WHAT IS PERIMENOPAUSE?

Perimenopause is the transitional phase before menopause, when a woman’s body gradually shifts from regular reproductive function toward the end of menstruation.

🌿 What happens during perimenopause?

Perimenopause usually begins in the 40s (sometimes late 30s) and can last 4–10 years before menopause (which is defined as 12 months without a period).

During this time:

• Ovaries produce less estrogen and progesterone
• Hormone levels fluctuate (not just decline steadily)
• Ovulation becomes irregular

🔍 Common signs & symptoms

These changes can be subtle at first, then more noticeable:

Menstrual changes

• Irregular cycles (shorter, longer, heavier, lighter)

Body & physical symptoms

• Hot flashes / night sweats
• Sleep disturbances
• Vaginal dryness
• Weight gain (especially around abdomen)
• Joint aches

Mind & mood

• Mood swings
• Anxiety or irritability
• Brain fog / forgetfulness
• Reduced concentration

🧠 Why it matters

Perimenopause is not just about periods—it affects:

• Heart health
• Bone density
• Skin and hair
• Eye health (can worsen dry eyes—relevant to your earlier concern)

⚖️ Perimenopause vs menopause

• Perimenopause → transition phase (hormones fluctuating, periods still occur)
• Menopause → officially reached after 12 months with no period

🌱 A simple way to understand it

Think of perimenopause as a “hormonal roller coaster” phase, not a sudden stop. The body is adjusting, not shutting down overnight.