How To Feel Better Through Perimenopause

Aug 25, 2022
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Are you in your late 40s or 50s and don’t feel like yourself anymore? Perhaps you’ve noticed changes in your body like irregular cycles, brain fog, irritability, or vaginal dryness. It’s not all in your head, perhaps you’ve entered perimenopause.

Are you in your late 40s or 50s and don’t feel like yourself anymore? Perhaps you’ve noticed changes in your body like irregular cycles, brain fog, irritability, or vaginal dryness. It’s not all in your head, perhaps you’ve entered perimenopause.


I know perimenopause sounds like a bad word, but it doesn’t have to be terrifying. Our culture has created a negative connotation with getting older and transitioning to menopause. Still, I assure you this can be one of the most freeing and positive phases of life.

It’s not without symptoms and challenges, though. In today’s article, I’m going to walk you through:

  • What perimenopause is (and isn’t)
  • Common symptoms of perimenopause
  • Lifestyle strategies to implement now for a smoother transition and improved self-care

Understanding how your body changes during perimenopause is empowering and helps you navigate this transition with more grace and ease. Let’s dive in!

What Is Perimenopause?

Simply put, perimenopause is the period of hormonal transition before your period stops, as ovarian function declines. The average length of perimenopause is around seven years but can range from two to over ten years, depending on the woman.

Often the terms perimenopause and menopause get confused. Menopause is defined as the point where you’ve gone an entire year without a period. And post-menopause is after that year has come and gone and you no longer cycle.

During the fertile years, in a normal menstrual cycle, your estrogen rises, you ovulate, progesterone rises, and then you bleed.

During perimenopause, this pattern becomes less predictable. You may notice irregularities in your cycle length, blood flow, and premenstrual symptoms. In some cycles, you may not ovulate (and therefore not produce any progesterone) and feel raging PMS or heavy bleeding, while other cycles may still feel balanced.

It’s a bit of a rollercoaster, not unlike puberty. In fact, some refer to perimenopause as reverse puberty.

Symptoms Of Perimenopause

While menopause is characterized by low estrogen (and no progesterone), perimenopause is characterized by fluctuating estrogen. So, there may be times, especially in early perimenopause, when you experience high estrogen. Then as you get closer to menopause, estrogen levels will decline, and you may experience symptoms of low estrogen, like hot flashes.

Perimenopause symptoms may include:

  • Irregular cycle length
  • Sleep disturbance
  • Heavy menstrual bleeding
  • Breast tenderness
  • Fatigue
  • Irritability
  • Mood swings
  • Anxiety
  • Depression
  • Brain fog
  • Memory loss
  • Headaches and migraines
  • Weight gain
  • Hot flashes and night sweats
  • Low libido
  • Vaginal dryness
  • Increased urinary frequency
  • Urinary tract infections
  • Pelvic floor weakness

Many of these symptoms have to do with how the brain and body adapt changing hormone levels. It’s a transition period, and often women feel more grounded, stable, and confident on the other side.

Each woman will experience perimenopause differently, some with only mild symptoms, and for others, symptoms will impact daily life. Certain life factors such as exposure to toxins, stress, poor diet, and sedentary behaviors may exacerbate symptoms.

The good news is that many of the lifestyle factors influencing perimenopause are largely within our control. Let’s look at some concrete action steps you can take to ease the discomforts of perimenopause.

How To Support Yourself Through Perimenopause

Here at TārāMD, we believe each woman deserves a personalized hormone solution. We use integrative tools to address each woman’s desires as she goes through perimenopause. Here are some of the foundational habits I discuss with my patients to begin putting in place.

  • Dial in your diet. The body may become more insulin resistant through perimenopause, so this is an excellent time to evaluate your metabolic health and implement diet strategies to keep blood sugar stable. Stable blood sugar may mean fewer hot flashes and steadier weight.

In general, ditch processed food. Strive for a diet composed of whole food with limited sugar and refined carbohydrates. Think of colorful veggies, fiber, protein, and healthy fats with each meal. For more personalized guidance work, please reach out to our nutritionists.

  • Move your body. It’s good for your body, brain, and hormones. As we move through perimenopause and into menopause, we lose muscle mass and bone density. However, we can counter this with strength training. Body weight exercises, yoga, pilates, and weightlifting are good options. And less can be more; even 20 minutes two or three times per week is supportive.
  • Manage stress. Perimenopausal symptoms may worsen during periods of high stress, so start practicing your stress management strategies before a curveball hits your life. Meditation and mindfulness can become a grounding anchor with time and practice. We can also add in nutrients, herbs, and use other tools if stress is high and you need extra support.
  • Prioritize sleep. Sleep can be very challenging during perimenopause as one of the most experienced symptoms is insomnia. Take an inventory of the factors that disrupt sleep most; alcohol use and screen time are a couple. Then, adjust your habits to improve sleep: an earlier bedtime, a relaxing evening routine, and herbal teas or supplements are options.
  • Consider HRT. Hormone replacement therapy (HRT) or bioidentical hormone replacement therapy (bHRT) are effective interventions for perimenopausal symptoms and improving quality of life. We have many options, including creams, patches, and oral tablets. Hormone therapy always needs to be personalized and requires a prescription; please reach out for a consultation to determine if it’s a fit for you.
  • Check your mindset. Perimenopause can feel unfair and overwhelming, but it doesn’t have to be. Remember that perimenopause is temporary.

The only way out is through.

As your body recalibrates to the new hormone landscape, it can be a powerful opportunity to practice self-care in a new way. Many of my patients express a sense of freedom and empowerment as they emerge from perimenopause and settle into the next phase of life.

I hope this information makes perimenopause a little less scary and more manageable. Understanding how your hormone shifts explain how you are feeling and are a natural body process is helpful. We have many integrative tools at our disposal to help you feel your most vibrant self, even through perimenopause.