Perimenopause – happens in the middle of life, not when we are old

Perimenopause may sound distant, like something that belongs in the future. But the truth is that it often occurs between ages 40 and 50 – right in the middle of life, when your days are full of family, work, exercise, hobbies, and social commitments. This is why the changes associated with perimenopause can be hard to relate to “menopause” – how can I already be in menopause when I still feel so young?

Could it really be perimenopause?

When the body starts behaving differently, it’s easy to think something else is wrong. Sudden heart palpitations, sweating, or anxiety may be mistaken for stress or general anxiety. Fatigue and low energy can feel like iron deficiency or thyroid problems. Mood swings and sleep difficulties may be interpreted as depression, while aches in muscles and joints can resemble rheumatism or fibromyalgia. Some even worry about diabetes when weight fluctuates or energy levels dip.

When symptoms overlap

The overlap of symptoms with other conditions can create uncertainty – is it perimenopause, or something else? Knowing that perimenopause can cause a range of diffuse, yet entirely normal symptoms makes it easier to understand what is happening in the body. At the same time, it is important to rule out other causes to ensure the right support and treatment.

Women’s experiences

Many women describe perimenopause as a period when they barely recognize themselves. Some report waking in the middle of the night, drenched in sweat and fully awake, wondering why their body no longer works like before. Others describe sudden mood swings – from irritability and anxiety to laughter and low mood – which can feel confusing, both for themselves and those around them. Some experience a fatigue that sleep alone cannot fix, a feeling that their energy isn’t enough for daily demands. Physical symptoms may also occur, including muscle and joint pain, headaches, or gastrointestinal issues.

The beginning of a new phase

It can be a relief to understand what’s happening – to realize that it’s “just” the body adjusting to new hormonal conditions.

Perimenopause is not a sign of aging or that life is slowing down – quite the opposite. It is a period when women often feel more grounded, have accumulated experience, and become better at prioritizing themselves and what truly matters. Children become more independent, careers may reach new heights, and free time can be filled with new activities and interests that energize and inspire.

Well-being – treatments and life balance

❤️Local and systemic treatments
Treatment choices are individual and should always be discussed with a gynecologist.

Local treatments: primarily for vaginal symptoms such as dryness, itching, or irritation. Common options include vaginal gels, creams, or suppositories, available with or without hormones. Estrogen rings are also an option. Local treatments act directly on the vaginal tissue and are minimally absorbed into the body.

Systemic treatments: for more widespread symptoms, such as hot flashes, night sweats, or sleep disturbances, hormone replacement therapy (HRT) via tablets, patches, or gels may be recommended. HRT can contain estrogen alone or combined with progestogen, tailored individually.

❤️Movement & Exercise
Physical activity is one of the most effective ways to alleviate menopausal symptoms. Intensive strength training can reduce hot flashes and sweating by up to 44%. Exercise also improves sleep, strengthens bones, and lowers the risk of cardiovascular disease. Combine strength training with aerobic activity to counteract the loss of muscle mass during perimenopause.

❤️Sleep & Recovery
Sleep problems are common during perimenopause, often due to night sweats and hot flashes. These disturbances can increase fatigue and negatively impact mental health. To improve sleep, maintain regular sleep schedules, keep the bedroom cool and dark, and practice relaxation exercises before bed. Avoid caffeine and alcohol close to bedtime, as they can worsen symptoms.

❤️Nutrition
Research shows that a diet rich in fruits, vegetables, whole grains, and lean protein can positively affect both physical and mental health during perimenopause.

❤️Talk about it
Sharing experiences with friends, partners, or healthcare professionals can foster understanding and reduce feelings of worry or isolation. It’s also important to know that menopausal symptoms are common and that help is available.

Love Yourself ❤️ Love Your V