Perimenopause 

Perimenopause is that stretch of time leading up to menopause when estrogen, progesterone, and testosterone begin to fluctuate, sometimes subtly, sometimes like they’re on a hormonal rollercoaster. It often kicks off in your late 30s or 40s and can last for two or even up to ten years before the grand finale (a.k.a. menopause). 

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What Kind of Symptoms Are We Talking About?

The list is long and varied as hormones affect all systems of the body. Here's what may pop up. (Note: while these may be related to perimenopause, always check with your doctor to discuss new symptoms to see if something else could be going on.)

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• Hot Flashes & Night Sweats

• Heart Palpitations 

• New or worsening anxiety or depression

• Trouble sleeping 

• Mood swings 

• Migraines or headaches

• Brain fog or forgetfulness

• Trouble concentrating

• Fatigue 

• Dizziness or vertigo

• Decreased libido

• Joint pain, stiffness, or frozen shoulder

• Crawly, itchy skin or tingling feelings

• Restless legs

• Electric shock sensations 

• Ringing in the ears or itchy ears

• Burning tongue 

• Phantom smells — like smoke or mildew, when nothing’s there

• Thinning hair

• More belly fat or a shift in shape even without weight gain

• Bloating and digestive changes

• Swollen hands and feet

• Breast tenderness

• Irritated or inflamed gums

 

Vaginal and Urinary Changes

• Vaginal dryness, irritation, or burning

• Painful intercourse

• Frequent urination

• Recurrent UTIs

• Changes in vaginal discharge

 

What About My Periods?

They may become irregular — heavier, lighter, longer, shorter, or skipping months entirely. Other symptoms may start before your periods start to change. So if your cycle’s still “normal,” that doesn’t mean you’re not in perimenopause.

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You're Not Alone

Perimenopause can feel overwhelming, but the good news is that you don’t have to navigate it alone. Understanding what’s happening is the first step toward feeling more like yourself again — and there are effective strategies to help you feel better, stronger, and more supported during this transition.