Menopause/Be Sure You Know All Common Symptoms of Perimenopause
Menopause
Be Sure You Know All Common Symptoms of Perimenopause
Sep 13, 2018
Your periods are getting a bit irregular, your skin feels super dry, you feel bloated several times a week, your memory is foggy, and sometimes you wake up sweating in the middle of the night. It’s all a bit disturbing, we agree. But, before you start googling your symptoms, worried that you might be dealing with some life-threatening illness, here’s a thought for you. If you’re over 35 years of age, chances are that you’re just experiencing the symptoms of Perimenopause.
Perimenopause: Beginning Your Transition to Menopause
Now, what on earth is perimenopause? Most of us have heard of menopause – the end of menstruation and fertility that most women experience in their late 40s to 50s. But the transition to menopause can begin several years earlier, and this phase is known as perimenopause.
Perimenopause can begin 8 to 10 years
before you officially hit menopause. Most women begin experiencing
perimenopause symptoms when they’re in their late 30s to early 40s. With age,
the ovaries reduce production of estrogen and progesterone, causing
perimenopause. Your estrogen levels may fluctuate sporadically, going up or
down, which can hinder with your normal 28-day menstrual cycle. This is why
your periods have become irregular and hard to predict.
During perimenopause, the ovaries are still
producing estrogen (albeit, in lower levels) so you still have periods – they
just don’t follow their usual pattern. You can also get pregnant during
perimenopause.
This pattern continues until the ovaries
start producing very little estrogen. The first stage is that the low estrogen
is unable to stimulate the release of an egg from your ovaries, which is meant
to happen every period cycle. Release of an egg is what triggers production of
progesterone, so this first stops. When this low estrogen phase continues for a
period of time, eventually, your periods end altogether. Menopause officially
kicks in when you haven’t had a period in the last 12 months. But if you still
experience occasional spotting or have a period every few months, you are still
in perimenopause phase.
Bear in mind, sometimes perimenopause can happen
sooner for some women, especially if:
You are genetically inclined for early menopause (ask your mother and/or your aunts about when their menopause happened)
You are a smoker
You have undergone chemotherapy
You have had surgeries to remove ovaries or uterus
The Common Symptoms of Perimenopause
Perimenopause is a natural biological process that is a part of aging. It’s not an illness, and it’s nothing to be afraid of. However, some women may experience disturbing symptoms of perimenopause that can be treated with natural therapies, a healthy diet, regular exercise and alternative treatments. So, what are these symptoms
Difficulty Predicting Periods
As you age, and your reproductive ability begins to diminish, estrogen levels start to fluctuate, since your ovaries are unable to produce estrogen its previous predictable pattern. Since estrogen is the hormone that builds the inner lining of your uterus each month, irregular estrogen production results in the uterine lining not being built properly and it may be shed in small amounts in an unpredictable pattern. You may notice light spotting some months, occurring without any set pattern.
On the other hand, the lengthened time gap between two periods may cause uterine lining or endometrium to become quite thick between proper periods. This means that when you do have your period – the flow is very heavy. And can come with blood clots and severe cramps.
Worsened PMS
As your periods become irregular, you may notice that your PMS symptoms worsen. You may have headaches during your period and suffer from severe cramping, soreness and mood changes. This is happening because the hormones estrogen and progesterone play multiple roles in your body beyond reproduction. One of their important roles is to help you manage stress better. When their production reduces, your PMS symptoms get far worse.
Decreased Fertility
As we age, estrogen levels start to wane and the ovaries stop producing eggs regularly. Additionally, age can also result in diminished quality of eggs. If you’re in your late 30s and trying to get pregnant, perimenopause can make it harder to conceive. However, do not assume that decreased fertility means you cannot get pregnant and stop using contraception if you don’t want to get pregnant. As long as you’re in perimenopause, you can still get pregnant.
Breast Tenderness
Changing estrogen levels can make your breasts feel sore, heavy ad tender. As estrogen production becomes erratic during perimenopause, your breasts may feel swollen or lumpy due to fluid retention. Considering that lengthened time interval between ovulation and periods during perimenopause, breast tenderness can feel worse than before.
Hot Flashes
Hot flashes are not just for menopausal
women. In fact, they can start several years earlier, during perimenopause, and
often come as a surprise. A hot flash is an intense sensation of heat in the
face, neck and chest that causes sweating or chills. Caused due to estrogen
deficiency, hot flashes can make it harder to concentrate on work or chores,
particularly in warmer weather.
Night Sweats
When hot flashes occur at night, they are
termed as night sweats. During perimenopause, fluctuating estrogen levels can
awaken you from sleep with profuse sweating. This can lead to sleep
disturbances, insomnia and fatigue.
Nausea
Perimenopause comes with sporadically
fluctuating levels of estrogen due to disruption in hormonal balance. As a
result, day to day production of estrogen becomes unpredictable. When estrogen
levels go up, you may experience nausea.
Bloating
Sometimes during perimenopause the overall
production of estrogen in the ovaries increases, even though day-to-day
production becomes unpredictable. Another symptom of higher-than-usual estrogen
levels is bloating. Excess estrogen in the body leads to fluid retention, and
you may notice swelling, tightness and fullness in the abdominal area.
Gastrointestinal Distress
Fluctuating levels of estrogen in your body
during perimenopause can also increase gastrointestinal distress. You may
suddenly notice constipation or slow digestion, accompanied by bloating. Some
women also complain of increased flatulence, gas pain, indigestion and nausea
after eating, all reflecting digestive changes caused by hormonal imbalance.
Weight Gain
Some of your recent weight gain may be
caused by fluid retention. However, fluctuating estrogen levels also interferes
with appetite regulation, causing you to eat more than usual. Some women also
report more food cravings when their hormones are out of sync. Reduced estrogen
levels may also slow down metabolism. All these factors contribute towards
weight gain during perimenopause.
Difficulty Concentrating
Oscillating estrogen levels can make it
harder for you to focus and concentrate. It’s not uncommon for women to
experience foggy thinking and memory lapses during perimenopause. This can add
to your stress levels and anxiety when lack of concentration interferes with
work and chores.
Changes in Skin
Some women report severe dryness and skin
irritation during perimenopause. For others, the acne they thought they were
done with post adolescence returns with a vengeance. Changing hormone levels
can bring with them undesirable skin changes which also include – dark circles
under eyes, puffy eyes, increase in facial hair or unusual hair growth around
nipples and breasts. It’s not just skin though, you may also notice that your
nails become brittle and hair fall increases as hormones fluctuate.
Sleep Disturbances
Hormonal oscillations make it harder for you to get a good night’s sleep. Night sweats are a common factor. Studies have found that perimenopausal women experience more sleep disturbances just prior to menstruation, during the luteal phase, than they did during the phase after menstruation, the follicular phase, as the hormone progesterone influences sleep.
Changes in Mood
Fluctuating hormone levels during perimenopause can lead to
mood swings, irritability, feeling low, anxiety and depression. These are more
commonly seen in women who experience night sweats, due to lack of sleep,
fatigue and exhaustion.
Elevated LDL
As estrogen levels fall, it can cause LDL
or bad cholesterol levels to rise. These lipid changes increase risk of
cardiovascular disease and should be fixed with healthy lifestyle changes.
Low Libido
Lowered levels of estrogen can cause lowered sex drive. Studies have found that a close association exists between increasing irregularity of menstrual cycles, hot flashes, declining estrogen levels, and declining frequency of intercourse during the perimenopause.
Vaginal Dryness
Estrogen is crucial for
maintaining vaginal health. Lowered estrogen levels can lead to vaginal
dryness. Loss of hydration from vaginal tissue and thinning of vaginal walls
further contribute to reduced sex drive, as intercourse becomes more painful.
Bladder Problems
Low systemic levels of estrogen
can lead to a variety of bladder problems. You may notice that you become more
susceptible to urinary tract infections (UTIs) during perimenopause. Estrogen
decline can also cause urinary urgency, where you feel the need to urinate
frequently. In some cases, urinary incontinence may also occur where small
amount of urine may leak out during coughing, sneezing, laughing or lifting a
heavy object.
Bone Density Loss
Estrogen is intrinsically linked with maintain bone density. As estrogen levels diminish or fluctuate erratically, bones can become depleted of calcium. This leads to reduced bone density which can cause osteoporosis with time. It’s very important for perimenopausal women to maintain bone density.
Allergy Attacks
As estrogen levels wane,
your immune system weakens too. This makes you more susceptible to seasonal
allergies.
While these are the common symptoms of perimenopause, you can now see that it is just the precursor to menopause. The list of menopause symptoms[SA1] is slightly longer, so if your perimenopause symptom is not listed here, do check that out too.
If these distressing symptoms of perimenopause are
interfering with your quality of life, we highly recommend natural remedies and
alternative therapies to minimize your symptoms.
Sepalika’s Natural Menopause Treatment Program
The Sepalika Menopause Programme is scientifically designed
to help women deal with all the other symptoms of peri-menopause and menopause.
Each person’s treatment is tailor-made as per their symptoms, medical history
and lab test results. Progress is tracked till you get better and expert
supervision is available throughout the programme. Write to us at health@sepalika.com for more
information and to speak to a Health Coach today! Note: Program open only to
people in India
This article has been co-authored by Maneera Saxena Behl, a health and fitness who likes to help others improve their overall well-being by achieving the right balance between nutrition, exercise and mindfulness.
PCOS test is based on the Rotterdam criteria for diagnosing PCOS.
100%
We are sorry. At this moment, our program is open only to women between 18-45 years. We will soon launch programs on hormonal balance for teens and menopausal women. If you would like to be the first to know, please leave us your email ID below..
function currentSlide(n) {
showSlides(slideIndex = n);
}
function showSlides(n) {
var i;
var slides = document.getElementsByClassName("mySlides1");
var dots = document.getElementsByClassName("dot");
if (n > slides.length) {slideIndex = 1}
if (n < 1) {slideIndex = slides.length}
for (i = 0; i < slides.length; i++) {
slides[i].style.display = "none";
}
for (i = 0; i < dots.length; i++) {
dots[i].className = dots[i].className.replace(" active", "");
}
slides[slideIndex-1].style.display = "block";
// dots[slideIndex-1].className += " active";
}
function checkboxch(){
var ch1 =document.getElementById("checkbox8").checked;
var ch2 =document.getElementById("checkbox9").checked;
var ch3 =document.getElementById("checkbox10").checked;
var ch4 =document.getElementById("checkbox11").checked;
var ch5 =document.getElementById("checkbox12").checked;
var ch6 =document.getElementById("checkbox13").checked;
if( ch1|| ch2 || ch3 || ch4 || ch5 || ch6){
plusSlides(15);
}else{
alert("Choose Atleast One");
}
}
function checkboxch1(){
var weight = document.getElementById("weight").value;
var height = document.getElementById("height").options[document.getElementById("height").selectedIndex].value;
if((weight!="") && (height!="Your Height")){
plusSlides(2);
}else{
alert("Please Enter Your Height and Weight");
}
}
function checkboxch2(){
var ch1 =document.getElementById("checkbox021").checked;
var ch3 =document.getElementById("checkbox023").checked;
if( ch1|| ch3 ){
plusSlides(4);
}else{
alert("Choose Atleast One");
}
}
function checkboxch3(){
var ch1 =document.getElementById("checkbox031").checked;
var ch2 =document.getElementById("checkbox032").checked;
var ch3 =document.getElementById("checkbox033").checked;
if( ch1|| ch2 || ch3 ){
plusSlides(5);
}else{
alert("Choose Atleast One");
}
}
function checkboxch7(){
var ch1 =document.getElementById("checkbox71").checked;
var ch2 =document.getElementById("checkbox72").checked;
var ch3 =document.getElementById("checkbox73").checked;
var ch4 =document.getElementById("checkbox74").checked;
var ch5 =document.getElementById("checkbox75").checked;
if( ch1|| ch2 || ch3 || ch4 || ch5 ){
plusSlides(9);
}else{
alert("Choose Atleast One");
}
}
function checkboxch10(){
var ch1 =document.getElementById("checkbox101").checked;
var ch2 =document.getElementById("checkbox102").checked;
var ch3 =document.getElementById("checkbox103").checked;
var ch4 =document.getElementById("checkbox104").checked;
var ch5 =document.getElementById("checkbox105").checked;
var ch6 =document.getElementById("checkbox106").checked;
if( ch1|| ch2 || ch3 || ch4 || ch5 || ch6){
plusSlides(12);
}else{
alert("Choose Atleast One");
}
}
function checkboxch11(){
var ch1 =document.getElementById("checkbox111").checked;
var ch2 =document.getElementById("checkbox112").checked;
var ch3 =document.getElementById("checkbox113").checked;
var ch4 =document.getElementById("checkbox114").checked;
var ch5 =document.getElementById("checkbox115").checked;
var ch6 =document.getElementById("checkbox116").checked;
var ch7 =document.getElementById("checkbox117").checked;
var ch9 =document.getElementById("checkbox119").checked;
if( ch1|| ch2 || ch3 || ch4 || ch5 || ch6 || ch7 || ch9){
plusSlides(13);
}else{
alert("Choose Atleast One");
}
}
function checkboxch12(){
var ch1 =document.getElementById("checkbox121").checked;
var ch2 =document.getElementById("checkbox122").checked;
var ch3 =document.getElementById("checkbox123").checked;
var ch4 =document.getElementById("checkbox124").checked;
var ch5 =document.getElementById("checkbox125").checked;
var ch6 =document.getElementById("checkbox126").checked;
var ch7 =document.getElementById("checkbox127").checked;
if( ch1|| ch2 || ch3 || ch4 || ch5 || ch6|| ch7){
plusSlides(15);
}else{
alert("Choose Atleast One");
}
}
/*
//New Testi
var testiIndex = 1;
showTesti(testiIndex);
showTestishow();
function plusTesti(n) {
// showTesti(testiIndex += n);
showTesti(testiIndex = n);
}
function currentSlide(n) {
showTesti(testiIndex = n);
}
function showTesti(n) {
var i;
var slides = document.getElementsByClassName("testi-slide");
var dots = document.getElementsByClassName("dot");
if (n > slides.length) {testiIndex = 1}
if (n < 1) {testiIndex = slides.length}
for (i = 0; i < slides.length; i++) {
slides[i].style.display = "none";
}
for (i = 0; i < dots.length; i++) {
dots[i].className = dots[i].className.replace(" active", "");
}
slides[testiIndex-1].style.display = "block";
// dots[testiIndex-1].className += " active";
}
function showTestishow() {
var i;
var slides = document.getElementsByClassName("testi-slide");
for (i = 0; i < slides.length; i++) {
slides[i].style.display = "none";
}
testiIndex++;
if (testiIndex > slides.length) {testiIndex = 1}
slides[testiIndex-1].style.display = "block";
setTimeout(showTestishow, 3000); // Change image every 2 seconds
} */
This PCOS test is based on the Rotterdam criteria for diagnosing PCOS. The results are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Thank You for Reaching Out!
We appreciate you filling out our fertility form. Your journey to parenthood matters to us, and we’re here to help.
Our expert consultations and programs are designed to provide you with personalized guidance and support, tailored to your unique needs.
A team member will contact you soon to discuss your situation and schedule your free chat!