The 3 Stages of Perimenopause

Perimenopause, also known as the menopausal transition, is a physiological stage in a woman's life characterized by the gradual decline and fluctuation of reproductive hormones leading up to menopause. It typically occurs in women between the ages of 40 and 55, although the exact timing can vary. In Australia, the average age of

During perimenopause, there is a gradual decrease in the production of estrogen and progesterone, two key hormones involved in the menstrual cycle and reproductive function. This hormonal decline is not linear and can result in irregular menstrual cycles, with variations in cycle length, flow, and frequency.

The hormonal fluctuations and imbalances during perimenopause can give rise to a range of physical and psychological symptoms. Hot flashes, characterized by sudden episodes of intense heat, flushing, and sweating, are one of the most common symptoms. Night sweats, insomnia, and sleep disturbances may also occur, contributing to fatigue and mood disturbances such as irritability, anxiety, and depression. Additionally, vaginal dryness, decreased libido, urinary changes, and changes in body composition (such as increased abdominal fat) may be experienced.

The duration of perimenopause varies among individuals, typically lasting around four to eight years, but it can extend up to ten years in some cases. The onset and progression of perimenopause are influenced by various factors, including genetics, lifestyle, and overall health.

There are three stages of perimenopause:

1.      Early perimenopause: This stage typically starts in a woman's 40s, although it can begin earlier or later. During this phase, hormone levels, particularly estrogen and progesterone, start to fluctuate. Menstrual cycles may become irregular, with variations in the length of cycles and the amount of flow.

2.      Mid perimenopause: In this stage, hormone fluctuations become more pronounced, leading to more noticeable changes in menstrual patterns. Menstrual cycles may become longer or shorter, and the intervals between periods may vary. Some women may experience heavier or lighter bleeding. Symptoms like hot flashes, night sweats, and mood swings can also become more frequent and intense.

3.      Late perimenopause: As women approach menopause, their hormone levels continue to decline. Menstrual cycles become more irregular, and some women may experience longer gaps between periods. Symptoms such as hot flashes, vaginal dryness, sleep disturbances, and mood changes may persist or worsen. Fertility decreases significantly during this stage, although pregnancy is still possible

The final stage is menopause. Menopause occurs when you have not had a period for 12 months. In Australia, the average age of menopause is 51 years. Some of the above symptoms may continue. As if the symptoms above were not bad enough, menopause is associated with adverse metabolic and bone changes leading to an increased risk of diabetes, obesity cardiovascular disease and osteoporosis. (The Metabolic Balance is ideal to help mitigate and manage these risks.)

It is important to know which stage of perimenopause you are in when evaluating treatment options. Like with most aspects of our health, the options vary and may need to change as you progress through the stages. Equally so, what is best and works well for one woman, may not be the best option or even work for another woman.

And this is why you are best to get professional help. Not only to understand the options available to you but also to help you change treatment as you progress through the stages of perimenopause. No need to suffer, no need to do it alone.