A Consultant Gynecologist’s Guide for Women in Transition
What Is Perimenopause?
Perimenopause is the natural phase before menopause, when your body begins to transition out of the reproductive years. It can start in your 40s (sometimes earlier) and last several years.
Common Symptoms of Perimenopause
Every woman’s experience is different, but typical symptoms include:
Irregular periods (shorter, longer, heavier, or skipped)
Hot flashes and night sweats
Sleep disturbances
Mood swings, irritability, or anxiety
Fatigue or low energy
Weight gain, especially around the abdomen
Vaginal dryness or discomfort during sex
Reduced libido
Poor concentration or “brain fog”
Breast tenderness
Urinary urgency or infections
How Do I Know It’s Perimenopause?
Your symptoms, age, and menstrual pattern are the biggest clues. In some cases, hormone blood tests may be done to assess levels of FSH, estrogen, or thyroid function, especially if your symptoms are unusual or if you’re under 40.
How Can I Manage These Symptoms?
You don’t have to suffer in silence—help is available. Management options include:
Lifestyle Adjustments
Eat a balanced diet rich in calcium, iron, and whole foods
Engage in regular physical activity to reduce stress and weight gain
Practice stress-reducing habits like yoga, mindfulness, or journaling
Avoid smoking and limit alcohol or caffeine
Medical Treatments
Hormone replacement therapy (HRT) for symptom relief
Non-hormonal medications for mood, hot flashes, or sleep issues
Vaginal estrogen creams for dryness or discomfort
Calcium and vitamin D supplements to protect bone health
Emotional Support
Speak openly with your doctor about how you’re feeling
Join support groups or connect with other women experiencing the same
Address anxiety or low mood early—mental health is important too
When Should You See a Gynecologist?
If your symptoms are affecting your quality of life—whether it’s sleep loss, low energy, or mood changes—it’s time to speak with a gynecologist. A proper assessment can help rule out other causes and create a personalized care plan.
Embrace the Change with Confidence
Perimenopause is a normal life phase, with guidance, medical support, and lifestyle care, you can continue to feel strong, capable, and well.
