Perimenopause Symptoms

Posted: Oct. 1, 2004

Perimenopuase is the time leading up to menopause.
Menopause begins after you have not had your period for twelve months.

During perimenopause, your body starts making less of certain hormones — estrogen and progesterone — and you begin to lose the ability to become pregnant.

How long does perimenopause last?
It varies. Women normally go through menopause between ages 45 and 55. Many women experience menopause around age 51. However, perimenopause can start as early as age 35. It can last just a few months or a few years. There is no way to tell in advance how long it will last OR how long it will take you to go through it.

What should I expect as I go through perimenopause?
Some women have symptoms during this time that can be difficult. These symptoms include:

• Changes in your menstrual cycle (longer or shorter periods, heavier or lighter periods, or missed periods)
• Hot flashes (sudden rush of heat from your chest to your head)
• Night sweats (hot flashes that happen while you sleep)
• Vaginal dryness
• Sleep problems
• Mood changes (mood swings, depression, irritability)
• Pain during sex
• More urinary infections
• Urinary incontinence
• Less interest in sex
• Increase in body fat around your waist
• Problems with concentration and memory

What can I do to prevent or relieve symptoms of perimenopause?
Record your menstrual cycle, noting whether you have a heavy, normal, or light period. Also keep track of your symptoms, like hot flashes and night sweats. This will help you when you discuss these changes with your doctor.

Find a physical activity that you'll enjoy doing. Exercise helps reduce stress and reduce weight gain.

If you smoke, try to quit.

Keep your body mass index (BMI) at a normal level. Figure out your BMI by going to www.nhlbisupport.com/bmi/bmicalc.htm.

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