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Perimenopause

Supporting your health and well-being through the years leading up to the menopause

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What is Perimenopause? 

Perimenopause (also known as the menopause transition) is an ill-defined time-period in a woman´s life that surrounds the final years of a woman´s reproductive life, due to declining ovarian function. It begins with the onset of irregular menstruation and ends one year after the last menstrual period.

 

A woman is no longer in perimenopause but has transitioned into menopause when she has experienced 12 consecutive months without a menstrual period.

 

Perimenopause can begin in your mid-30´s or as late as your mid-50s. However, the average age that women enter perimenopause is between 45 and 50 years. Perimenopause tends to last on average 4 years, but some women suffer perimenopausal symptoms for up to 10 years and others for a period of just months.

 

This life stage, one that every woman will go through, requires a certain level of special attention to diet and lifestyle. Almost all women will experience changes in their energy levels, sleep quality and metabolism. It is not uncommon during this period for a woman to notice a change in her weight and it is because of this that I also specialise in healthy weight management.

 

Perimenopause is characterised by hormone fluctuations (oestrogen, progesterone, testosterone) and as a result, a need for specific nutrients and dietary and lifestyle adjustments, to bring about greater balance and maintain a sense of well-being. This period can feel completely disorienting and confusing, and so nourishing this change through specific and guided nutrition and lifestyle recommendations will support optimal physical and mental health.

Symptoms of Perimenopause

The perimenopause marks the start of the menopause transition and is a time when a woman´s body starts to change. During this transition, women start to have irregular menstruation and experience other menopausal symptoms, many of which might have a large impact on the quality of their lives. These symptoms are linked to the gradual decline and monthly changing levels of oestrogen, progesterone, and testosterone.

 

No two women experience the exact same journey through this transition.

 

Perimenopausal symptoms can be characterised under three main symptom groups: Psychological/Cognitive, Physical and Vasomotor.  During the onset of perimenopause, some women start to experience physical changes linked to the urinary vaginal system and/or the flow and duration of their menstrual cycle; others entering this transition period experience unexpected symptoms such as anxiety, low mood, and migraines. For some women, it is not the physical symptoms they recognise/acknowledge, but more the changes in their confidence, self-esteem, relationships, and their ability to concentrate at work.

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Most Common Symptoms of Perimenopause

Vasomotor Symptoms

Psychological/Cognitive Symptoms

  • Hot flushes/flashes

  • Night sweats

  • Anxiety

  • Brain fog

  • Depression

  • Difficulty concentrating/finding the right word to say

  • Fatigue

  • Forgetfulness

  • Lack of motivation

  • Loss of confidence and self-esteem

  • Loss of sex drive

  • Mood swings  

Physical Symptoms

  • Altered skin sensation

  • Body odour

  • Breathing difficulties

  • Burning mouth

  • Fertility issues

  • Changes to nails

  • Changes to taste and smell

  • Dental issues

  • Dizziness

  • Dry eyes

  • Dry mouth

  • Hair changes

  • Headache and migraines 

  • Heart disease

  • Heart palpitations

  • Joint pain

  • Muscle aches and pains

  • Osteoporosis

  • Period (menstruation) changes

  • Skin changes (dryness, itchiness, lack of elasticity, acne and/or facial spots)

  • Sleep issues (insomnia, waking early, etc.)

  • Tender breasts

  • Urinary (bladder) infections

  • Vaginal dryness resulting in uncomfortable/painful sex

  • Vaginal irritation and itching  

  • Weight gain

If you are a woman between the ages of 40 and 55 years and are currently experiencing any or a mixture of the symptoms listed above, or finding this transition overwhelming and at times, confusing, then please contact me and we will work together to support your symptoms, restore balance to your body and regain your vitality to best support you through this period in the healthiest way.

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Please contact me so I can support you through your perimenopause years 

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