Perimenopause – Frequently Asked Questions (FAQ)

1. What is perimenopause?

Perimenopause is the transition period before menopause, when the body gradually produces less estrogen. It can start several years before menopause and usually occurs in women between their late 30s and early 50s.

2. What are the symptoms of perimenopause?

Symptoms vary but commonly include:

  • Irregular periods (shorter, longer, heavier, or lighter than usual)

  • Hot flashes & night sweats

  • Mood swings, anxiety, or depression

  • Sleep disturbances & fatigue

  • Weight gain & metabolism changes

  • Vaginal dryness & discomfort

  • Decreased libido

  • Brain fog & difficulty concentrating

3. How long does perimenopause last?

Perimenopause can last anywhere from a few months to 10 years, but the average duration is about 4-8 years. Once a woman has gone 12 consecutive months without a period, she has officially reached menopause.

4. What causes perimenopause symptoms?

Symptoms are caused by fluctuating hormone levels, particularly a decline in estrogen and progesterone, which regulate the menstrual cycle and many other bodily functions.

5. How is perimenopause diagnosed?

There is no single test for perimenopause, but doctors may evaluate:

  • Menstrual cycle changes

  • Symptoms & medical history

  • Hormone level tests (in some cases)

6. Can I still get pregnant during perimenopause?

Yes! Although fertility declines, pregnancy is still possible until menopause is officially reached. If pregnancy is not desired, birth control is recommended.

7. What lifestyle changes can help manage symptoms?

  • Eat a balanced diet (rich in whole foods, calcium, and healthy fats)

  • Exercise regularly to support heart health and bone density

  • Prioritize sleep by maintaining a consistent routine

  • Manage stress with relaxation techniques like yoga or meditation

  • Avoid triggers for hot flashes (such as caffeine, alcohol, and spicy foods)

  • Stay hydrated and limit processed foods

8. What treatments are available for perimenopause symptoms?

Treatment options depend on the severity of symptoms and include:

  • Hormone Therapy (HT) – Helps balance estrogen levels

  • Non-hormonal medications – Can ease hot flashes and mood swings

  • Supplements – Such as calcium, vitamin D, and black cohosh for symptom relief

  • Lifestyle changes & natural remedies

9. When should I see a doctor?

Consult a healthcare provider if you experience:

  • Severe or disruptive symptoms

  • Very heavy or prolonged periods

  • Unexpected bleeding between periods

  • Symptoms affecting daily life or emotional well-being

10. Where can I find perimenopause support?

Good Morning Health provides education, symptom management strategies, and personalized support to help women navigate perimenopause with confidence. Contact us today to learn more!

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