Perimenopause and Menopause: A Simple Explanation.

Who Does It Affect?

As women age, they go through a natural and significant hormonal transition called perimenopause and menopause. Understanding what these terms mean, when they happen, where they affect you, and why they occur can help you navigate this life stage with confidence and grace.

What Is Perimenopause and Menopause?

Perimenopause is the stage leading up to menopause. During this time, your body begins to make fewer hormones, primarily oestrogen and progesterone. Menopause, on the other hand, is the point at which you’ve gone 12 consecutive months without a menstrual period.

When Does It Happen?

This perimenopausal transition usually begins between the ages of 45 and 55. This transition varies from person to person, usually lasting between four to seven years but can be as long as 14 years. The duration can depend on lifestyle factors such as smoking, age it begins, and race and ethnicity. Asking your Mother, if that is possible, about her experience will give you an idea of what you are likely to expect. During perimenopause, the body’s production of oestrogen and progesterone, two hormones made by the ovaries, varies greatly.

Where Does Menopause Effect You?

Perimenopause and menopause can affect you in various ways, both physically and emotionally. Common symptoms include:

1. Hot Flashes: Sudden feelings of heat and sweating, often accompanied by a rapid heartbeat.
2. Mood Swings: Changes in mood, irritability, and occasional bouts of sadness or anxiety.
3. Sleep Troubles: Difficulty falling asleep or staying asleep.
4. Vaginal Changes: Dryness and thinning of the vaginal tissues, which can lead to discomfort during intercourse.
5. Bone Health: A decrease in bone density, which can increase the risk of osteoporosis.
6. Heart Health: Changes in cholesterol levels and an increased risk of heart disease.
7. Cognitive Changes: Some women report memory lapses and difficulty concentrating.

Why Does It Happen?

Perimenopause and menopause are natural phases of a woman’s life. They occur as your ovaries gradually produce fewer hormones over time. This hormonal shift is a normal part of aging. It’s essential to remember that every woman’s experience is unique. Some may sail through these stages with minimal disruption, while others may find the symptoms more challenging.

It’s also important to know that while these changes can be difficult, they don’t mean the end of your vitality or femininity. You can take steps to manage your symptoms and maintain a happy, healthy life during and after this transition.

Understanding perimenopause and menopause empowers you to take control of your health and well-being. Talk to your healthcare provider about your symptoms and explore available options for managing any challenges you may encounter during this phase. Remember, you’re not alone, and many women before you have successfully navigated this natural journey.

What You Should Know:

In the United Kingdom, you can obtain advice on Hormone Replacement Therapy (HRT) from various sources. Here are some common places to look for:

1. General Practitioner (GP): Your first and most accessible option is to consult your GP. They can provide information about HRT, assess your specific needs, and discuss whether it’s a suitable option for you. Your GP can also prescribe HRT if deemed appropriate.
2. Menopause Clinics: Some larger healthcare centers or hospitals have specialised menopause clinics. These clinics have experts who focus on menopause-related issues, including HRT. You can ask your GP for a referral to a menopause clinic if necessary.
3. Women’s Health Specialists: Obstetricians and gynecologists are medical specialists who can provide advice and treatment related to HRT. If you have complex or specific needs, your GP may refer you to a women’s health specialist.
4. Pharmacists: Pharmacists are knowledgeable about medications, including HRT. They can provide information on the different types of HRT available, how to take them, and potential side effects. They may also be able to offer guidance on over-the-counter menopause remedies.
5. Women’s Health Charities and Support Groups: Organisations like the British Menopause Society and local support groups like local government, can offer information, resources, and support for women going through menopause. These groups often have websites, hotlines, or in-person meetings where you can learn more about HRT and connect with others experiencing similar challenges.
6. Online Resources: Many reputable websites, such as the NHS website and patient information portals, provide detailed information on HRT and menopause. However, always ensure that the information you access online is from trustworthy sources.
7. Private Clinics: If you prefer a private healthcare option, you can consult with a private healthcare provider or clinic that specialises in women’s health. Private clinics may offer a range of HRT options and personalized care.

It’s essential to have an open and honest conversation with a healthcare professional about HRT to determine if it’s the right choice for you, considering your medical history, symptoms, and personal preferences. Additionally, always consult with a healthcare provider for guidance and prescriptions related to HRT, as it is a medical treatment that requires careful consideration and monitoring.