Understanding Perimenopause and Menopause

Perimenopause is the period of hormonal fluctuation and declining estrogen and progesterone levels that occurs before menopause begins. This phase can start in a woman's mid-40s and last for four to ten years. Perimenopause symptoms include hot flashes, brain fog, anxiety, depression, sleep disturbances, and physical changes like weight gain and dryness. Menopause signifies the end of perimenopause when the menstrual period ceases, and symptoms gradually subside. The average age for menopause is around 51. However, perimenopause can start as early as the 30s or even 20s, affecting a small percentage of women. Hormone replacement therapy (HRT) and lifestyle adjustments like diet and exercise can help manage symptoms.