Perimenopause

What is perimenopause?

Perimenopause is the transitional phase leading up to menopause. It often begins in your 40s, though some women notice symptoms in their late 30s. During this time, your ovaries gradually produce less estrogen, causing hormonal fluctuations that can lead to a variety of physical and emotional symptoms that may shift from month to month.

Perimenopause can last several years and ends once you’ve gone 12 consecutive months without a menstrual period, which marks menopause. While this transition is completely natural, it can sometimes feel disruptive without proper guidance and support.

What are the symptoms of perimenopause?

Because hormone levels fluctuate unpredictably, symptoms can vary from person to person. Common signs of perimenopause include:

• Irregular periods (shorter, longer, heavier, or lighter cycles)
• Hot flashes and night sweats
• Mood swings, irritability, or increased anxiety
• Sleep disturbances
• Vaginal dryness or discomfort
• Decreased libido
• Brain fog or difficulty concentrating
• Weight changes

If these symptoms are interfering with your quality of life, your provider can help you find relief and restore balance.

How is perimenopause diagnosed?

Perimenopause is typically diagnosed based on your symptoms, age, and menstrual history. In some cases, your provider may recommend blood work to evaluate hormone levels or rule out other conditions that may be causing similar symptoms, such as thyroid disorders.

Your practitioner will take time to listen to your concerns, review your health history, and discuss any changes you’ve noticed. Together, you’ll create a plan that supports your health during this transition.

What treatments are available for perimenopause?

Treatment for perimenopause is highly individualized and depends on your symptoms and health goals. Your provider may recommend:

• Lifestyle modifications, including nutrition and exercise guidance
• Stress management techniques
• Nonhormonal medications to manage specific symptoms
• Hormone therapy to help balance estrogen levels
• Vaginal estrogen treatments for dryness and discomfort

Your team works with you to weigh the benefits and risks of each option and develop a treatment approach that feels right for you.

You don’t have to navigate perimenopause alone. If you’re experiencing changes in your cycle, mood, or overall well-being, call OB-GYN Associates PC or schedule an appointment online today to receive compassionate, expert care tailored to you.