Perimenopause

Perimenopause is the transitional time around menopause and can last 2-10 years. It is marked by changes in the menstrual cycle and other physical and emotional symptoms. It is when most women first experience symptoms such as irregular menstrual cycles.

This process comes naturally with age because the generation of eggs in the ovaries decreases, and less oestrogen is produced. It can last several years because the body does not stop producing hormones overnight.

The decline in the female hormones can affect the skin, bones, heart, brain and vagina, causing symptoms similar to menopause. Periods may become lighter and less frequent, or they may become heavier and more frequent. As a consequence, there is a decrease in fertility.

There are several options to manage perimenopause symptoms. You do not need to wait until your periods have stopped to start treatments such as HRT (Hormone Replacement Therapy). The earlier HRT begins, the more benefits it can give.

Dr Pereira aims to help you take control of your symptoms most safely. The medical care should be evidence-based and feels suitable for you. She will discuss lifestyle changes which include diet, exercise and mental health. A blood test may be necessary before initiating HRT or alternative treatments.