Menopause, the physiological process marking the end of a woman’s reproductive years, doesn’t arrive out of nowhere. Before menopause, women experience perimenopause. What is perimenopause, you may ask? It’s the transitional phase when hormone levels begin fluctuating.
When does perimenopause start? It typically occurs when women are in their 30s and 40s, and the amount of estrogen produced by the ovaries starts fluctuating. Early signs of perimenopause vary. However, the most common symptom is a change in the menstrual cycle. Periods can be lighter, heavier, longer, or shorter. Some women experience hot flashes, night sweats, and vaginal dryness and discomfort. According to the American College of Obstetricians and Gynecologists (ACOG), mood swings during perimenopause are common. Irritability, fatigue, tearful and moody feelings, concentration challenges, depression, and anxiety are known to occur. Although the symptoms can be distressing, keep in mind perimenopause is a natural and normal occurrence during a woman’s midlife period. Let your Rosa Gynecology provider know immediately if these symptoms are disrupting your routine, and they can make suggestions on how to best ease them and restore your quality of life.
Many women wonder how long does perimenopause last. It can span four to eight years; however, symptoms may begin earlier or later. Whenever it occurs, there are strategies women can employ to best manage perimenopause.
Natural remedies for perimenopause symptoms can include adjusting lifestyle practices. Getting plenty of sleep, monitoring stress, and eating a balanced diet are a few of the basics.
When women experience hot flashes, which is the sudden sensation of heat in the upper body, it can include additional symptoms. Chills, clammy skin, flushing, sweating, rapid heartbeat, and anxiety can accompany hot flashes. ACOG suggests avoiding potential hot flash triggers such as alcohol, caffeine, warm drinks, and spicy food. Relaxation exercises such as yoga can be beneficial as can sitting in a cold room.
Consult with your Rosa Gynecology provider regarding medical options. Hormone therapy for perimenopause can be used to manage many symptoms. Non-hormonal medications such as SSRIs, gabapentin, and fezolinetant offer additional alternatives.
Your gynecologist may recommend adding a mental health professional to your care team. A psychiatrist or therapist can help navigate any mental health issues you may be facing. Implementations may include talk therapy, medication for mood issues, mindfulness practices, and more.
It’s important to reach out to your provider as soon as you become aware of any symptoms. Abnormal bleeding, drastic mood changes, sleep problems, and hot flashes should all be addressed immediately. Not only is it crucial to get a handle on perimenopausal symptoms quickly, but these symptoms can also often indicate other conditions such as thyroid concerns and can call for additional tests.
The Rosa Gynecology team is here to help you on your journey through perimenopause and all aspects of gynecologic aging. They can help answer your questions regarding menopause vs. perimenopause and all points in between. Our providers lead with compassion, are available to listen to any concerns you may have and strive to make your experience as comfortable as possible.
To discuss perimenopause, call 770-487-9604 or schedule an appointment online.
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