The Change of a Lifetime: A Guide to Understanding Perimenopause

Menopause: it’s a word that can spark a mix of emotions – from curiosity to concern. But fear not! This guide is here to help you understand the ins and outs of perimenopause, the transitional phase leading up to menopause. We’ll explore the common symptoms, treatment options, and lifestyle tips to help you navigate this life stage with ease and grace. Let’s dive in!

So, What Exactly is Perimenopause?

Think of perimenopause as the bridge between your reproductive years and menopause. It’s a transitional phase where your body starts winding down hormone production. Sounds simple, right? Well, it can come with a whirlwind of symptoms that can range from mildly annoying to downright disruptive. During perimenopause, your periods might become irregular, closer together, farther apart, or heavier or lighter. You may also experience hot flashes, night sweats, mood swings, trouble sleeping, and changes in your sex drive. It’s a rollercoaster, but don’t worry, we’ll guide you through it!

What’s Happening to My Body?

Perimenopause, the transition period leading up to menopause, typically starts between your late 40s and early 50s. However, it can begin as early as your 30s for some women. During this time, your ovaries gradually produce less estrogen and progesterone, which can lead to a variety of symptoms.

You might notice changes in your menstrual cycle, such as irregular periods, heavier or lighter bleeding, or skipped periods altogether. You may also experience hot flashes, night sweats, mood swings, trouble sleeping, vaginal dryness, and changes in your sex drive. While these symptoms can be frustrating, it’s important to remember that they’re a normal part of the aging process.

The Perimenopause Rollercoaster

Perimenopause can bring a whirlwind of changes. One of the first signs might be a wonky menstrual cycle. Your periods might be shorter, longer, heavier, or lighter. You might even skip a few months, only to have them return. If you notice any significant changes, like very heavy bleeding or spotting between periods, it’s always a good idea to check in with your doctor. Beyond irregular periods, you might experience:

• Hot Flashes: These sudden bursts of heat can feel like your body’s internal thermostat is malfunctioning.
• Night Sweats: These can disrupt your sleep and leave you feeling exhausted.
• Mood Swings: Feeling emotional? You’re not alone! Hormonal fluctuations can lead to mood swings, irritability, and anxiety.
• Vaginal Dryness: This can make sex less comfortable and increase your risk of UTIs.
• Sleep Disturbances: Hot flashes, night sweats, and mood swings can all contribute to trouble sleeping.

Remember, every woman’s experience with perimenopause is unique. Some women have mild symptoms, while others may experience more severe and disruptive changes.

Managing Perimenopause Symptoms

While perimenopause can throw you some curveballs, there are ways to smooth the ride. Lifestyle changes can make a big difference. Regular exercise can help manage hot flashes, improve mood, and boost energy levels. A healthy diet packed with fruits, vegetables, and lean proteins can also help. And don’t forget about the importance of sleep! Establishing a regular sleep routine and creating a calming bedtime environment can help you rest easy. Alcohol in moderation is advised, as excess alcohol can worsen hot flashes and can interfere with sleep.  If lifestyle changes aren’t enough, there are medical treatments that can help. Your doctor may suggest hormone replacement therapy (HRT), low-dose birth control pills, or other medications to alleviate symptoms like hot flashes, night sweats, and vaginal dryness. Now, there are three non-hormonal medications approved by the FDA. Veozah is a 100% hormone-free treatment option for moderate to severe hot flashes and night sweats. Remember, it’s important to discuss the potential benefits and risks of these treatments with your healthcare provider to find the best solution for you. For example: 

• If you are perimenopausal, low dose hormonal birth control pills may help stop or reduce hot flashes, mood swings, vaginal dryness, and heavy or irregular periods.  You should not take these pills if you smoke.
• Hormone replacement therapy (HRT) helps treat menopause symptoms, although it comes with risks.  If you use HRT, use the lowest dose possible for the shortest amount of time to help your symptoms.
• Two non-hormonal medications have been approved by the FDA to help treat certain menopause symptoms.  An antidepressant which is a form of paroxetine, an SSRI, has been approved for treating hot flashes.  A non-hormonal medication called Osphena® is approved to treat moderate to severe vaginal dryness and painful sex.
• Prasterone, a hormonal treatment applied in the vagina once a day, treats women who experience painful sex caused by vaginal dryness after menopause.
• If over-the-counter (OTC) products don’t work well enough for you, there are prescription medications you put in your vagina to treat vaginal discomfort, dryness, or pain.

Embracing the Change

The moment your periods start acting up, it’s a sign that perimenopause is knocking on your door. Now’s the perfect time to prioritize self-care. A healthy diet, regular exercise, and stress management can help you feel your best.  Remember, you’re not alone in this journey. Many women experience perimenopause, and with the right support, you can manage your symptoms and continue to thrive. If your symptoms are causing significant discomfort, don’t hesitate to consult with your healthcare provider or book a consultation with a WIN Nurse Care Advocate—they’re here to help you find ways to maximize symptom relief, depending on your unique circumstances.