Perimenopause is the transitional phase leading up to menopause, marking the end of a woman’s reproductive years. It typically begins several years before menopause, when the ovaries gradually produce less estrogen.
Symptoms can vary widely but commonly include:
Perimenopause typically starts in a woman’s 40s, but it can begin earlier or later. The average age for perimenopause onset is around 45 years old.
Perimenopause can last for several years, averaging around 4-5 years. However, for some women, it can last as little as a few months or extend up to 10 years before menopause occurs.
Perimenopause is usually diagnosed based on symptoms and changes in menstrual patterns. Blood tests measuring hormone levels, such as estrogen and FSH (follicle-stimulating hormone), can also help confirm the transition.
During perimenopause, women may be at increased risk of osteoporosis due to declining estrogen levels. They may also experience cardiovascular changes and an increased risk of mood disorders such as depression and anxiety.
Management strategies may include lifestyle changes (e.g., regular exercise, healthy diet), hormone therapy (HT) to alleviate severe symptoms, and medications for specific symptoms like antidepressants for mood swings.
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