Myths of Perimenopause
There are many myths about the transition phase of perimenopause. Let's bust some of these myths so we can start to really manage and enjoy this phase of life.
Perimenopause only occurs in your late 40s or early 50s. Reality: While perimenopause typically begins in the late 40s or early 50s, it can start as early as the mid-30s. The age at which perimenopause begins can vary greatly among individuals.
Myth: Perimenopause is the same as menopause. Reality: Perimenopause is the transitional phase leading up to menopause, which is defined as 12 consecutive months without a menstrual period. Perimenopause can last for several years, during which women may experience hormonal fluctuations and various symptoms before reaching menopause.
Myth: Hot flashes are the only symptom of perimenopause. Reality: Hot flashes are a common symptom, but perimenopause can involve a wide range of symptoms. These may include irregular periods, mood swings, fatigue, sleep disturbances, vaginal dryness, decreased libido, weight gain, joint pain and stiffness and changes in skin and hair.
Myth: Perimenopause is a time of decline and loss. Reality: While perimenopause can present challenges due to hormonal changes and associated symptoms, it is also a natural phase of life that can bring new perspectives and opportunities. Many women find that post-menopause, they experience a sense of liberation and personal growth. Seeking support, maintaining a healthy lifestyle, and engaging in self-care can contribute to a positive experience during perimenopause.
Myth: All women will experience severe symptoms during perimenopause. Reality: While perimenopause can bring about a range of symptoms, not all women will experience severe or disruptive symptoms. Some women may transition through perimenopause with minimal discomfort, while others may experience more pronounced symptoms. The severity and type of symptoms can vary widely from person to person.
Myth: Hormone replacement therapy (HRT) is the only treatment for perimenopause symptoms. Reality: Hormone replacement therapy can be an effective treatment option for managing perimenopause symptoms. However, it is not the only approach available. Lifestyle modifications such as regular exercise, a balanced diet, stress reduction techniques, and alternative therapies like acupuncture or herbal supplements may also help alleviate symptoms for many women.
Myth: Perimenopause causes weight gain. Reality: Hormonal changes during perimenopause can contribute to weight gain or changes in body composition for some women. However, weight gain during this stage of life is not inevitable, and individual factors such as diet, exercise, genetics, and overall health play significant roles in weight management. Making healthy lifestyle choices can help minimize weight gain during perimenopause.
Myth: Once menopause is reached, all symptoms will disappear. Reality: While some symptoms may improve or resolve after menopause, others may persist or new ones may arise. For example, hot flashes and night sweats tend to diminish over time, but vaginal dryness and changes in sexual function may persist or worsen. Each woman's experience is unique, and it's important to address ongoing symptoms with appropriate medical care and support.
As women, we will spend just as much time, if not more, in perimenopause and menopause as we did in the prepuberty, puberty and fertile stages combined. Therefore, understanding what is happening, embracing the change and having a positive mindset is critical to navigating this major part of our life with ease and grace.