Perimenopause - The Balance - Hormone Medical Clinic

What is perimenopause?

Perimenopause refers to the transition period before menopause when a woman's body experiences changes as it prepares to stop menstruating. It typically begins in a woman's 40s, but can start earlier or later.

The hallmark sign of perimenopause is irregular menstrual cycles. As estrogen levels begin declining, periods may be heavier or lighter than usual, occur more or less frequently, or be skipped entirely. Other common symptoms include:

Perimenopause lasts up until menopause, which is marked by 12 consecutive months without a period. The average length of perimenopause is 4 years, but it can last up to 10 years before the final period.

What causes perimenopause?

The onset of perimenopause is driven by waning ovarian function. As women age, the ovaries gradually make less estrogen and progesterone — the hormones that regulate the menstrual cycle. Fluctuating hormone levels drive the array of symptoms during the perimenopausal transition.

Other factors that can influence when perimenopause begins include:

Managing perimenopausal symptoms

While perimenopause is a natural process, there are ways to handle bothersome symptoms:

The hormone experts at The Balance - Hormone Medical Clinic offer customized bioidentical hormone therapy to help women sail through perimenopause smoothly. Contact us today to learn about science-backed relief for your symptoms.

The takeaway

Perimenopause signals the impending end of a woman's reproductive years due to declines in ovarian function. Tracking changes in your menstrual cycle is key to identifying the transition. While each woman's experience is unique, lifestyle adjustments and medical management can provide relief from common symptoms. Reach out to your healthcare provider at the first signs of perimenopause to discuss treatment options. With the right plan, you can thrive through this transitional stage of life.

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