Exploring the Transition Period Before Menopause
Perimenopause, a transitional phase leading up to menopause, is a significant life stage that many women experience in their 40s. This period is characterised by hormonal fluctuations, particularly a decline in oestrogen levels, which can cause a wide range of physical and emotional changes.
One of the most common signs of early perimenopause is menstrual irregularity, eventually progressing to a menstrual cycle that is 60 days or more apart. However, perimenopause can bring about a host of other symptoms that may seem unrelated, such as heart palpitations, sleep disturbances, or mood swings.
Heart palpitations or increased anxiety, sleep disturbances or insomnia, new or worsening headaches, itchy or dry skin, joint and muscle aches or pain, heightened sensitivity to temperature, changes in body odor, mood swings or emotional sensitivity, hair thinning or hair loss, tingling or “pins and needles” sensations, fatigue or brain fog, breast tenderness, weight gain, loss of sex drive or changes in libido, vaginal dryness, urinary issues, and an increased risk of urinary tract infections are all common symptoms of perimenopause beyond hot flashes and irregular periods [1][2][3][5].
Brain fog, a term used to describe difficulties with focus, memory, and mental clarity, is also a common symptom during this period [2]. Mood-related symptoms include anxiety, irritability, depression, and mood swings [1][3]. Sleep disturbances can result from night sweats or hormonal changes affecting sleep quality [1][2].
Some women may also experience changes in cholesterol levels that can affect cardiovascular risk during perimenopause [1].
Perimenopause typically starts in the early to mid 40s, but it can start earlier or later. It usually lasts for 4 to 10 years [4]. During this phase, you may notice changes in your skin, hair, and vaginal dryness. Dry skin, hair, and eyes can be a result of hormonal changes during perimenopause [4].
If you are experiencing symptoms or concerns related to perimenopause, help is available. You can book a video consult with Doctors on Demand to discuss your symptoms and possible treatments. Alternatively, you can book an appointment or join the queue to speak with a dedicated doctor at a time that suits you [4].
Remember, it's important to reach out for support during perimenopause, as it can feel confusing and overwhelming. Healthcare providers usually recommend a thorough evaluation (hormone panels, thyroid testing, vitamin levels, cardiovascular screening) to tailor treatment options, which may include lifestyle changes or hormone therapy [3].
The average age for menopause (12 consecutive months without a period) is 51. Oestrogen plays a key role in maintaining skin elasticity and hydration, so declining oestrogen levels can lead to dry skin, a duller complexion, brittle nails, or dryness in the eyes or scalp [4].
Perimenopause can also bring about "perimenopause rage", intense, sometimes unpredictable anger or irritability, often referred to as "perimenopause rage" [4].
References:
[1] Harvard Health Publishing. (2020). Perimenopause: What you need to know. Retrieved from https://www.health.harvard.edu/womens-health/perimenopause-what-you-need-to-know
[2] Mayo Clinic. (2021). Perimenopause. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/perimenopause/art-20048352
[3] National Women's Health Network. (2020). Perimenopause. Retrieved from https://www.nwhn.org/perimenopause/
[4] NHS. (2021). Perimenopause. Retrieved from https://www.nhs.uk/conditions/perimenopause/
[5] Office on Women's Health. (2021). Perimenopause. Retrieved from https://www.womenshealth.gov/a-z-topics/perimenopause
- During perimenopause, a decline in oestrogen levels can lead to weight gain.
- A thorough evaluation, including hormone panels and cardiovascular screening, is usually recommended by healthcare providers to tailor treatment options for perimenopause.
- The science of health-and-wellness offers various resources, such as video consultations with doctors, to address the symptoms and concerns related to perimenopause.
- In addition to menstrual irregularity, women may experience emotional changes, like mood swings, during perimenopause, which can affect womens-health.
- Menopause, marked by 12 consecutive months without a period, typically occurs at the average age of 51, and oestrogen plays a significant role in maintaining health, including skin elasticity.
