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Perimenopause is a natural transitional phase leading up to menopause, typically beginning in a woman’s 40s—but sometimes as early as the mid-30s. During this time, the body begins to produce less estrogen, causing hormonal shifts that can lead to a range of physical, emotional, and psychological symptoms.

Understanding the signs of perimenopause is essential for managing them effectively and maintaining quality of life. At Alliance Hospital BD, our gynecology team offers supportive, evidence-based care to help women navigate this important life stage with confidence and clarity.

What is Perimenopause?

Perimenopause refers to the transitional phase before menopause, during which a woman’s body begins to produce less estrogen. This stage can start years before menopause and is often marked by various physical and emotional changes.

What are the Symptoms of Perimenopause?

Irregular menstrual cycles

Periods may become less predictable, either more frequent or farther apart, with changes in flow.

Hot flashes and night sweats

Sudden feelings of heat, especially at night, are common during perimenopause.

Mood swings, anxiety, or depression

Hormonal changes can affect emotional well-being, causing mood fluctuations.

Sleep disturbances

Difficulty falling or staying asleep is common, often related to night sweats.

Vaginal dryness or discomfort

Lower estrogen levels can cause thinning and dryness in the vaginal area, leading to discomfort during intimacy.

Decreased libido

Many women notice a drop in sexual desire during perimenopause.

Fatigue

Low energy levels or a constant sense of tiredness may occur.

Difficulty concentrating (“brain fog”)

Cognitive changes like forgetfulness or trouble focusing are reported by many women.

When You Should See a Doctor

While perimenopause is a natural phase, the symptoms can sometimes become disruptive or mimic other health concerns. It’s important to speak with a healthcare provider if you’re experiencing changes that affect your daily life or overall well-being.

Consult a Doctor If You Notice:

  • Irregular periods that are unusually heavy, prolonged, or occur too frequently

  • Severe mood swings, anxiety, or depression

  • Hot flashes or night sweats that interfere with sleep

  • Difficulty concentrating or memory lapses

  • Sudden weight gain or changes in metabolism

  • Vaginal dryness, discomfort during intercourse, or low libido

  • Fatigue or sleep disturbances that don’t improve

  • A family history of early menopause or hormonal disorders

How Alliance Hospital BD Can Help

Alliance Hospital offers a comprehensive women’s health program that includes hormonal evaluations, personalized treatment plans, and ongoing support for women experiencing perimenopause. Our gynecologists provide compassionate and evidence-based care to ease this transition.

FAQs

Is perimenopause the same as menopause?

No, perimenopause is the phase before menopause. Menopause is confirmed when a woman has gone 12 months without a period.

How long does perimenopause last?

It can last anywhere from a few months to several years, commonly between 4 to 8 years.

Can I still get pregnant during perimenopause?

Yes, although fertility decreases, it’s still possible to become pregnant until menopause is complete.

What treatments are available?

Treatment options include hormone therapy, lifestyle changes, and medications to address specific symptoms like mood swings, hot flashes, or vaginal dryness.

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