Many women expect symptoms of the menopause to begin once their periods stop. In reality, the hormonal changes leading up to menopause often begin much earlier. This stage is known as perimenopause, and it can last for several years before menopause officially occurs.
Because the symptoms develop gradually and often affect many different parts of the body, perimenopause is frequently mistaken for stress, ageing, or simply being “run down”. Understanding the early signs can help you recognise what may be happening and explore the treatment options available.
What is perimenopause?
Perimenopause is the transition leading up to menopause.
During this time, your ovaries gradually produce lower levels of oestrogen and progesterone. These hormonal changes can affect many different systems throughout the body, resulting in a wide range of symptoms.
Unlike menopause, which is defined as having no periods for 12 consecutive months, women in perimenopause often continue to have menstrual cycles, although they may become less predictable.
For many women, this stage can begin in their 40s, although the exact timing varies. If menopause symptoms begin before the age of 45, it’s important to speak to your GP, as this may need further assessment.
