Wednesday, March 3, 2021

All you need to know about perimenopause

Detecting perimenopause and offering treatment in time provide a window of opportunity for long term benefits in conditions like protection against cardiovascular disease or osteoporosis

Reading Time: 3 minutes

Most women know the signs of menopause which happens around the age of 50. But there is another phenomenon called perimenopause which many are unaware of and tend to ignore. 

Perimenopause – The term means “around menopause”, is a time when your hormones undergo changes in preparation of menopause

- Advertisement -

Here, the level of estrogen (the female hormone) falls and women may also begin to have cycles where they do not ovulate (release an egg). Most women begin their perimenopause period at some point after their mid-40s. Many could also skip this stage entirely and directly experience menopause. But there are also cases when perimenopause could hit you as early as in your mid-30s.

The symptoms of perimenopause can be subtle, they come on gradually and many women fail either to notice it or just tolerate the changes. This phenomenon is generally ignored by most people. But it is very important that whenever you experience changes in your menstrual cycle that interfere with your day to day life and well-being that you go see a doctor as these symptoms may indicate perimenopause. If experienced at an early age like in your 30s, perimenopause will cause problems in conceiving and can cause infertility.

The expert shares some features of perimenopause:

  • Periods are irregular: The length of time between periods will start to vary as a woman starts experiencing perimenopause. Ovulation becomes irregular and you may have a space of 60 days or more between periods.
  • Hot flushes & night sweating: You may suddenly feel feverish during perimenopause. Hot flashes may also be accompanied by redness of skin and excessive sweating. Your sleep patterns are also likely to be affected.
  • Fertility decreased: Due to irregular ovulation, you may experience problems in conceiving. The levels of estrogen, progesterone and other essential hormones decrease during perimenopause. The quality of the egg decreases leading to infertility.
  • Mood swings: Due to change in sleeping patterns and hot flashes, women tend to get irritable and depressed during perimenopause.
  • Problems related to the Vagina and the bladder: Low levels of estrogen will lead to loss of lubrication and elasticity in the vagina. Due to this intercourse may be painful. Libido also decreases. Diminishing estrogen levels will make women more susceptible to urinary and vaginal infections.
  • Decrease in Bone Mass: Estrogen is the hormone that protects the bones in women. During perimenopause, as estrogen levels fall leading to bone loss. This also makes women more vulnerable to osteoporosis. This is a disease where your bones become so brittle that a simple fall or even mild bending/stretching may lead to fractures.

When should you see a doctor?

Irregular periods are quite common due to multiple reasons and most often than not women tend to generally ignore them. However, it is important to pay attention if this becomes a regular occurrence and schedule an appointment when one experiences the below symptoms:

  • Extremely heavy bleeding or if the bleeding has clots
  • Spotting between periods
  • Bleeding last for more than 7 days
  • Spotting after intercourse
  • Painful bleeding or painful intercourse

Diagnosis and Treatment

Doctors take many things into consideration before determining whether a woman has entered perimenopause or not. There are a number of factors like age, menstrual history, the symptoms shown etc. There is no one test or process to determine this.

Perimenopausal complications can be treated with drug therapies like:

  • Hormone Therapy: This is the most effective form of treatment used to relieve the complications. Estrogen doses are given in the form of pills, skin patch, gels or creams to reduce your perimenopausal symptoms.
  • Estrogen administered into vagina: This form of treatment will help reduce the vaginal dryness caused due to decrease in the estrogen levels due to perimenopause. It will provide relief from vaginal and urinary infections.

Art procedures like IVF/ ICSI may be needed for women wanting to become pregnant.

It is very important to consult a gynaecologist to plan the course of medication. It is very easy to ignore mild symptoms like irregular periods or mood swings but remember these may all indicate underlying perimenopause. Detecting perimenopause and offering treatment in time provide a window of opportunity for long term benefits in conditions like protection against cardiovascular disease or osteoporosis. Talk to your doctor about the options available, check for risks and benefits and then make an informed decision.

READ ALSO: Hold-off pregnancy plans till virus is contained

- Advertisement -

Related Articles


Please enter your comment!
Please enter your name here


Ep 9: What do young Indians want from love?

Growing up in Indian culture, most of us know that love has never been as popular as marriage. Even in the movies, the main...

Ep 8: Indian links in Indigenous Australian poet Ali Cobby Eckermann’s...

To celebrate NAIDOC week 2020 (between 8-15 November) I spoke to Yakunytjatjara poet Ali Cobby Eckermann about her time in India where she taught...

Ep 7: In the case of Sushant Singh Rajput

  The torrid and high-octane Sushant Singh Rajput case has been fodder for Indian people and press for the last few months. The actor’s tragic...

Latest News

sexual assault survivor, sexual assault counsellor, sexual assault victim

I’m a sexual assault counsellor. Here’s why it’s so hard for...

  As a senior sexual assault counsellor working with Sydney’s Royal Prince Alfred Hospital, I often sit across from people on the worst day of...
dee domingo and raj shekhawat

A tinnitus update on World Hearing Day

  World Hearing Day is celebrated on 3 March to raise awareness on how to prevent deafness along with promoting ear care. I spoke to...

Book Review: ‘Ritu weds Chandni’ by Ameya Narvankar

  "But what is wrong with that? Why shouldn't she marry Chandni didi?," asks Ayesha, the young protagonist in Ameya Narvankar's Ritu weds Chandni. The innocent...
axar patel indian cricket player

IND v ENG: A historic Test… for all the wrong reasons

  The only bigger joke than the wicket prepared for the 3rd cricket Test between England and India at Ahmedabad’s Motera Stadium, was the renaming...
Queer support group Trikone Australia’s Alan Maurice, Kunal Mirchandani and Ravin chat with Bageshri Savyasachi

South Asians talking about Mardi Gras

  Pride week has already begun in Australia! Since Sydney's fabulous Mardi Gras parade is coming up this weekend, I had a chat with members...