Understanding Perimenopause: A Natural Transition for Women

Perimenopause age range

Perimenopause usually begins a few years before the last menstrual cycle, and can start in some women in their 30s, but most often it starts in women ages 40 to 44. It is suspected that these symptoms are the body’s way of adjusting to the changing levels of hormones. For example, if a woman finds herself experiencing hot flashes, her body may actually be responding to decreasing levels of estrogen.

Navigating Perimenopause 

As an OBGYN in Athens, GA, I am constantly around women navigating perimenopause. When a woman is experiencing a symptom, her body may be interpreting the hormonal changes into a specific physical or emotional response. Just like pregnancy cravings, perimenopause symptoms can be diverse and sometimes unexpected.

Common Perimenopause Symptoms: From Hot Flashes to Mood Swings

High hormone levels during pregnancy can alter a woman’s smell and taste which can make some food more appealing or even more offensive. Similarly, changing hormone levels during perimenopause can lead to a variety of symptoms, including hot flashes, night sweats, mood swings, and changes in menstrual patterns.

Are Perimenopause Symptoms Harmful?

In general, perimenopause symptoms are not harmful to the woman. However, symptoms can become bothersome if they interfere with daily activities or quality of life. This is a condition called perimenopausal symptomatic distress. If a woman finds herself struggling with perimenopause symptoms, she should see her doctor immediately.

Treating and Managing Perimenopause: A Comprehensive Approach

Perimenopause does not need to be treated unless symptoms are bothersome. However, when symptoms interfere with daily life, there are several treatment options available:

• Hormone Therapy: Systemic estrogen therapy, which comes in pill, skin patch, spray, gel, or cream form, remains the most effective treatment option for relieving perimenopausal and menopausal hot flashes and night sweats. This therapy aims to level out hormone levels and alleviate symptoms.
• Antidepressants: These can be used to stabilize moods and help manage emotional changes during perimenopause.
• Lifestyle Changes: This includes maintaining a healthy diet, regular exercise, adequate sleep, and stress management. These changes can help manage symptoms and improve overall health.
• Alternative Medicine: Some women find relief from symptoms through acupuncture, yoga, massage, or herbal supplements.
• Conventional Medicine: If symptoms are severe or significantly impact quality of life, prescription medications may be recommended.

It’s crucial to remember that open communication with your healthcare provider is key when it comes to managing your health. If you’re experiencing any symptoms, it’s important to discuss them in detail with your healthcare provider. This includes not only the nature of the symptoms but also their frequency, duration, and any associated factors. This information can be instrumental in diagnosing any potential health issues.

Furthermore, if treatment is necessary, it’s vital to have a thorough discussion about the available options. This should include understanding the benefits and potential risks of each treatment, how it works, what you can expect during the treatment process, and the likelihood of success. This will ensure that the chosen approach aligns with your specific needs and is both safe and effective.

The Sholes Center for Women’s Health emphasizes the importance of maintaining an ongoing dialogue with your healthcare provider. This means regularly scheduled check-ups, as well as reaching out whenever you have questions or concerns about your health. Whether it’s a new symptom, a question about medication, or concerns about a medical condition, your healthcare provider is there to assist you.