Perimenopause - Vitality Medical Center

Perimenopause

Perimenopause refers to the time leading up to menopause when a woman's body begins transitioning to permanent infertility. The perimenopausal transition typically begins in a woman's 40s but can start earlier or later.

During perimenopause, estrogen and progesterone levels fluctuate irregularly, which causes a variety of bothersome symptoms. Common symptoms include:

• Hot flashes - sudden feelings of warmth spreading through the body, often with sweating and reddened skin
• Night sweats - hot flashes occurring at night, often disrupting sleep
• Vaginal dryness and discomfort during sex
• Mood changes - irritability, anxiety, depression
• Sleep problems - insomnia, waking up frequently
• Irregular periods - longer, shorter, heavier, or missed periods
• Brain fog - trouble focusing, forgetfulness
• Bladder issues - urgency, frequency

The duration of perimenopause varies significantly between women. It typically lasts 4 years on average but can last anywhere from a few months to over 10 years. There's no definitive way to predict how long it will last for an individual.

Some key things to know about this transitional time:

• It precedes menopause, which is reached after 12 months without a period.
• The risk of pregnancy is still present throughout. Use contraception accordingly.
• Hormone therapy can provide relief from bothersome symptoms. Discuss options with your healthcare provider at Vitality Medical Center.
• Maintaining a healthy lifestyle supports this transition: regular exercise, nutritious diet, adequate sleep, and stress management.

The fluctuating hormones and changes leading up to menopause can be challenging. Having some background knowledge about what to expect with perimenopause can help you navigate this transition and access any needed support or treatment. Speak to your doctor with any concerns.