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Body & Energy

Could my symptoms be perimenopause?

Perimenopause is the time before menopause when hormone levels start to change, usually in your forties but sometimes earlier. It can bring irregular periods, hot flushes, night sweats, poor sleep, brain fog, anxiety, low mood, joint aches and changes in libido. Symptoms can start years before periods stop, and support from your GP and wellbeing practitioners can help a lot.

Perimenopause is the time before menopause when hormone levels start to change, usually in your forties but sometimes earlier. It can bring irregular periods, hot flushes, night sweats, poor sleep, brain fog, anxiety, low mood, joint aches and changes in libido. Symptoms can start years before periods stop, and support from your GP and wellbeing practitioners can help a lot.

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Does this feel familiar?

  • You walked into a room and forgot not only why, but what the room is usually for.

  • You wake at 3am too hot, kick off the duvet, then freeze twenty minutes later.

  • You’ve never been an anxious person, and suddenly you’re dreading things you used to love.

  • Your periods have started doing whatever they like, and nobody warned you.

What might be going on

During perimenopause, oestrogen and progesterone rise and fall unpredictably before they eventually drop. Those swings affect almost every system in your body, from temperature control and sleep to mood, memory, joints and skin.

Because symptoms can be so varied, many women don’t connect them to hormones at first. Anxiety, brain fog and poor sleep in your forties are often perimenopause, even if your periods still seem normal.

Your GP can talk to you about treatment options, including HRT. Alongside that, nutrition, strength-based movement, stress support and good sleep habits can make a real difference to how you feel day to day.

One small thing. Just for today.

Keep a simple symptom diary for a month, noting sleep, mood, periods and hot flushes. It makes conversations with your GP much easier.

Let’s untangle a few assumptions

Perimenopause only starts when your periods stop.

Perimenopause only starts when your periods stop.

It’s just hot flushes.

It’s just hot flushes.

You just have to put up with it.

You just have to put up with it.

Support can look different

An approach you might not have considered

An approach you might not have considered

A different way in

A different way in

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A little perspective

The NHS says the average age for menopause in the UK is 51. Perimenopause symptoms often begin in your mid-forties, and they can start much earlier for some women.

Questions you might be asking

What are the first signs of perimenopause?

What are the first signs of perimenopause?

At what age does perimenopause start?

At what age does perimenopause start?

Can perimenopause cause anxiety?

Can perimenopause cause anxiety?

Can natural approaches help with perimenopause?

Can natural approaches help with perimenopause?

Do I need a blood test to diagnose perimenopause?

Do I need a blood test to diagnose perimenopause?

When to get medical help

See your GP if you think you might be in perimenopause, especially if symptoms are affecting your life. Always get checked if you have very heavy bleeding, bleeding between periods or after sex, or any bleeding after your periods have stopped for a year.

Find support that fits you

Find support that fits you

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