Perimenopause symptoms begin appearing ten to fifteen years before the onset of menopause. Most women begin perimenopause when in their 40s and 50s, but it is not uncommon for women in their 30s to begin showing early perimenopause symptoms. Many of these signs and symptoms are subtle and almost go unnoticed, while others are more pronounced. There are quite a few different symptoms that may occur, and the most common are listed for you below.
Changes in Menstruation
One of the first signs of perimenopause that you may notice is a change in your periods. There is really no rule of thumb regarding these changes. Durations may be shorter or longer, flow can be lighter or heavier, and sometimes you may even occasionally skip one. Missing more that two consecutive periods is one of the primary late perimenopausal symptoms.
Hot Flashes
Hot flashes are among the most well known perimenopause symptoms, and a majority of women will experience them. The term “hot flash” describes the sudden sensation of heat through part or all of the body, though it is most commonly experienced in the face, neck, and upper body. It is usually accompanied by sweating, followed by shivering as the body attempts to adjust. Hot flashes can last anywhere from a few minutes to nearly an hour. They are caused by the brain trying to regular the body amidst falling estrogen leves.
Sleep Problems
Hot flashes that occur at night when you are trying to sleep are relatively common, particularly in the latter years of perimenopause. The profuse sweating that occurs following a hot flash are known as night sweats, and can be very disruptive to regular sleep.
Changes in Mood
You may notice that you are experiencing sudden mood swings, anxiety, depression, and irritability. These are brought on not only by the actual hormonal changes that you are experiencing, but also by the added stress caused by insomnia and sleep disruption due to other symptoms of perimenopause.
Decrease in Bone Density
One perimenopause symptom that may concern you is the tendency of the body to begin losing bone mass. This increases the risk of osteoporosis as you grow older and your bone density further decreases. Additional treatment such as exercise and supplementation can be useful in keeping osteoporosis at bay.
Changes in Libido
You may notice a change in your libido alongside other signs of perimenopause. Many women notice a decrease in their sex drive following the onset of perimenopause. This is due in part to the hormonal changes that are occurring, but for many women, it is partially due to stress and partially due to the vaginal dryness caused by low estrogen levels.
Urinary Problems
Many women suffer from urinary incontinence, as well as frequent urinary tract infections.
Weight Gain
Some women notice that they gain weight, particularly around the midsection. Like many other perimenopause symptoms, it is due partially to hormonal changes and partially due to the stress and fatigue that accompany them. If this concerns you, speak with your doctor about an appropriate diet and exercise regimen.
Many women are able to cope with most perimenopause symptoms with little assistance from their doctor, but if you begin experiencing intense pain, experience symptoms that are severe, or if these changes interfere with your normal daily functioning, be sure to consult with your doctor.
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Hmmm I was really worried about going thru menopause – I’d read a lot of articles like this – the reality for me? Nothing really – woke up hot a couple of nights, periods stopped. I suspect its only the minority that have symptons which are any worse than having a period