10 Symptoms of Perimenopause & How To Manage Them

Reviewed by Dr. Kenton Bruice, MD

Reading Time: Four minutes

Perimenopause represents a transitional stage for women. It’s a period where the body prepares for menopause, marking the end of reproductive years.

Perimenopause looks different for every woman, and it can have varying effects on your mental, emotional, and physical health. In this article, we’ll explore 10 common symptoms of perimenopause and how to manage them.

What is Perimenopause?

Perimenopause is characterized by a decrease in the number of functional ovarian follicles, resulting in fluctuations in hormone levels and menstrual irregularities. This transitional stage can last for several years before menopause occurs, typically starting in the mid-forties.

During perimenopause, women may experience a range of symptoms as their bodies adjust to lower estrogen and progesterone levels.

Common Symptoms of Perimenopause

  1. Irregular periods – as ovulation becomes less predictable, periods may become longer, shorter, heavier, or lighter.
  2. Mood changes – perimenopause can cause mood swings, anxiety, irritability, and depression due to fluctuations in estrogen and progesterone levels.
  3. Hot flashes – sudden episodes of intense heat that can cause flushing or sweating.
  4. Sleeping difficulties – changes in hormone levels can lead to difficulties falling asleep or staying asleep.
  5. Vaginal dryness – decreased estrogen levels can cause vaginal dryness, leading to discomfort during intercourse.
  6. Decreased fertility – while pregnancy is still possible during perimenopause, the chances decrease as ovulation becomes less frequent and hormone levels fluctuate.
  7. Changes in libido – hormonal changes can also affect sex drive and sexual function.
  8. Weight changes – hormonal imbalances can contribute to weight gain, particularly in the abdominal area.
  9. Urinary incontinence – weakened pelvic floor muscles due to decreased estrogen levels can lead to urinary leakage.
  10. Bone loss – the decrease in estrogen during perimenopause can also result in bone loss, increasing the risk of osteoporosis.

Managing Symptoms with Bioidentical Hormones

Bioidentical hormone replacement therapy is a form of hormone therapy that replaces the hormones our bodies are no longer producing.  These hormones are structurally identical to the ones naturally produced by our bodies, making them more easily recognized and utilized. 

BHRT restores balance to the body by replenishing the hormones that have declined during perimenopause, resulting in better quality of life.

Benefits of BHRT for managing perimenopause symptoms include:

  • Regulation of menstrual cycles
  • Improved mood and decreased risk of depression and anxiety
  • Relief from hot flashes and sleeping difficulties
  • Improved vaginal dryness and sexual function
  • Help with weight management
  • Protection against bone loss and osteoporosis

How Dr. Bruice Can Help

If you’re experiencing symptoms of perimenopause, it’s important to consult with a healthcare professional who is knowledgeable about this transitional stage. 

Dr. Kenton Bruice is a leading expert in bioidentical hormone replacement therapy and has helped countless women manage the symptoms of perimenopause. Through thorough testing and personalized treatment plans, Dr. Bruice can help you navigate this stage of life and improve your overall well-being.

Here is what his patients have to say:

“I have been a patient of Dr. Bruice for several years and have been extremely satisfied with his knowledge and expertise about hormone therapy. He applies that to my unique requirements and thoroughly explains the rationale and medical reason for any change he recommends. Additionally, he is always responsive to any communication between visits. I recommend him very highly.”

“Dr Bruice has been has been essential to balancing my hormones.  I highly recommend him to prescribe the needed hormones to bring your life back into balance. No more night sweats, or hot flashes. No more emotional roller-coasters.  He works to make sure your feeling your best.  He even answers emails to help make any adjustments to changing needs.  Highly recommend!”

“I’ve had a really positive experience with Dr. Bruice! He is incredibly knowledgeable, kind and empathetic towards his patients. I am overjoyed with the results of my treatment thus far and look forward to thriving in my 40’s with the support of a great Doctor.”

BHRT in Denver

If you are struggling with symptoms of perimenopause, don’t suffer any longer! Reach out to Dr. Bruice at his Denver or Aspen location. He offers hormone testing and personalized treatment plans to help you manage your symptoms and improve your quality of life during this transitional stage.

Contact our office today to schedule a consultation and start feeling like yourself again!  You don’t have to go through perimenopause alone – let Dr. Bruice be your partner in health and wellness.

To book an appointment at our Denver location, call (303) 957-6686.

To book an appointment at our Aspen location, call (970) 925-6655.

Questions? Complete the online inquiry form, and we’ll get back to you as soon as we can.

Frequently Asked Questions

What is the average age of perimenopause?

The average age of perimenopause is typically around the late 40s, although some women may experience it in their 30s. Perimenopause is the transitional stage before menopause, when the ovaries gradually produce less estrogen. This phase can last anywhere from a few months to several years, and it signals the end of a woman’s reproductive years.

When does perimenopause end and menopause begin?

Perimenopause ends and menopause begins when a woman has gone 12 consecutive months without a menstrual period. This is typically around the age of 51, but it can vary for each individual

What is the last stage of perimenopause?

The most common sign that perimenopause is ending and menopause is beginning is increased time between periods. At the end of perimenopause, your periods will be 60 days or more until they stop entirely.

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