Although there is a lot of research and discussion about menopause, this discussion often overlooks perimenopause – a transitional phase that can begin up to 10 years before menopause.

This stage, which marks the gradual shift from a woman’s reproductive years to her non-reproductive years, is important but often misunderstood.

What is perimenopause?

Perimenopause is the period before menopause, which often begins in women’s late 30s or early 40s, although it can start earlier.

It is characterized by fluctuations in hormone levels, especially estrogen and progesterone, and can last for 4 to 10 years.

Unlike menopause, in which menstrual periods stop completely, perimenopause involves irregular menstrual periods, which can vary from month to month, being either less or more.

Misconceptions about perimenopause

A widespread myth is that menopause occurs suddenly, resulting in immediate weight gain and a host of medical problems such as high blood pressure and diabetes.

However, this is not entirely true. Although some women may have these symptoms, it is not a universal experience, and the severity of the symptoms varies. It is important to have the right information to manage this phase effectively.

Women face various challenges during menopause.

In an interview with us, Jyoti Khanna, an art teacher from Delhi, shared her experience with perimenopause: “I have been feeling a lack of energy, hot flashes, and extreme temperature sensitivity. Fatigue has become a daily struggle, and my metabolism has slowed down. Sleep disturbances, bloating, and skin dryness have also affected my daily life.”

Khanna highlights the importance of self-care during this phase. “I focus on maintaining my health by consuming high-protein, calorie-rich foods and taking short naps to recharge. Daily yoga and meditation have also been beneficial,” she told India Today.

early symptoms of perimenopause

In recent years, there has been a trend towards women entering perimenopause earlier, sometimes even before the age of 30.

This is due to various factors, such as excessive consumption of alcohol and tobacco and high stress levels, which contribute to the early onset of the disease.

The hormonal imbalances caused by these lifestyle choices play a major role in triggering perimenopause at an early age.

Weight gain during menopause is often attributed to the natural aging process, including decreasing hormone levels, loss of muscle mass, and the onset of other medical conditions such as thyroid problems or diabetes, high blood pressure, and increased sugar levels.

Although hormones play a role, aging and related health problems are a more important factor.

How to Manage Perimenopause

Managing perimenopause involves lifestyle changes, including regular exercise, a balanced diet rich in natural and organic foods, and stress management techniques such as yoga, meditation, and breathing exercises.

Despite popular belief, routine hormone testing is not necessary during menopause, except in special cases.

Insomnia often occurs due to stress, mood swings, and other symptoms during perimenopause. Fear of these changes can lead to anxiety and even depression.

Talking openly with family members and seeking support can help deal with these emotional challenges.

Debunking the myths

A common misconception is that pregnancy is impossible during perimenopause. However, as long as a woman is having menstrual periods, even if irregular, pregnancy is possible until menopause has completely occurred.

Perimenopause is a natural transition that is challenging, but it is not the end of a woman’s vitality or sexuality. But proper care is needed to manage the symptoms.