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    Menopause

    Perimenopause

    Many women say they are “in menopause” when they are actually in perimenopause, also called the menopause transition.

    Perimenopause is the time leading up to menopause, when hormone levels (estrogen and progesterone) fluctuate and begin to decline. This natural process can start in your 40s—or even mid-30s—and often lasts 4 to 5 years, though for some women it can continue for more than 10 years. Common symptoms include hot flashes, weight gain, mood changes, and irregular periods, but every women’s journey is unique. Any menopausal symptom can show up at any time.

    Menopause

    Menopause is officially diagnosed when you have gone 12 consecutive months without a menstrual period. The average age of menopause in the U.S. is 52. Once you reach menopause, perimenopause ends, and you enter “postmenopause”, which lasts for the rest of your life. Other causes of menopause include surgical removal of the ovaries (with or without the uterus), chemotherapy, pelvic radiation, or certain autoimmune conditions. If menopause happens before age 40, it’s considered premature menopause. Symptoms are caused by fluctuating hormone levels during the menopause transition. Certain medical conditions, medications, stress, and environmental factors can also influence these hormonal shifts and may affect your perimenopause experience. The severity of symptoms varies from person to person. If you are experiencing bothersome symptoms and want to explore options, contact your primary care provider, gynecologist, or OB/GYN to discuss the best approach for you.

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