Signs of perimenopause
They’re different for everyone. Learn more about signs that the body is in or nearing menopause.
As people progress through their reproductive years, a natural transition occurs from pre-menopause to perimenopause — yet another phase of their hormonal life.1
Perimenopause symptoms can come as a shock. But don’t panic. They’re a natural part of the transition to menopause and are a cue to start adjusting to this new phase of life.2
Here's information about what can be expected along the way and information about treatment options to discuss with a health care provider.
In this article:
What are the first signs of perimenopause?
People experience perimenopause differently, though there are a number of signs that indicate this phase of life has begun. (Learn more about various stages of menopause.)
Irregular periods are one — meaning more bleeding (known as flooding) or less than usual. Other changes to the menstrual cycle may include longer or shorter periods and a change in the frequency of periods.3,4
In addition, because estrogen and progesterone levels fluctuate during perimenopause, people may experience some of the other symptoms outlined below.5
What are the symptoms of perimenopause?
As ovaries slow and then ultimately stop production of estrogen and progesterone, a person may experience the following:6
- Difficulty sleeping
- Dry skin
- Hot flashes
- Irregular periods (lighter flow, heavier flow and shorter or longer cycles)
- Mood changes (anxiety, depression, irritability)
- More frequent migraines7
- Night sweats
- Sleep disturbances and insomnia
- Vaginal dryness
Learn more about menopause symptoms and treatment options.
Perimenopause age
Just as there is no one age at which someone gets their first period, there is no one age at which everyone enters perimenopause.8 Generally, perimenopause starts around ages 40 to 44, although some people experience this stage earlier or later in life.
How long does perimenopause last?
While perimenopause typically lasts for four to eight years, some are in this hormonal stage for less time, and some may go through it for as many as 10 years.9 Menopause happens after a person has not had a period for one year.
Perimenopause self-care
If perimenopause symptoms are interfering with day-to-day life, it’s worth discussing concerns with a health care provider. There are also some ways to help manage symptoms at home and make the transition easier:10
- Eat a diet filled with colorful vegetables, healthy fats, lean protein and whole grains11
- Quit smoking for overall health12,13
- Stay physically active to help with mood, sleep and weight gain
- Reduce alcohol and caffeine intake to support better sleep
- Try meditation or other stress-reduction techniques to help manage mood
OTC products to help with perimenopause symptoms
There are also some over-the-counter (OTC) products that may help with bothersome perimenopause symptoms. As always, discuss any new supplements or treatments with your health care provider before starting them.14 Depending on the particular symptoms, a health care provider may generally recommend a few different options:15
- Calcium supplements for bone health, taken with vitamin D for absorption16
- Cooling gel sheets for relief support from hot flashes and night sweats
- Hydrating face creams for dry skin
- Vaginal lubricants to help replace moisture loss17
Explore different options for calcium supplements, face creams and vaginal lubricants.
This content is for informational purposes only and is not medical advice. Consult your health care provider before taking any vitamins or supplements and prior to beginning or changing any health care practices.
