You may be feeling a mix of emotions as you navigate the unpredictable world of perimenopause. Your brain might feel like cotton candy, your periods may be irregular or heavier than normal, and your waistline might be disappearing along with your sleep. This roller-coaster ride is likely due to perimenopause, also known as the ‘menopausal transition.’
Dr. Sharon Malone, chief medical adviser to Alloy Women’s Health, explains that perimenopause is the phase between a woman’s peak reproductive years and menopause. During this time, estrogen levels fluctuate irregularly, causing a range of symptoms. Dr. Lauren Streicher, a clinical professor at Northwestern University, notes that many women are surprised by the changes in their bodies, thinking they only occur in their 50s. However, perimenopause typically starts in the mid-40s but can begin earlier, especially for women under stress, in poor health, or who smoke.
As someone who has been writing about menopause for over a decade, I understand the importance of shedding light on this often neglected topic. Perimenopause can catch women off guard, so it’s crucial to be informed.
Perimenopause can last a short time — or a long time
Each woman’s experience with perimenopause is unique, with the transition period ranging from three to four years on average but potentially lasting up to a decade. Genetic factors, as well as overall health and lifestyle, can influence the duration of perimenopause. The end of perimenopause is marked by 12 consecutive months without a period, signaling the onset of postmenopause.
Your genetics play a role
Genetics can play a significant role in determining when and how you experience perimenopause. Family history often provides clues about what to expect, including symptoms like hot flashes and night sweats. However, genetic factors may not always be the sole determinants of your perimenopause journey.
There are some surprising symptoms, from frozen shoulder to itchy ears
Perimenopause can bring about unexpected symptoms beyond the commonly known hot flashes and night sweats. Itchy skin, painful sex, heart palpitations, and anxiety are just a few examples of symptoms that may arise during this transition. It’s essential to recognize these signs and address them appropriately.
There’s a new drug to treat hot flashes
For women experiencing hot flashes and night sweats, hormone therapy has been a traditional treatment option. However, a new nonhormonal medication called elinzanetant shows promise in clinical trials for managing these symptoms. Discussing all available treatment options with your healthcare provider can help determine the best approach for your perimenopausal symptoms.
Perimenopause will pass
While perimenopause may feel like an endless roller-coaster ride, it is a natural phase of life that eventually transitions into postmenopause. Practicing healthy habits, seeking expert medical advice, and utilizing available resources can help ease the challenges of perimenopause. Remember, perimenopause is temporary, and relief from symptoms is possible.
As you navigate the ups and downs of perimenopause, remember to take care of yourself and seek support when needed. And don’t forget that humor can be a powerful tool in coping with the changes your body is going through. Embrace the journey, knowing that you are not alone in experiencing perimenopause.
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