What is Perimenopause? Understanding and taking charge of Perimenopause Symptoms

Perimenopause is the transitional phase leading up to menopause and for some women it can feel like a rollercoaster ride. You might experience hot flashes one minute and emotional swings the next. This period can last anywhere from a few years to a decade and is marked by a gradual decline in estrogen production by the ovaries. While these hormonal fluctuations are a natural part of life, the symptoms they cause can be disruptive and frustrating.

Understanding the Hormonal Shifts of Perimenopause

Estrogen, the dominant female sex hormone, plays a crucial role in regulating your menstrual cycle, mood, bone health, and more. During perimenopause, estrogen levels start to fluctuate unpredictably. This hormonal shift is the driving force behind many perimenopause symptoms.

Here's a breakdown of some key hormonal changes and their potential effects:

  • Estrogen: Decreasing estrogen levels can lead to irregular periods, vaginal dryness, and hot flashes.

  • Progesterone: Progesterone levels also decline during perimenopause. This can contribute to mood swings, sleep disturbances, and anxiety.

  • Sex Hormone Binding Globulin (SHBG): SHBG is a protein that binds to sex hormones like estrogen and testosterone. As SHBG levels decrease, the amount of free (unbound) estrogen available in the body increases. This fluctuation can further contribute to various symptoms.

While these hormonal changes are inevitable, the good news is that you have tools at your disposal to manage the symptoms and feel your best during perimenopause.

Lifestyle Tweaks for a Smoother Perimenopause Transition

Here are some key lifestyle changes that can significantly improve your experience during perimenopause:

  • Diet: Focus on a balanced diet rich in fruits, vegetables, whole grains, protein and good quality fats. These foods provide essential nutrients that support overall health and well-being. Consider incorporating foods rich in calcium and vitamin D for bone health, which can be impacted by declining estrogen levels.

  • Exercise: Regular physical activity is a powerful tool for managing perimenopause symptoms. Aim for at least 30 minutes of moderate intensity exercise most days of the week. Exercise can improve mood, sleep quality, and reduce hot flashes.

  • Stress Management: Chronic stress can exacerbate perimenopause symptoms. Practices like yoga, meditation, and deep breathing can help manage stress and promote relaxation.

  • Sleep Hygiene: Prioritising good sleep hygiene is essential. Establish a regular sleep schedule, create a relaxing bedtime routine, and ensure a cool, dark sleep environment.

  • Weight Management: Maintaining a healthy weight can help regulate hormones and reduce the intensity of hot flashes. This can become more difficult as reduced estrogen can impact blood sugar regulation

  • Limit Triggers: Identify and avoid triggers for hot flashes, like spicy foods, caffeine, and alcohol.

  • Stay Hydrated: Drinking plenty of water throughout the day can help regulate body temperature and reduce hot flash intensity.

  • Cotton Clothing: Choose breathable, loose-fitting cotton clothing to stay cool and manage hot flashes.

  • Support Network: Connecting with other women experiencing perimenopause can also provide valuable support and understanding. There are other supports for perimenopause symptoms so seek help if needed.


Remember, perimenopause is a natural transition, not a disease.

You can empower yourself to manage your symptoms with diet, lifestyle, and naturopathic support to embrace this phase of life with confidence. If you are looking for support in managing your perimenopause symptoms and feeling like yourself again then book a free discovery call and we can discuss all the treatment options available to you.



The information provided in this article is for your personal or other non-commercial, educational purposes. It should not be considered as medical or professional advice. We recommend you consult with a GP or other healthcare professional before taking or omitting to take any action based on this article. While the author uses best endeavours to provide accurate and true content, the author makes no guarantees or promises and assumes no liability regarding the accuracy, reliability or completeness of the information presented. The information, opinions, and recommendations presented in this article are for general information only and any reliance on the information provided in this article is done at your own risk.

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