Perimenopause

Very low urgency
Very common-

Perimenopause is a physiological process in a woman's life that precedes menopause and is characterized by significant hormonal changes. During this time, which can last several years, hormone levels fluctuate, causing physical and emotional symptoms.

Symptoms include: hot flashes, night sweats, menstrual changes (irregular cycles, lighter or heavier periods), vaginal dryness, mood changes, sleep problems, fatigue, and changes in libido. These symptoms vary from woman to woman and can affect quality of life.

Diagnosis is based on the presence of age-related symptoms in the woman. In some cases, blood tests may be needed to measure hormone levels and rule out other medical conditions.

Treatment includes lifestyle changes, such as a healthy diet and regular exercise, and hormone therapy to relieve more severe symptoms. There are also non-hormonal options, such as herbal supplements and specific medications to control symptoms.

Bibliographic references
  1. Miro F, Parker SW, Aspinall LJ, et al. Origins and consequences of the elongation of the human menstrual cycle during the menopausal transition: the FREEDOM Study. J Clin Endocrinol Metab 2004; 89:4910.
  2. Harlow SD, Gass M, Hall JE, et al. Executive summary of the Stages of Reproductive Aging Workshop + 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab 2012; 97:1159.
  3. Freeman EW, Sammel MD, Gracia CR, et al. Follicular phase hormone levels and menstrual bleeding status in the approach to menopause. Fertil Steril 2005; 83:383.
  4. Burger HG, Hale GE, Dennerstein L, Robertson DM. Cycle and hormone changes during perimenopause: the key role of ovarian function. Menopause 2008; 15:603.
  5. Neer RM, SWAN Investigators. Bone loss across the menopausal transition. Ann N Y Acad Sci 2010; 1192:66.
  6. Woods NF, Mitchell ES. Sleep symptoms during the menopausal transition and early postmenopause: observations from the Seattle Midlife Women's Health Study. Sleep 2010; 33:539.
  7. Randolph JF Jr, Zheng H, Sowers MR, et al. Change in follicle-stimulating hormone and estradiol across the menopausal transition: effect of age at the final menstrual period.
Author
Dra. Maria Eugenia Rodriguez
Copyright
© TeckelMedical 2026

Symptoms

    Irregular periods


    Sudden hot flashes


    Vaginal dryness


    Absence of menstruation


    Tiredness / fatigue

Symptoms to watch out for

If symptoms affect their quality of life
Heavy and excessive menstrual bleeding
Irregularity of the menstrual cycle with cycles shorter than 21 days
Has gone through menopause (has gone 12 months without a period) and starts bleeding again, even if it is just a spot of blood

Self-care

Get regular physical activity at least 3 times a week that is appropriate for your age and physical condition.
Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
In case of hot flashes, avoid hot drinks, caffeine, spicy foods, alcohol, stress and hot weather.
In case of vaginal discomfort, use water or silicone-based lubricants.
Reduce tobacco consumption.