and may last after. If you’re not sure about your symptoms or need help managing them, talk to a healthcare professional. They can offer support and advice tailored to you.

Managing Perimenopausal Symptoms: Treatment Options and Lifestyle Changes

To manage perimenopause symptoms, you need a plan that fits you. Hormone therapy or HRT is often used to ease symptoms. 

If hormone therapy isn’t an option, your doctor can offer other choices. Some women find relief with cognitive behavioural therapy or alternative treatments.

Lifestyle changes are just as important to managing symptoms. Regular exercise can enhance bone density and decrease the likelihood injuries. Consuming foods high in calcium also contributes to maintaining bone health. Learning to cope with stress and steering clear of factors that provoke hot flashes can be beneficial as well.

At The Coil Clinic we specialises in menopause and perimenopause. Our expert doctor can assess your situation and suggest treatments. We can offer solutions like HRT to help you feel better.

Embracing the Perimenopausal Journey

A UK study found that over 60% of women felt they didn’t know enough about menopause. Most women only looked for information after they started experiencing symptoms.

If you’re going through perimenopause, don’t struggle alone. Getting professional help is always recommended. It lets you understand and manage the changes happening in your body. The Coil Clinic is here for you, making sure you get the care you need.

FAQ

When does perimenopause start and how long does it last?

Perimenopause typically starts in a woman’s 40s, but it can begin in the 30s for some. The transition to menopause can last anywhere from a few months to several years, with the average duration being about four years. During this time, hormone levels fluctuate, causing various symptoms as the body prepares to reach menopause.

What are the common symptoms of menopause and perimenopause?

Common symptoms of perimenopause and menopause include irregular periods, hot flashes, night sweats, mood changes, vaginal dryness, sleep disturbances, and changes in libido. Women may also experience physical and emotional symptoms such as fatigue, weight gain, and difficulty concentrating. It’s important to note that not all women will experience the same symptoms or severity.

How is perimenopause diagnosed?

Perimenopause is typically diagnosed based on a woman’s age, menstrual history, and reported symptoms. While there’s no definitive test to confirm you’ve begun perimenopause, we may recommend blood tests to check hormone levels and rule out other causes of your symptoms. However, hormone levels can fluctuate greatly during this time, so these tests are not always conclusive.

What are the first signs that perimenopause is starting?

The first signs of perimenopause often include changes in menstrual cycle length or flow, increased premenstrual syndrome (PMS) symptoms, and the onset of hot flashes or night sweats. Some women may also notice mood changes, sleep disturbances, or vaginal dryness. These early signs can be subtle and may be mistaken for other health issues.

How can I manage perimenopause symptoms?

There are several ways to manage perimenopause symptoms, including lifestyle changes and medical treatments. We recommend maintaining a healthy diet, regular exercise, stress reduction techniques, and avoiding triggers for hot flashes (like spicy foods or alcohol). For more severe symptoms, we may suggest hormone replacement therapy (HRT) or other medications to alleviate specific symptoms.

When should I see a GP about perimenopause?

You should see a doctor if you’re experiencing menopause-like symptoms before age 45, if your symptoms are severe and impacting your quality of life, or if you have any concerns about your health during this transition. We can provide advice, rule out other potential causes for your symptoms, and discuss treatment options if necessary.

What is early menopause and how is it different from perimenopause?

Early menopause, also known as premature menopause, occurs when a woman reaches menopause before age 40. This is different from perimenopause, which is the natural transition period leading up to menopause. Early menopause can be caused by genetic factors, autoimmune diseases, or medical treatments. If you suspect you’re experiencing early menopause, it’s important to consult with a doctor for proper diagnosis and management.

How do I know when perimenopause is ending and I’ve reached menopause?

Perimenopause is ending and you’ve reached menopause when you’ve gone 12 consecutive months without a menstrual period. At this point, your ovaries have stopped releasing eggs and producing most of their estrogen. However, it’s important to continue using contraception until you’ve reached this milestone, as pregnancy is still possible during perimenopause.

Are there any risks associated with perimenopause?

While perimenopause itself is not a health risk, the hormonal changes during this time can increase the risk of certain conditions. These may include osteoporosis, heart disease, and changes in cholesterol levels. We recommend maintaining a healthy lifestyle and regular check-ups to manage any potential risks associated with the menopause transition.

What treatments are available for perimenopause symptoms?

Perimenopause treatment options vary depending on the symptoms and their severity. The Coil Clinic offers several options, including hormone replacement therapy (HRT), which can help alleviate many symptoms. Other treatments may include the use of a Mirena coil, antidepressants for mood symptoms, or specific medications for managing hot flashes or vaginal dryness. We can help determine the most appropriate treatment plan based on your individual needs and medical history.

Dr Catherine Smith

Dr Catherine Smith is the founder of The Coil Clinic. A GP and Women's Health Expert with nearly 20 years of experience. She is a BMS Certified Menopause Specialist