By Dr. Shubhangi Limje
Perimenopause marks the winding path to menopause, but its journey is far more interesting and complex than most realize. Let’s explore some compelling facts and insights about this pivotal transition in women’s health.
1. Perimenopause May Begin Early
Most women think menopause is an issue “later in life,” but your body can enter perimenopause as early as your 30s or 40s—or even earlier than that for some, depending on an inherited history of an early menopause or other conditions such as smoking.
2. No One-Size-Fits-All Experience
Each woman’s perimenopause is different. These symptoms could present as irregular periods, unexpected mood swings, or fluctuations in libido. Some women glide through with hardly a symptom, but for other women, these symptoms develop as intense, life-changing events.
3. A Fertile Window Still Exists
Another myth is that fertility goes down to zero when going through perimenopause. As a matter of fact, you can still become pregnant when going through that stage—ovulation is irregular, but not missing, until menopause is achieved.
4. Periods Grow Increasingly Erratic
Forget regular cycles: perimenopause can bring periods that are heavier, lighter, closer together, farther apart or sometimes absent for months at a time. You may even ovulate twice in one month, followed by months with no ovulation at all.
5. Typical and unexpected symptoms
The most frequent perimenopausal symptoms are:
- Hot flashes and night sweats
- Sleep disturbances
- Mood swings and irritability
- Vaginal dryness
- Memory problems and brain fog
- Weight gain, especially around the abdominal area
- Muscle and joint pain
- Headaches, breast tenderness, and palpitations
- Changes in skin and hair
Approximately 20% of women have no symptoms, 60% have mild to moderate symptoms, and 20% have severe symptoms that interfere significantly with daily life.
6. It’s Not Just Physical, Mental Health Shifts Too
Perimenopause is also linked to greater chances of depression, anxiety, and even panic attacks—a fact that is sometimes underplayed. This might occur due to hormonal fluctuations, insomnia, or the stress of managing fluctuating health and roles.
7. Invisible Effects on Future Health
With decreasing levels of estrogen, perimenopause can induce reductions in bone density and heart disease risk. Urinary problems, weakness of the pelvic floor, and even changes of cholesterol and metabolism can occur.
Empowering Yourself Through Perimenopause
Uncertain path of perimenopause need not remain a mystery or cause of alarm. Education is strength—recognizing symptoms early enough and working together with healthcare providers can unlock the gates to changes in manner of life, treatment, and support that can facilitate the transition.
- Exercise regularly for good heart and bone health.
- Eat a balanced diet that is high in calcium and vitamin D.
- Discuss symptoms and concerns openly with your doctor.
- Find help to address sleep or mood problems.
Perimenopause is an inevitable, often misunderstood phase that can presage a whole new world of self-awareness and power around health. Welcome the change with an attitude of, ah, curiosity—an informed process can make all the difference.
About the Author
Dr. Shubhangi Limje
Learning Strategist | Microbiologist | Creative Soul
With a PhD in Microbiology and 14+ years of experience, Dr. Shubhangi Limje blends scientific insight and instructional design to revolutionize the world of eLearning. As a Learning Strategist, Dr. Shubhangi designs compelling learning experiences that bridge the gap between knowledge and engagement.
Beyond the sphere of learning and development, Shubhangi is also a world traveler, home cook, painter, and singer—who is ever-seeking creativity in the workplace and the world.
PeriPause 
Leave a comment