Menopause Articles

Perimenopause is defined as the transitional stage when the body begins progressing towards menopause. During this phase, there is a decrease in the production of hormones within the ovaries, including a reduction in the number of eggs produced by the ovaries, which in turn causes your menstrual cycle to become irregular.

To be more specific, perimenopause is when you experience symptoms of the menopause but periods are still occurring. Despite perimenopause being a natural process as you age, there are a variety of physical and emotional symptoms you can experience - and no two experiences are completely the same. 

The majority of women experience symptoms, however some don’t suffer from any, aside from changes in their menstrual cycle. In terms of severity, it varies between individuals, with some experiencing mild symptoms, whereas for others, symptoms of perimenopause can be severe to the extent of having a noticeable impact on daily life.  

Perimenopause Symptoms  

Physical symptoms can include:  

• Alterations in menstrual cycle (irregular periods, including periods that are lighter or heavier than usual) 

• Hot flushes  

• Night sweats  

• Breast tenderness 

• Premenstrual symptoms that are more intense 

• Reduced sex drive 

• Vaginal dryness  

• Other vaginal symptoms such as itching, pain or discomfort during sex 

• Sleep disturbances - which could be as a result of night sweats 

• Fatigue 

• Muscle aches and joint pain 

• Headaches and migraines, which may be worse compared to one’s norm 

• Skin changes such as dry or itchy skin  

• Weight gain  

• Heart palpitations  

• Urinary urgency 

• Oral problems, such as sensitive teeth or painful gums  

Aside from the physical symptoms of perimenopause, you can also experience alterations in mental health. Psychological changes include:  

• Mood alterations, for example irritability or mood swings  

• Depression  

• Changes and/or problems with memory and the ability to concentrate - often referred to as “brain fog” 

• Anxiety - it is not uncommon for anxiety levels to increase during perimenopause. In terms of scientific studies, only a few have been conducted in relation to anxiety specific to perimenopause. Anxiety can disrupt daily life, with physical symptoms of anxiety including muscle tension, nausea and sweating. Additionally, anxiety induced by perimenopause can cause insomnia and affect daily life, as a result.  

Management of Perimenopause Symptoms  

In terms of managing perimenopause, there are loads of ways to alleviate the symptoms – from eating a healthy, balanced diet to picking the right outfit in the morning. Below are some top tips to get you started: 

• Adequate sleep: sleep disturbances can occur due to night sweats. Adopting a regular sleep schedule, a relaxing bedtime routine, and ensuring your bedroom is cool. 

• Stress management: given stress can worsen perimenopause symptoms, it’s important to ensure stress levels are kept to a minimum. Participating in exercise, yoga and spending time outside can all help.  

• Wearing layers: lightweight and breathable fabrics can help you stay comfortable during hot flushes. 

• Reducing caffeine and alcohol intake: both can contribute towards hot flushes and other symptoms (particularly caffeine in relation to anxiety). Eliminating alcohol and caffeine can also assist in the management of hot flushes.  

talkhealth is currently looking for women living with menopausal symptoms to take part in a study. To find out more and take part, click here.