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Perimenopause & Menopause Symptoms

MyWellbrook Health Psychiatry provides mental health care to patients suffering from Perimenopause and Menopause. Book an appointment via telehealth.

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What Perimenopause & Menopause Symptoms?

Perimenopause refers to the transition period leading up to menopause, during which the ovaries gradually produce less estrogen. Menopause marks the end of a woman’s reproductive years, when her periods have ceased for at least 12 consecutive months. The symptoms of perimenopause and menopause can vary from woman to woman, and can be more varied and debilitating than many people know. Here are some common symptoms:

  1. Irregular periods: As a woman’s hormone levels fluctuate during perimenopause, her periods may become irregular, lighter or heavier.

  2. Hot flashes and night sweats: Many women experience hot flashes and night sweats during perimenopause and menopause, which are sudden feelings of intense warmth, often accompanied by sweating and a rapid heartbeat.

  3. Mood changes: Changes in hormone levels can cause mood swings, irritability, and depression during perimenopause and menopause.

  4. Vaginal dryness and discomfort: A decrease in estrogen levels can lead to vaginal dryness, itching, and discomfort during sex.

  5. Insomnia and sleep disturbances: Changes in hormone levels can disrupt sleep during perimenopause and menopause, leading to insomnia and other sleep disturbances.

  6. Fatigue and low energy: Many women experience fatigue and low energy levels during perimenopause and menopause.

  7. Changes in sexual function: Perimenopause and menopause can also cause changes in sexual function, such as a decreased libido or difficulty achieving orgasm.

It’s important to note that not all women will experience all of these symptoms, although the severity and duration of symptoms can vary. Seventy to 80 percent of women have hot flashes, and on average, women experience them for 7-10 years. Studies have indicated that Black women were found to experience the most hot flashes, and women who experienced childhood abuse were 70 percent more likely to report night sweats and hot flashes.

Women who are experiencing symptoms associated with perimenopause or menopause should talk to their healthcare provider to determine the best course of treatment.

What Causes Perimenopause & Menopause Symptoms?

Perimenopause and menopause symptoms are caused by fluctuations in hormone levels, specifically the decline in estrogen and progesterone production. As a woman ages, her ovaries produce less of these hormones, leading to changes in the menstrual cycle and other physical and emotional symptoms.

During perimenopause, the ovaries begin to produce less estrogen, causing changes in the menstrual cycle, such as irregular periods, heavier or lighter flow, or missed periods. The fluctuation of hormones during this time can also cause other physical and emotional symptoms, such as hot flashes, night sweats, mood swings, fatigue, and changes in sexual function.

As a woman enters menopause, her ovaries have stopped producing eggs, and estrogen levels are significantly decreased. This can lead to more severe symptoms, such as vaginal dryness, thinning of the vaginal walls, and an increased risk of osteoporosis.

While the decline in estrogen production is the main cause of perimenopause and menopause symptoms, other factors such as genetics, lifestyle habits, and medical conditions can also contribute to the severity and duration of symptoms.

How are Perimenopause & Menopause Symptoms Treated?

The treatment for perimenopause and menopause symptoms can vary depending on the severity and frequency of the symptoms, as well as a woman’s overall health and medical history. Here are some common treatment options:

  1. Hormone therapy: Hormone therapy, also known as hormone replacement therapy (HRT), involves taking estrogen and sometimes progesterone to help regulate hormone levels and alleviate symptoms. However, hormone therapy is not without risks and should be carefully considered with a healthcare provider.

  2. Non-hormonal therapies: Other medications, such as low-dose antidepressants or blood pressure medications, may be used to treat specific symptoms such as hot flashes, mood changes, or insomnia.

  3. Lifestyle changes: Simple lifestyle changes such as regular exercise, a healthy diet, and stress reduction techniques may help alleviate symptoms.

  4. Vaginal estrogen therapy: For vaginal dryness and discomfort, vaginal estrogen therapy may be recommended to help alleviate symptoms.

  5. Natural remedies: Some women find relief from perimenopause and menopause symptoms through the use of natural remedies, such as black cohosh, soy, or herbal supplements. However, it’s important to talk to a healthcare provider before trying any natural remedies, as they can interact with other medications or have unwanted side effects.

It’s important to note that perimenopause and menopause are natural parts of the aging process, and not all women will require treatment for their symptoms. Women who are experiencing bothersome symptoms or have concerns about their overall health during perimenopause and menopause should talk to their healthcare provider to determine the best course of treatment.

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