Arabic version: فهم فترة ما قبل انقطاع الطمث: الأعراض والتشخيص موضحان

Perimenopause can be a confusing phase for many women, often starting in their mid-40s. The transition to menopause is characterized by uncertainty, with symptoms appearing in fits and starts. According to The Guardian, early perimenopause is marked by changes that may leave women questioning their status.

Typically, perimenopause begins around age 47, with irregular menstrual cycles being one of the first indicators. Women may notice their periods becoming less predictable, with variations in flow and frequency. About 40% of women experience hot flashes during early perimenopause, while this figure rises to 80% in later stages.

The symptoms of perimenopause are primarily driven by declining estrogen levels. These hormonal changes can lead to not only alterations in menstrual cycles but also issues such as sleep disturbances, depression, and genital dryness. Although menopause is defined as the moment a woman has gone 12 months without a period, perimenopause can last several years and varies significantly from person to person.

Diagnosis of perimenopause is usually clinical, meaning that doctors often rely on a woman’s symptoms rather than blood tests. For those over 45 experiencing typical symptoms, a clinician can usually make a diagnosis without further testing. However, blood tests may be useful in atypical cases or if symptoms arise earlier than expected.

Women experiencing perimenopause symptoms are encouraged to consult with a menopause specialist for possible treatment options. Hormonal and non-hormonal therapies are available, although they are often underprescribed. Maintaining a healthy lifestyle, including good sleep, regular exercise, and a balanced diet, is also important during this transitional period.