Perimenopause, which means "around menopause," is the transitional period before a person's periods stop for good. It can start in your 40s, but for some, it begins in their 30s. During this time, the ovaries begin to produce less estrogen, leading to a variety of changes. It's a natural life stage, but it can be confusing. Here's what to look for.

Common Signs of Perimenopause

Because of the fluctuating hormone levels, you may start to experience a new set of symptoms.

• Irregular Periods: This is often the first sign. Your cycle length may become longer or shorter. You might have heavier or lighter flows, or you might skip some periods altogether. Tracking your cycle becomes incredibly helpful here to notice these changes.
• Hot Flashes and Night Sweats: The classic menopause symptom. A hot flash is a sudden feeling of warmth that spreads through the body, often causing flushing and sweating.
• Sleep Problems: Trouble sleeping can be caused by night sweats, but it can also be a symptom on its own.
• Mood Changes: Increased irritability, anxiety, or feelings of depression are common, much like a more intense version of PMS.
• Vaginal Dryness: Lower estrogen can lead to tissues becoming thinner and less lubricated, which can make intercourse uncomfortable.

Managing Symptoms

While you can't stop perimenopause, you can manage the symptoms through lifestyle adjustments and medical support.

• Lifestyle First: A balanced diet, regular exercise (especially weight-bearing exercise for bone health), and stress management techniques like meditation are your first line of defense.
• Dress in Layers: This can help you manage hot flashes by easily removing clothing when you feel one coming on.
• Talk to Your Doctor: Don't hesitate to seek medical advice. Your doctor can discuss options ranging from low-dose birth control pills to regulate cycles, to hormone replacement therapy (HRT) if symptoms are severe.

You officially reach menopause when you've gone 12 consecutive months without a period. Perimenopause is the journey to that destination, and while it has its challenges, understanding what's happening can empower you to take control of your health.