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How to Tell if you are Experiencing Peri-menopause.

Not sure exactly how to know if you are starting peri-menopause? You may start to notice changes in your health and wellbeing as you enter your forties and fifties but these aren’t always recognised as being linked to menopause. Changing levels of oestrogen, testosterone and other hormones can encourage a range of symptoms. Some of these are classic menopause symptoms but others can be more surprising. If you have any of these symptoms and you’re in the ballpark age for menopause, think about speaking to your health professional about treatment options.

What is Peri-Menopause?

In a nutshell, “menopause” means that your periods are no longer happening and you have gone at least a year without having one.

In the years leading up to this, many women experience “perimenopause”. During this time, your levels of two key hormones, oestrogen and progesterone, begin to change. This stems from your ovaries supply of eggs, which start to decline and have a knock on effect for common menopause symptoms.

Not having periods for as long as 60 days is quite common in perimenopause, especially as you move towards full menopause.

Lack of periods

Not having a period for over a year is a sure sign that you’ve entered menopause. It’s often not as simple as that though as many women find that their menstrual cycle changes subtly in the years before it stops completely. For some women, menstruation does just stop completely but it’s generally more common to have some changes first. If you have had a hysterectomy or medically induced menopause, then the lack of periods is obviously not going to be a sign for you

Hot flashes and night sweats

Random feelings of heat that suddenly come out of nowhere are one of the classic signs of menopause, although they don’t happen to every woman. It’s common for them to last for a couple of years but they can go on for longer than this. A lot of women experience night sweats too, which can be disruptive for sleep. It’s thought that fluctuating hormone levels affect your body’s ability to regulate temperature, which fools it into thinking that it needs to cool down.

Low mood

A sudden and chronic dip in your mood can be another sign of menopause. Hormone changes are thought to affect levels of neurotransmitters such as serotonin, which negatively affects your mood. If you’ve previously suffered from depression, there’s a good chance that you’ll also experience it during peri-menopause and menopause and it can also affect women who have had not experienced mental health issues prior to this stage of their life.

Vaginal and bladder issues

Hormone changes can lead to vaginal dryness, often due to the vaginal walls becoming thinner. This can make you more likely to get vaginal infections (including thrush) and can make intercourse uncomfortable or painful. You can also find that your vagina and urethra are more sensitive and prone to discomfort, even if you’re not having sex. Low libido is also pretty common during menopause.

Some women also experience urinary incontinence and bladder leakage during menopause. You may suddenly get the urge to go to the bathroom and struggle to get there in time and you may also leak urine when you cough, laugh or sneeze. This can be distressing and very inconvenient. You can also be more prone to urinary tract infections around menopause.

Weight gain

It’s not uncommon to put on weight in the run up to menopause, especially around your abdomen. Your metabolism decreases, which makes it harder to avoid putting weight on. Increased cortisol levels are another factor, especially if you’re stressed.


Chronic tiredness can be a common menopause symptom and it can be the type of fatigue that feels all consuming. Anxiety and stress can make it worse so it’s important to keep stress to a minimum if you’re struggling with menopause related fatigue. It’s worth bearing in mind that other health problems can cause fatigue, including anemia and thyroid imbalances. Even if you strongly suspect that your symptoms are due to menopause, speak to your health professional to rule out these type of causes of fatigue.

Dry skin and thinner hair

Lower oestrogen levels can have an effect on your skin and hair, and a lot of women notice that their skin becomes drier and their hair is thinner and more prone to falling out. This can be distressing, especially if hair loss is noticeable. It stems from lower oestrogen levels and higher testosterone levels, which combine to affect hair growth.

Joint pain

It’s not always commonly associated with menopause but joint pain can be another knock on effect of hormonal changes. It can also be debilitating and affect your quality of life. Menopause related joint pain often affects joints that take a lot of stress and impact in day-to-day life such as your knees and hips.

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