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Proactive care for women in perimenopause and menopause.

Recognizing the Signs and Symptoms of Perimenopause: 7 of the Most Common Indicators to Watch For

  • Writer: Kimberly Bysheim
    Kimberly Bysheim
  • Aug 18
  • 2 min read

Updated: Sep 6

Menopause is a significant milestone in a woman's life, signaling the end of her reproductive years. While this phase can offer freedom and the chance for new adventures, it often brings various physical and emotional changes that can be tough to navigate. Understanding perimenopause is vital as it prepares women for this transition and guides them in seeking the right support. In this article, we will discuss seven key indicators that suggest you might be entering menopause.


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Irregular Periods


Hormonal fluctuations during the menopause transition, known as perimenopause, often cause menstrual changes. Periods may come closer together, can be shorter or longer, and flow can vary. Over time, periods become lighter, less frequent, and eventually stop.


Hot Flashes and Night Sweats


Hot flashes and night sweats represent the most frequently reported symptoms associated with perimenopause and menopause, affecting approximately 60-80% of women. Clinically termed vasomotor symptoms (VMS), these manifestations are thought to originate from the region of the brain responsible for thermoregulation or temperature control. The severity of VMS varies from mild to severe and can have a substantial impact on quality of life.


Mood Changes


Women may develop or experience increased depression or anxiety during perimenopause and menopause. Hormonal shifts at these stages raise the risk of depression, particularly for those with a prior history of low mood. Vasomotor symptoms can worsen anxiety and may also result from anxious thoughts.


Sleep Difficulties


Insomnia is a frequent concern among women during perimenopause and menopause. Vasomotor symptoms (VMS) are frequently associated with these sleep disruptions. Other factors such as sleep hygiene, stress, pain, and chronic health conditions can also affect sleep quality.


Low Libido


During perimenopause and menopause, some women report a decrease in sexual desire. Factors that may contribute to this include sleep disturbances, discomfort during intercourse associated with vaginal dryness, increased stress from home or work responsibilities, and reduced libido related to lower testosterone levels.


Brain Fog


Cognitive changes, including memory loss and difficulty concentrating, frequently occur during perimenopause and menopause. These symptoms may be accompanied by sleep disturbances and mood changes, which can also contribute to cognitive issues.


Weight Gain


Weight gain is commonly experienced in women during the transition from perimenopause to menopause. This period is often associated with changes in body composition and fat distribution, especially in the abdominal area. Various factors may contribute to this weight gain, such as hormonal shifts, reduced physical activity, loss of lean muscle mass, and nutritional choices.



Embracing Change


Recognizing the signs and symptoms of perimenopause and menopause is essential for women during this life transition. By understanding these changes, you can prepare yourself and seek appropriate support. From irregular periods to hot flashes, mood swings, and changes in libido, being aware of these indicators enables you to take proactive steps for your health and well-being.


If you think you are entering menopause, do not hesitate to discuss your symptoms with a menopause specialist. They can offer valuable insights and recommend strategies to navigate this transition smoothly. Remember, menopause is a natural part of life. With the right understanding and support, it can lead to a fulfilling new chapter.

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