What is Perimenopause?

Perimenopause is the transitional stage of a woman's reproductive life. It occurs as the female's body begins to prepare itself for menopause.

What is Perimenopause?
Perimenopause occurs in the years leading up to menopause. During this stage, the production levels of estrogen, progesterone, and testosterone fluctuate. Estrogen levels rise and fall, and menstrual cycles may lengthen or shorten. It is possible to have menstrual cycles in which you do not ovulate. For some women, the perimenopause stage can last just a few months, or for up to ten years, and ends twelve months after menopause begins. Perimenopause usually occurs when women are in their 40s, but it can also start in women as early as their 30s.

What Are Symptoms of Perimenopause?
Symptoms of perimenopause can be subtle, and not-so-subtle. Hot flashes, night sweats, and sleep issues may be signs of perimenopause. Mood changes can also be an indication. Depression, anxiety, and irritability could be caused by the hormonal fluctuations. If sleep problems occur, the mood swings may be caused by sleep deprivation. The decreased estrogen production can result in vaginal dryness, which may cause intercourse to be painful. The hormonal change during the premenopausal stage can also decrease the libido. Menstrual cycles may become irregular and may be heavier, shorter, lighter or longer. The onset of urinary problems may be due to perimenopause, including an increased number of urinary tract infections and urine leakage while coughing, sneezing, or laughing. Thinning hair or hair loss, changes in body and breath odor, and breast tenderness can be symptoms of perimenopause. Other indications are crashing fatigue, Tinnitus, changes in fingernails (cracking, softening, and easy breakage), and weight gain around the waist.

Diagnosis and Treatment of Perimenopause
If you think you are entering the premenopausal stage, make an appointment with your gynecologist or physician. Make detailed notes of your symptoms, and discuss them with your doctor. Since perimenopause is a gradual process, it can be hard to detect and may require several tests, such as blood tests and hormone level tests. A Thyroid check may also be needed to diagnose perimenopause. However, perimenopause can also be diagnosed by menstrual history, age, and body changes. Many women treat their perimenopause symptoms by toughing it out and adapting to a healthier lifestyle by exercising, eating healthier and reducing stress. Others may choose to discuss symptom treatments such as oral contraceptives and progesterone therapy with their doctors.

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