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Understanding Perimenopause: What Every Woman Should Know

Perimenopause is similar to going through puberty in reverse; for some, it's a smooth process, while for others, it's more difficult. What causes these variations?


Although menopause frequently receives the most attention, it is actually perimenopause, the transitional phase preceding it, that raises the most inquiries among women.

Two women sit on porch steps, holding mugs and smiling. They're surrounded by plants, with a house and railing in the background. Casual mood.

1. Perimenopause Is Not the Same as Menopause

Menopause is defined as the specific point, confirmed after going a whole year without menstruating. The following day, she enters the postmenopausal stage, although the term "menopause" is often used to describe the entire transition. In the United States, approximately 6,000 women reach menopause daily, usually at about age 52, though it can occur between ages 40 and 60.

Perimenopause is a gradual transition leading to menopause, not triggered by a specific event. It can begin in a woman's 30s or 40s, with the 40s being more typical. This phase can last between 6 and 10 years.

2. Anticipate Symptoms, Though Not Everyone Will Experience Them

For some women, perimenopause symptoms might be mild or barely noticeable. For others, the symptoms can be intense, leading them to consult a doctor. Common signs to look out for include:

  • Appearance changes: Thinning or loss of hair, along with hair growth on the chin and neck.

  • Cognitive changes: Memory lapses and trouble focusing, although these usually get better with time.

  • Decreased fertility: While conception is still possible during perimenopause, the likelihood of becoming pregnant is reduced.

  • Emotional changes: Mood swings, irritability, and depression can resemble premenstrual syndrome (PMS).

  • Hot flashes: These can vary from short to extended durations, as your brain reacts to the decrease in estrogen and attempts to cool your body.

  • Insomnia: Trouble returning to sleep after experiencing night sweats.

  • Irregular periods: Your cycle might lengthen or shorten, and the intensity of bleeding can differ. It's common to experience missed periods or longer intervals between them.

  • Night sweats: Hot flashes that interfere with your sleep, causing irritability from lack of rest.

  • Urinary issues: More frequent bathroom trips or urinary tract infections caused by vaginal dryness, along with potential urinary incontinence.

  • Vaginal issues: Reduced sexual desire, dryness, and discomfort during intercourse.

  • Weight gain: Particularly around the waist.


3. Natural Options for Treating Perimenopause

Not every woman will require treatment, but if symptoms become disruptive, there are several options to consider.

  • Vitamin D: Helps maintain mood stability.

  • B Vitamins: Important for energy levels and can help with mood swings.

  • Omega-3 Fatty Acids: May reduce inflammation and improve heart health.

  • Magnesium: Helps with sleep quality and can alleviate anxiety.

  • Phytoestrogens: Found in foods like soy, they can mimic estrogen and may help balance hormone levels.

  • Lifestyle changes: A balanced diet, regular exercise, meditation, yoga, and a consistent sleep routine can alleviate many symptoms. Vaginal lubricants can also help with dryness and discomfort.


4. Perimenopause Cannot Be Postponed or Prevented

Perimenopause is likely predetermined from before birth. Although certain medical treatments can hasten it, no method is known to delay it.


5. Acupuncture: Beneficial for Some, Yet Not for Everyone

Acupuncture and other alternative therapies can be highly effective for some women. Nonetheless, for intense hot flashes, also referred to as vasomotor symptoms, these treatments typically aren't enough by themselves to offer relief.


6. New Hair Growth Might Appear

Hormonal fluctuations can lead to vellus hair, the fine and soft hair covering most of the body, becoming thicker and more prominent. During perimenopause, this hair might emerge in surprising areas such as the face, chest, back, or abdomen.


7. It's Completely Normal to Feel Out of Sync

It's usual for women to feel different from their usual selves during perimenopause. What you're going through is entirely normal, even if it sometimes feels confusing. Many women liken it to the emotional and physical changes of puberty, where identifying the issue or cause of discomfort can be challenging. Although the symptoms might last for years, they eventually diminish, leading to the final benefit—an end to menstrual periods.


Perimenopause is a unique experience for each woman, but with understanding and the right support, it’s a transition that can be navigated with greater ease. If you're interested in following a complete perimenopause regimen, click HERE to see the products I recommend along with the appropriate dosages. You will need a Fullscript account; just provide your email address, and you'll also receive a continuous discount that I offer to all my article readers.


*This blog post is not a substitute for medical advice. Always work with an educated healthcare provider when looking for diet, nutrition, and supplement advice. If you would like to speak with someone about your journey to better health, reach out anytime to The Nutritional Advisor via our CONTACT FORM

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