Everything You Wanted to Know About Perimenopause But Were Too Afraid to Ask!
Share
Important information
The content on this blog is provided for general educational purposes only and is not intended to diagnose, treat, cure, or prevent any medical condition. Information shared here should not be considered medical advice or a substitute for consultation with a qualified healthcare professional. The Original Velvet is a cosmetic moisturiser for external use. It is not intendedto diagnose, treat, cure, or prevent any disease or medical condition.
Understanding Perimenopause: Your Guide to Navigating the Transition
Perimenopause is a natural stage of life that most women experience—yet it’s often misunderstood, overlooked, or dismissed. While menopause tends to be more widely discussed, perimenopause—the transitional phase leading up to menopause—can be just as impactful, physically and emotionally.
Understanding what’s happening can help you manage symptoms and protect your long-term health.
In this guide, we’ll explore:
- What perimenopause is
- Common symptoms
- How long it lasts
- Practical ways to manage the transition
- When to seek medical advice
What Is Perimenopause?
Perimenopause is the stage leading up to menopause, when your ovaries gradually produce less oestrogen. This hormonal shift typically begins in your mid-to-late 40s, although it can start earlier or later. It officially ends when you've gone 12 consecutive months without a menstrual period, marking menopause.
During this time, fluctuations in oestrogen and progesterone can trigger a wide range of physical, emotional, and mental changes.
This is also a good time to check in with your GP. Midlife health checks can help monitor your risk for conditions such as heart disease, osteoporosis, and genitourinary symptoms related to hormonal changes. If you are younger than 40 and suspect Perimenopause, it's really important to have a medical check.
Common Experiences of Perimenopause
Up to 80% of women report at least one disruptive symptom during perimenopause.
Source: Australasian Menopause Society
Perimenopause affects everyone differently, but the following changes are the most common:
1. Irregular Periods
Changes in your menstrual cycle—such as heavier, lighter, shorter, longer, or missed periods—are often one of the first signs.
2. Hot Flushes and Night Sweats
Sudden feelings of heat or excessive sweating can occur at any time, especially at night, often affecting sleep quality.
3. Sleep Disturbances
Falling asleep or staying asleep can become difficult. Hormone shifts, night sweats, and stress may all play a role.
4. Mood Changes and Anxiety
Some women experience increased irritability, anxiety, or low mood. If these symptoms are interfering with daily life, it’s important to seek support from a healthcare professional.
5. Genital Dryness and Discomfort
Lower oestrogen levels can lead to genital dryness, itching, and discomfort, especially during intimacy. It can also contribute to urinary changes or increased susceptibility to urinary tract infections (UTIs). These symptoms are commonly grouped under Genitourinary Syndrome of Menopause (GSM).
6. Brain Fog and Forgetfulness
Many women report difficulties with focus, short-term memory, and mental clarity—often described as “brain fog”.
7. Changes in Libido
Sexual desire may fluctuate, either increasing or decreasing, often influenced by hormone levels, stress, and physical discomfort.
8. Weight Gain
Weight gain—especially around the midsection—is common, often due to metabolic changes and hormonal shifts.
9. Hair Thinning and Dry Skin
Reduced oestrogen affects collagen and hair growth, leading to thinning hair, dry skin, and increased skin sensitivity.
How Long Does Perimenopause Last?
Perimenopause typically lasts between 4 to 10 years, although the duration varies from person to person. Some may have only mild symptoms for a short period, while others experience ongoing changes over several years.
The average age of menopause in Australia is 51, but this varies depending on genetics, health conditions, and lifestyle.
How to Cope with Perimenopause Symptoms
Thriving through perimenopause involves a combination of lifestyle changes, medical support, and attention to your overall wellbeing. Here are some strategies to consider:
1. Stay Active
Regular physical activity can help manage weight, support bone health, improve sleep, and reduce stress.
Recommended activities include:
- Cardiovascular exercise (e.g. walking, swimming)
- Strength training for muscle and bone support
- Balance and flexibility exercises
2. Eat a Balanced, Nutrient-Rich Diet
A healthy diet supports hormonal balance and overall health. Aim for:
- Whole grains, fresh fruit and vegetables
- Lean protein sources
- Calcium and vitamin D to support bone density
3. Consider Menopause Hormone Therapy (MHT)
Also known as Hormone Replacement Therapy (HRT), MHT is effective in treating moderate to severe symptoms such as hot flushes, night sweats, and genital discomfort.
MHT is not suitable for everyone, so it’s important to speak with your doctor about your medical history and personal needs.
4. Manage Stress
Stress can make perimenopausal symptoms worse. Incorporating relaxation techniques such as deep breathing, mindfulness, yoga, or tai chi can support emotional wellbeing.
5. Improve Sleep Hygiene
Good sleep habits can ease insomnia and fatigue. Try:
- Keeping a regular sleep routine
- Avoiding caffeine and alcohol before bed
- Creating a calm, cool sleep environment
- Using relaxation tools like breathing exercises or herbal teas
6. Talk to Your Healthcare Professional
A qualified healthcare professional can help you:
- Confirm whether you're in perimenopause
- Rule out other conditions that may mimic symptoms
- Provide personalised treatment options
- Refer you to a menopause specialist if needed
Perimenopause is a normal transition, not something you need to “put up with.”
Your primary healthcare professional can guide you through options that support your comfort and health.
Take Away
Perimenopause is a significant and natural life transition, but it doesn’t have to be overwhelming. With the right knowledge, support, and self-care strategies, you can navigate this phase with greater ease and confidence.
Important information
The content on this blog is provided for general educational purposes only and is not intended to diagnose, treat, cure, or prevent any medical condition. Information shared here should not be considered medical advice or a substitute for consultation with a qualified healthcare professional.