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Sometimes it seems like the only constant in women’s health is change. From the first signs of puberty, to potential pregnancy, to menopause, our bodies are constantly undergoing change and development. If you are a woman of a certain age or a woman approaching a certain age, you may know that perimenopause – the transitional stage between menstruation and menopause – comes with symptoms and signs that are clean. Like any biological process, the stage of perimenopause can present itself differently in different women, but there are usually telltale signs that perimenopause is ending and menopause is about to begin. Read on to learn more about these signs so you can be aware of the changes taking place in your body.

What is perimenopause?

The Mayo Clinic defines perimenopause as the time when your body goes through menopause. Meanwhile, estrogen – the hormone most closely associated with women’s sexual and reproductive health – fluctuates unevenly, causing a variety of uncomfortable symptoms. Most women experience this transition in their 40s or 50s, but some may begin in their mid-30s. The menopause education website Evernow notes that those who smoke cigarettes may experience the onset of perimenopause sooner than those who do not.

Are perimenopause and premenopause the same?

You might be wondering what is the difference between perimenopause and premenopause? They both occur before menopause, after all. The University of Pennsylvania clarifies the difference between the two: Premenopause is the stage that occurs between the first menstrual period and perimenopause, and perimenopause, which lasts about six years, is the stage just before menopause, when menstruation stops and women are no longer fertile. Women can still get pregnant during perimenopause, but due to the decrease in the number of eggs in the ovaries as women age, the chances of pregnancy decrease. It is important to check with your doctor if you have missed a period to determine the cause.

What are the symptoms of perimenopause?

There are two stages of perimenopause, says Women’s Health San Antonio. Early perimenopause, which usually occurs between the ages of 35 and 42, and late perimenopause, which usually begins between the ages of 45 and 50. The University of Pennsylvania notes that in general, women in either stage of perimenopause may experience:

These symptoms are due to varying levels of estrogen and carry certain risks. Perimenopause itself does not cause any disease, but changes in hormone levels, cholesterol, and blood pressure, which can occur alongside symptoms, can lead to other health problems. Be sure to consult your doctor to find the best symptom management plan for you.

What is the difference between early and late perimenopause?

In a video, women’s health expert and Harvard Medical School educator Dr. Heather Hirsch explains that because there are no tests to determine what stage of perimenopause you are in , it is difficult to give an exact diagnosis at the time – so retrospective diagnoses are more common. However, there are some differences between the stages.

In early perimenopause:

• Your periods may occur closer together, for shorter durations, or faster.

• You may have changes in memory, lack of concentration, or brain fog.

• You may have increased anxiety.

At the end of perimenopause:

• Your periods are more spaced out and less frequent.

• You may experience some symptoms of menopause, such as mood swings, night sweats, hot flashes, etc.

To watch Dr. Hirsch and to see more of his content, watch his video and channel below.

What are the signs that perimenopause is ending?

Once you know you’re in, you’re ready to get out. But how can you tell? The Mayo Clinic says perimenopause is officially over once you’ve gone a full year without a period — at which point you’ve entered menopause. Considering that perimenopause lasts about six years, however, one year is a long time to wait without knowing for sure whether perimenopause is about to go away or not. Although you may still experience the same symptoms as when perimenopause began, late perimenopause may present differently. Here are some additional signs that perimenopause may be ending:

Less frequent periods: If your period only comes every 60+ days and you skip a cycle here and there, perimenopause could be over soon, Evernow says.

Change in menstrual flow: The end of perimenopause is marked not only by a change in the timing of your period, but also by the regularity of the flow. Madison Women’s Health advises that bleeding heavier and lighter than you usually experience may be a sign of late perimenopause.

Hot flashes and night sweats: It’s true — some of the most well-known symptoms of menopause are a telltale sign that it’s just around the corner, according to health blog LifeRenu. If you start to feel hot and sweaty without strenuous exercise or in a high temperature environment, or if you wake up drenched in sweat, you may have had a hot flash or night sweats.

Vaginal dryness: BioID’s hormone experts note that declining estrogen levels can cause uncomfortable vaginal dryness that can continue through menopause. This can present as itching, pain, or pain during sex.

sleep problems: Night sweats can definitely disrupt your sleep, but hormonal fluctuations at the end of perimenopause can also make it harder to relax, fall asleep, and maintain sleep, says LifeRenu.

How to Manage Symptoms

Perimenopause and menopause are normal and natural stages in a woman’s life. While there is some comfort in togetherness that you are not alone, your symptoms are difficult and can admittedly be distressing. The Canadian Center for Menstrual Cycle and Ovulation Research provides three simple tips on managing perimenopause symptoms:

Take time for yourself.

Self-care is not an indulgence, it’s a necessity. This means making time for things that benefit you, such as exercising, meeting friends, and resting and relaxing. Taking care of yourself will help keep you mentally, physically, and emotionally stable so you can face whatever perimenopause throws at you.

Confide in someone you trust.

Hormonal mood swings, in addition to experiencing a major change in your body, can be overwhelming. Talking to someone you trust, whether it’s a friend, family member, or counselor, about your symptoms, thoughts, and feelings can help.

Talk to your doctor about medications.

Over-the-counter pain relievers can help you manage menstrual issues like cramps and headaches, and certain vitamins can help manage other symptoms, like hot flashes and sleep problems. Consult your doctor to see which medications might benefit you.

Being a woman is not always easy, especially with age. But as difficult as it may be, every age is a new opportunity, and experiencing those opportunities is a gift. As Oprah Winfrey said, “From my perspective, every year can be a whole new journey. Think about it: you have a chance of being 25, 38, 44, 61 and all ages before and between Why wouldn’t you want to experience all the wonders of every step of your way Enjoy each stage of life for its unique characteristics, even those that involve hot flashes.

This content is not a substitute for professional medical advice or diagnosis. Always consult your doctor before proceeding with any treatment plan.