Perimenopause

Perimenopause, the first stage of Menopause

When can Perimenopause start?

Perimenopause can begin in some women in their 30s, but most often it starts in women ages 40 to 44. Women who have had their a hysterectomy or ovary removed may experience symptoms earlier.

Menopause is a normal part of life, just like puberty. Many women may notice changes in their bodies before and after menopause.

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Common Symptoms

Hot Flashes

A sudden feeling of upper body warmth, especially across the face, neck, and chest. Hot flashes can also cause blushing redness or sweating.

Mood Swings

Sudden, often unexplainable changes in your mood or emotional state

Depression

A persistent feeling of sadness and loss of interest in daily life, which can interfere with your ability to function

Anxiety

Intense & persistent fear about everyday situations. Can include accelerated heart rate/breathing, sweating, & exhaustion.

Low Sex Drive

A decreased interest in sexual activity for prolonged periods of time

Painful Intercourse

Persistent pain or discomfort during sexual activity

Poor Focus / Forgetful

Inability to focus on daily tasks, general forgetfulness

Afraid to Leave the House

Fear of what might happen if you step outside your door

Body and Joint Pain

Constant pain or discomfort, throughout the body or concentrated in the joints

Irritability

Sometimes unexplainable grumpiness or emotional irritation with daily life

Itchy

Prolonged itchiness or discomfort

Bloating

A swollen state, especially in the abdomen, caused by retention of fluid or gas

The transition usually has three parts:

Perimenopause
Menopause
Post-Menopause

Changes usually begin with perimenopause. This can begin several years before a woman’s last menstrual period. Menopause comes next, the end of the menstrual periods. After a full year without a period, menopause is over. Post-menopause follows menopause and lasts for the rest of a woman’s life. The average age for the last period is 51. Some women, however, have the last period in their forties, and some have it later in their fifties (1). For many women, this process is a smooth transition and goes unnoticed with no symptoms, but for others this seemingly normal part of life is not normal for them at all.

References

National Institutes of Health – National Institute on Aging, “Menopause.” http://www.nia.nih.gov/health/publication/menopause.

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