What is Perimenopause?

Perimenopause translates to “around menopause.” Think of it like the warmup act before the main show. Although you can’t exactly pinpoint when perimenopause will start, for most women, it’s sometime around their mid-to-late 40s. On average, this stage lasts for about four years, but can be as little as a few months or last up to eight years. During perimenopause, your ovaries produce less estrogen, which can make your periods irregular and unpredictable. And those infamous hot flashes? Think of them as your body’s way of telling you that change is in the air!

Perimenopause Symptoms

These may include:

  • Irregular periods
  • Periods that are lighter or heavier than normal
  • Weight gain
  • Concentration difficulties
  • Urinary tract infections (UTIs)

What is Premenopause?

Premenopause translates to “before menopause,” known as the transition phase into menopause—basically the calm before the storm. For most women, it starts between their 40s and early 50s, lasting for about six years. During premenopause, you have no symptoms of perimenopause or menopause, but some hormonal changes may be occurring. Your period still happens, whether it’s regular or irregular, but without the extra drama!

Premenopause Symptoms

This phase is usually symptom-free—a gift of grace before things begin to shift. During premenopause, your hormones are still steady for the most part, and your body isn’t throwing any curveballs yet. No sudden hot flashes, mood swings or unexpected changes, just business as usual. Enjoy this grace-filled phase before things begin to shift.

Key Differences

  • Perimenopause
    • Fluctuating hormone levels
    • Irregular cycles and changing periods
    • Menopausal symptoms like mood swings, sleep issues and hot flashes
  • Premenopause
    • Stable hormone levels
    • Regular menstrual cycles
    • No major menopausal symptoms

Embracing the Change

Each woman’s experience is her own. Some may go through these changes with minimal difficulty, while others may find perimenopause challenging. Here are some tips to help you celebrate and own the change:

  • Understand the Process: Knowledge is power, so educate yourself on what to expect during each stage. Not only will you know how to better manage symptoms and make informed decisions about your health, but being informed can also help ease anxiety during the transition.
  • Practice Self-Care: Incorporate healthy habits like gentle exercise, a consistent sleep schedule or simply indulging in your favorite hobby. Taking time to care for your mental and physical well-being can help alleviate common symptoms.
  • Talk to Your Doctor: If you’re having symptoms that are disrupting your daily life, seek support from your doctor. They can guide you through management strategies and explore potential treatment options if needed.

Understanding the differences between perimenopause and premenopause isn’t just about putting a name on a phase of life. It’s also about embracing your health and well-being with confidence. Embrace this natural transition in life with self-compassion and curiosity. After all, if your body is going to throw you a few curveballs (or hot flashes), you might as well enjoy the ride. When you know what to expect, you’re better prepared to navigate those changes with grace and strength.

Sources: Healthline, Medical News Today, Penn Medicine