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What is perimenopause and what are its symptoms in women

What is Perimenopause and How to Manage It

Perimenopause is a specific period in every woman's life that is often misunderstood and under-discussed. It is the transitional phase between the reproductive years and menopause, during which there is a gradual decline in the production of hormones, especially estrogen and progesterone. This process is individual and can last several months or even years. It typically begins around the age of forty, but for some women, it may start earlier, which can be linked to genetic predispositions or lifestyle.

Perimenopause is a natural part of the aging process for a woman's body, but its course can be very varied. Some women go through this period almost unnoticed, while others face a range of unpleasant symptoms that can significantly affect their daily lives. The key to successfully managing perimenopause is understanding these changes and taking an active approach to health care.

What are the Symptoms of Perimenopause?

One of the first symptoms that women may notice during perimenopause is irregular menstruation. Monthly cycles can become unpredictable – menstruation may be longer, shorter, heavier, or lighter than usual. This phenomenon is a direct result of fluctuating hormone levels that affect ovulation and the preparation of the uterine lining.

In addition to changes in the menstrual cycle, another characteristic sign of perimenopause is hot flashes. These sudden waves of heat, often accompanied by sweating and a rapid heartbeat, can be very unpleasant and bothersome. Hot flashes may last from a few seconds to several minutes and often occur at night, which can lead to disrupted sleep.

Other common symptoms include mood swings and increased irritability. These emotional fluctuations are caused not only by hormonal changes but also by stress, which may arise from misunderstanding and frustration over what is happening with the body. Some women may experience anxiety, depressive moods, or even a loss of interest in activities they previously enjoyed.

Perimenopause can also affect sexual life. A decrease in estrogen levels can lead to vaginal dryness, causing discomfort during intercourse. This may also be associated with a loss of libido, which is another factor that can affect a woman's overall well-being and self-confidence.


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How Does Perimenopause Affect Sleep?

One of the most significant problems women face during perimenopause is insomnia. Hormones play a crucial role in regulating the sleep cycle, and their fluctuations can cause problems with falling asleep or frequent awakenings during the night. Hot flashes, which are particularly common at night, can further disrupt sleep. A lack of quality sleep then leads to overall fatigue, irritability, and reduced performance during the day.

Many women also complain about the so-called "brain fog," a state in which they feel mentally slowed down, have trouble concentrating or forget common things. This state can be a result of sleep deprivation but also directly relates to hormonal changes in the brain that affect cognitive functions.

How to Manage Perimenopause Symptoms?

Although perimenopause brings a number of challenges, there are many ways to manage these changes and improve quality of life. The first step is gaining sufficient information about what perimenopause entails and realizing that the symptoms women experience are natural and common.

Regular physical activity is one of the most effective ways to alleviate perimenopause symptoms. Exercises such as yoga, swimming, or walking not only help maintain hormonal balance but also improve mood and increase energy. Physical activity also promotes better sleep, which is particularly important during this period.

Diet also plays a key role in health care during perimenopause. It is recommended to include foods rich in phytoestrogens, such as soy, flaxseeds, or whole grains, in the diet. These natural substances can help balance estrogen levels in the body. Adequate intake of calcium and vitamin D is also important, as they support bone health, which may be at risk during this period.


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Relaxation techniques, such as meditation or deep breathing, can help relieve stress and improve sleep quality. These techniques promote relaxation and reduce stress hormone levels, which can positively affect overall well-being.

When to Seek Professional Help?

While perimenopause is a natural process, it does not mean that women should suffer in silence. If the symptoms of perimenopause are so severe that they negatively impact daily life, it is appropriate to seek professional help. A doctor may suggest various treatment options, including hormonal therapy, which helps balance hormone levels in the body.

For women who prefer natural approaches, there are numerous dietary supplements and herbs that can help alleviate perimenopause symptoms. However, it is important to consult their use with a specialist to avoid possible side effects or interactions with other medications.

Perimenopause is an important period in every woman's life, bringing a range of physical and mental changes. Although this period can be challenging, it is also an opportunity for women to better understand their bodies and learn to care for them with regard to new needs. With sufficient information, support from the surroundings, and proper self-care, it is possible to navigate perimenopause with minimal difficulties and maintain a good quality of life even in this new life stage.

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