When most people think of perimenopause, hot flushes often come to mind. But the reality is far more nuanced. The symptoms can be varied, subtle, and sometimes easily mistaken for other health issues. Many women don’t realise that the changes they’re experiencing are due to the hormonal fluctuations that come with this transitional phase.
What is Perimenopause?
Perimenopause is the time leading up to menopause, typically starting in a woman’s 40s, though it can begin earlier or later. This phase can last from a few months to several years. During perimenopause, levels of oestrogen and other hormones fluctuate, triggering a wide range of physical, emotional, and cognitive changes. Recognising these symptoms is the first step in managing them effectively.
Common Symptoms to Watch For:
- Irregular Periods
Changes in the menstrual cycle are often the first sign. Periods might become shorter, longer, heavier, lighter, or occur unpredictably. - Hot Flushes & Night Sweats
Sudden waves of heat, often with sweating and a rapid heartbeat, are classic symptoms. Night sweats can disrupt sleep, leaving you feeling drained. - Sleep Disturbances
Trouble falling asleep, staying asleep, or achieving restful sleep is common. Night sweats and increased anxiety can make things worse. - Mood Changes
Hormonal shifts can lead to mood swings, irritability, anxiety, and even depression. Emotional sensitivity may feel heightened. - Vaginal & Bladder Changes
Lower oestrogen can cause vaginal dryness, discomfort during intercourse, and a higher risk of urinary tract infections. Some women may also experience urinary incontinence. - Decreased Libido
Hormonal changes, combined with physical discomfort and emotional shifts, can reduce sexual desire. - Cognitive Changes (“Brain Fog”)
Difficulty with memory, concentration, and mental clarity is common, often described as feeling mentally foggy. - Physical Changes
Weight gain (especially around the abdomen), changes in skin elasticity, thinning hair, and breast tenderness can occur. - Joint & Muscle Pain
Aches and pains, sometimes mistaken for arthritis, can be linked to hormonal fluctuations. - Headaches
Women prone to headaches or migraines might notice changes in frequency or intensity.
When to Seek Help
Diagnosing perimenopause is usually straightforward, based on symptoms and age. Blood tests are rarely needed but may be recommended in some cases to rule out other conditions.
If you’re experiencing symptoms that affect your quality of life, you don’t have to navigate them alone. Book an appointment with one of our menopause specialists to discuss your symptoms and create a management plan tailored to your needs.
Stay Tuned
In our next blog, we’ll dive into practical strategies for managing perimenopausal symptoms to help you feel your best during this transition.
