Perimenopause - Revive Hormones

What is Perimenopause?

Perimenopause refers to the transition period leading up to menopause, which is the point when a woman's menstrual cycles stop permanently. The perimenopause transition usually begins in a woman's 40s, but can start as early as the 30s or late as the early 50s.

During perimenopause, hormone levels begin to fluctuate and decline as the ovaries gradually produce less estrogen and progesterone. This fluctuation leads to changes in menstruation and a variety of symptoms. Key changes include:

• Irregular periods: Periods may be shorter or longer, lighter or heavier, or more or less frequent. Menstrual cycles also become less predictable.
• Hot flashes: Sudden sensations of body heat, flushing, and sweating are common. These may wake a woman up at night.
• Sleep problems: Trouble falling asleep and staying asleep are common complaints.
• Mood changes: Irritability, depression, anxiety, and reduced sex drive may occur.
• Vaginal dryness: Lower estrogen can cause the vaginal lining to become thinner and drier.
• Bladder issues: Some women experience more urinary tract infections or incontinence issues.

The duration of perimenopause varies. It typically lasts for 4 years on average, but can last anywhere from 2 to 8 years before the final menstrual period. There is no reliable lab test to determine exactly when perimenopause transitions to menopause. Menopause is clinically defined as the point when a woman has not had a menstrual cycle for 12 consecutive months.

Diagnosis and Treatment

Since hormone fluctuations cause the symptoms of perimenopause, some treatment options aim to regulate hormones:

• Hormone therapy: Low doses of estrogen or progesterone can help relieve hot flashes, night sweats, vaginal dryness, and stabilize mood.
• Antidepressants: May help with mood swings, irritability, or depression.
• Vaginal estrogen: Treats vaginal dryness and discomfort during sex.
• Lifestyle changes: A healthy diet, regular exercise, adequate sleep, stress reduction techniques, and avoiding smoking and excessive alcohol intake can alleviate symptoms.

I hope this gives you a helpful overview explaining what perimenopause is! Let me know if you have any other questions.