Understanding Perimenopause: What to Expect

Perimenopause is the transition leading up to menopause. Learn about the changes that happen during this time and what you can do to manage symptoms.

Perimenopause — the transitional years leading up to menopause — is a time of significant hormonal change. For many women, it is the first time they notice symptoms that can affect their daily lives, yet it is often poorly understood.

What is perimenopause?

Perimenopause literally means "around menopause." It refers to the years before your final menstrual period, during which your body's production of oestrogen begins to fluctuate and gradually decline. This phase can begin in your early to mid-40s, though for some women it may start earlier.

During perimenopause, your menstrual cycle may become irregular — periods may be closer together, further apart, heavier, or lighter than usual. These changes are a normal part of the transition.

Common symptoms

The hormonal fluctuations of perimenopause can cause a wide range of symptoms. These may include:

Not every woman will experience all of these symptoms, and the severity can vary greatly from person to person.

When to seek support

If your symptoms are affecting your quality of life — your work, your relationships, your sleep, or your overall wellbeing — it is worth seeking support. There are effective treatments available, including hormone replacement therapy (HRT) and non-hormonal options.

You do not need to wait until your periods have completely stopped to seek help. In fact, perimenopause is often when symptoms are most challenging, and early support can make a significant difference.

The takeaway

Perimenopause is a natural transition, not something you need to simply endure. Understanding what is happening in your body is the first step towards feeling more in control. If you are experiencing symptoms, support is available.

Summary: 3 things to know about perimenopause

  1. It begins before menopause — Perimenopause typically starts in the early to mid-40s and can last several years. Irregular periods and hormonal fluctuations are the hallmarks of this phase.
  1. Symptoms are real and treatable — Hot flushes, sleep disruption, mood changes, and brain fog are all common during perimenopause. Effective treatments are available — you do not need to simply endure them.
  1. You can seek help now — You do not need to wait until your periods have stopped to get support. A menopause specialist can help during perimenopause, often when symptoms are at their most disruptive.

This article is for general information only and does not constitute medical advice. Please consult a qualified healthcare provider before making changes to your treatment.