It's not an old lady thing—symptoms of perimenopause can begin as early as your mid- to late-30s. Try these doctor-approved survival tips.
Many of the patients Dr. Wendy Wolfman sees as director of Mount Sinai’s Mature Women’s Health Clinic in Toronto are surprised—and less than thrilled—by the sudden onset of symptoms of perimenopause. “They often feel that they haven’t been told enough about what’s happening to their bodies,” she says. “And many women put up with symptoms unnecessarily.”
Perimenopause means “around menopause” and usually kicks in during your 40s as your ovaries start producing less estrogen and your reproductive system starts winding down. It can last anywhere from five to 10 years—until yourThe symptoms, Dr. Wolfman says, can be troublesome and disruptive. One of the first signs of perimenopause is shorter menstrual cycles and heavier, more irregular periods. You may also experience hot flashes, headaches, vaginal dryness and mood swings.
For more severe bleeding, your doctor may prescribe hormonal therapy, such as straight progestin, or combined oral contraceptives that contain both progestin and estrogen. “If you’re not a smoker, the birth control pill can be used to manage menstruation and heavy bleeding until you reach menopause,” Dr. Wolfman says., they may become more frequent or intense during perimenopause. Even women who never experienced migraines in the past can begin being afflicted by them, says Dr. Wolfman.
Perimenopause is a natural part of aging, Dr. Wolfman says, and it doesn’t have to get in the way of your life—especially if you take steps to manage your symptoms.
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