Perimenopause

One of the best things about this midlife transition is that it wakes you up to the need for positive change. It's kind of like your alarm clock. Each time you hit snooze, the volume gets louder. Things you've been putting off have begun to catch up with you and your body is holding you accountable. Those "oh, if only I had prepared for this earlier" thoughts begin to pop into your mind, nudging you into action. It's time! 

Perimenopause, the long phase preceding actual menopause, is characterized by significant hormonal fluctuations which can last several years. During this period, the levels of estrogen and progesterone, once regular and predictable, become increasingly erratic, leading to a multitude of physical and emotional symptoms. Understanding these hormonal fluctuations and their impacts is essential to help you navigate this time of profound change and maintain your quality of life.
 

At the outset of perimenopause, menstrual cycles become irregular, with shorter or longer intervals between periods. This irregularity is due to a progressive decrease in the production of estrogens by the ovaries, which become less sensitive to the stimulation of pituitary hormones, FSH (follicle-stimulating hormone), and LH (luteinizing hormone). Estrogen levels can fluctuate unpredictably, ranging from high peaks to deep troughs from one cycle to the next, or even from one day to another. These fluctuations can cause symptoms such as hot flashes, night sweats, mood swings, sleep disorders, vaginal dryness, and more.
 

Fluctuations in progesterone, the hormone produced after ovulation, can also be a source of discomfort during perimenopause. When cycles become irregular, ovulation may not occur at each cycle, leading to decreased progesterone production. This imbalance between estrogen and progesterone can worsen the symptoms of perimenopause, including mood swings, anxiety, and sleep disorders. Some women also report a worsening of premenstrual symptoms, such as bloating, breast tenderness, and migraines, during this period.
 

It is important to note that the hormonal fluctuations of perimenopause are not limited to estrogen and progesterone. The production of testosterone, although already low in women, can also decrease during this period, contributing to a decrease in libido and energy. Stress hormones, like cortisol, can also be affected by hormonal changes and the impact of perimenopause symptoms on quality of life. A high stress level can exacerbate symptoms and make it more difficult to adapt to this period of transition.
 

Faced with these hormonal fluctuations, each woman reacts differently. Some go through perimenopause without too much trouble, while others see their quality of life significantly impacted. Medical history, lifestyle, diet, and stress levels are all factors that can influence each woman's experience. It is essential to remember that there is no "norm" in perimenopause, and each woman needs to be supported in a personalized way, tailored to her needs and preferences.
 

As your menopause coach, I help you better understand the hormonal fluctuations you're going through and manage their daily impacts. I guide you toward symptom management strategies, such as adopting a balanced diet, regular physical activity, stress management through relaxation techniques, and, if necessary, the use of hormonal treatments or alternative medicines. My knowledge and skills will be invaluable in helping you navigate this transitional period with greater serenity and confidence.