The menopausal transition, also known as the perimenopause, encompasses the months and years ahead of the menopause. The perimenopause typically starts in your 40s and lasts on average around four years, but we cannot stress enough that every experience is different. It can last several months or – brace yourselves – up to 12 years.
In the lead-up to the menopause, the ovaries release less oestrogen (the hormone responsible for maintaining the reproductive system). The decline in oestrogen results in a variety of signs and symptoms that most women can expect to experience. One notable tell-tale symptom is your periods going haywire, with longer or shorter menstrual cycles.
As well as period changes, the perimenopause can cause hot flushes, night sweats, sleeping problems, vaginal dryness, bladder weakness, fatigue, brain fog, moodiness, full blown rage (who could blame you?), anxiety, migraines, loss of libido and vaginal dryness, joint aches and pains, and changes to your skin, hair and breasts.
Fortunately, there are several things you can do to prepare and manage perimenopausal symptoms so they cause minimal disruption to your life.