Wait, Is This Perimenopause? 10 Smart Steps Every Woman Should Take Before 40

You’re only in your 30s—so why are you suddenly snapping at your barista, waking up at 3 a.m., and forgetting why you walked into the room? Welcome to the confusing world of early perimenopause. Here’s how to get ahead of it—before it hijacks your body.

Let’s Talk About the “P” Word

Most of us are taught to fear menopause like it’s some hormonal monster that shows up on your 50th birthday with hot flashes and mood swings. But the real sneaky villain? Perimenopause. And it often starts way earlier than you think—sometimes as early as your mid-30s.

Perimenopause is the transitional phase before menopause, when your hormones start to fluctuate (read: act out like hormonal teenagers). This can last anywhere from 4 to 10 years, and symptoms can show up while you’re still getting your period regularly.

Here’s the catch: doctors often don’t talk about this early phase, and you might be told “you’re too young” when you bring up your concerns. But spoiler alert—you’re not.

So, if your body is sending you signals, don’t wait for a diagnosis. Here are 10 essential steps every woman should take before 40 to understand, support, and empower her hormonal health.

1. Learn to Spot the Subtle Signs of Perimenopause

Hot flashes might be the poster child of menopause, but perimenopause symptoms are more like tiny alarm bells you don’t know you should be listening for.

Here are some early clues your hormones may be shifting:

  • Periods becoming shorter, longer, heavier, or more irregular
  • Breast tenderness outside your cycle
  • Sleep disturbances (hello, 3 a.m. insomnia)
  • Mood swings, anxiety, or irritability
  • Brain fog or forgetfulness
  • Lower libido
  • Vaginal dryness or discomfort

👉 Takeaway: Don’t ignore these shifts. Track your symptoms monthly (apps like MyFlo or Moody Month are super helpful).

2. Book a Hormone-Health Checkup

Most of us only get bloodwork when something’s really wrong. But your 30s are the perfect time to start monitoring hormone levels—especially estrogen, progesterone, cortisol, and thyroid hormones.

Ask your healthcare provider about:

  • Day 3 and Day 21 hormone testing (these reflect your cycle’s hormone rhythm)
  • Full thyroid panel (not just TSH)
  • DHEA and cortisol for stress hormone insights

👉 Pro Tip: If your doctor brushes you off, seek out a women’s health specialist or integrative MD. You deserve to be heard.

3. Balance Your Blood Sugar (Even if You’re Not Diabetic)

Hormones are like a hormonal orchestra—and blood sugar is the conductor. When insulin is out of whack (even a little), your estrogen and progesterone can go haywire.

Start here:

  • Eat protein + healthy fats at every meal
  • Avoid skipping meals (yes, even if you’re busy)
  • Cut back on refined sugar (but we’re not saying no to dark chocolate)

👉 Why it matters: Blood sugar crashes can intensify mood swings, sleep problems, and cravings—all symptoms of perimenopause.

4. Support Your Liver—Your Hormone Detox Hero

Your liver is responsible for breaking down excess hormones, especially estrogen. But if it’s overwhelmed by alcohol, processed foods, or even chronic stress, hormonal symptoms can worsen.

Simple liver-lovin’ habits:

  • Add cruciferous veggies (broccoli, kale, cauliflower) to your daily meals
  • Hydrate, hydrate, hydrate
  • Limit alcohol—especially if you’ve noticed worse PMS lately

👉 Tip: Try a gentle liver-supporting supplement like milk thistle (but always talk to your doctor first).

5. Prioritize Sleep Like It’s Your Superpower

Sleep isn’t just rest—it’s hormonal rehab. Deep sleep helps balance cortisol, estrogen, and growth hormone. But guess what? Perimenopause can mess with your sleep first.

Common complaints:

  • Waking up hot
  • Restless legs
  • Trouble falling asleep
  • Waking around 3–4 a.m.

Your new sleep toolkit:

  • Magnesium glycinate before bed
  • Cool bedroom (65°F is ideal)
  • Avoid screens 60 minutes before lights out
  • Try sleep-supporting teas (passionflower, chamomile)

👉 Bonus tip: Keep your phone out of your bedroom. Your hormones will thank you.

6. Build Muscle—It’s Hormonal Armor

Estrogen plays a big role in maintaining muscle mass and bone density. As it starts to dip in perimenopause, women become more prone to weight gain, joint pain, and fractures.

No need to become a CrossFit champ—but regular strength training is gold.

Try:

  • 2–3 strength workouts/week (30 minutes is plenty)
  • Bodyweight exercises, resistance bands, or light weights
  • Pilates and barre also count

👉 Why now: The muscle you build now protects your metabolism in your 40s and 50s.

7. Ditch the Burnout Mentality

Chronic stress raises cortisol, which hijacks your sex hormones and leads to fatigue, mood swings, and even belly fat. Sound familiar?

You don’t have to quit your job or move to Bali, but you do need daily practices that calm your nervous system.

Options that work:

  • 10 minutes of deep breathing or meditation (hello, Calm app)
  • Nature walks (bonus points for sunshine)
  • Journaling
  • Saying “no” without guilt

👉 Note: Stress management isn’t a luxury—it’s essential hormone therapy.

8. Start Talking About It

Women in their 30s often suffer in silence, thinking they’re “too young” for hormone changes. But when we talk about it, we realize we’re not alone.

Start by:

  • Talking to your OB/GYN about perimenopause—even if your periods are “normal”
  • Sharing your experience with trusted friends
  • Following menopause experts on social (Dr. Mary Claire Haver, anyone?)

👉 Why it matters: The more informed you are, the less blindsided you’ll feel when real hormonal shifts hit.

9. Rethink Birth Control

If you’re on the pill or using hormonal birth control, it could be masking early perimenopause symptoms. Some women feel fine, others notice intense symptoms once they stop.

What to consider:

  • How long you’ve been using hormonal birth control
  • How your body reacts during breaks or placebo weeks
  • Non-hormonal options (like copper IUDs or fertility tracking)

👉 Important: Don’t ditch your birth control without a plan. Talk with a hormone-literate doctor first.

10. Build Your Menopause Toolkit Now

Perimenopause isn’t a crisis—it’s a transition. And transitions are easier when you’re prepared.

Start assembling your hormone support squad:

  • Functional nutritionist or dietitian
  • Pelvic floor therapist (trust us on this one)
  • A fitness routine that’s sustainable
  • A partner or friend who understands what you’re going through

👉 Bonus Tools: Podcasts like The Dr. Louise Newson Podcast or books like The Menopause Manifesto can be total game-changers.


The Bottom Line

Perimenopause isn’t just a pre-menopause waiting room. It’s a phase of transformation—and it can start way earlier than you think. Your 30s are the ideal time to get proactive, get informed, and take charge of your hormone health before your body starts making decisions for you.

You’re not too young. You’re right on time.


FREE DOWNLOAD

101 Things To Know & Do Before Perimenopause

Your Essential Guide for understanding the changes ahead, managing symptoms, and embracing this new chapter of life with ease.

Perimenopause Breast Pain: What’s Behind the Ache (and How to Feel Better)

If your boobs suddenly feel like they’re staging a full-blown rebellion, welcome to the wild ride called perimenopause. Breast pain — known medically as mastalgia — is one of those symptoms nobody warns you about when you’re entering your 40s (or even late 30s!). But it’s common, it’s usually harmless, and yes, there are real ways to get some sweet relief.

Let’s break down what’s happening to your body — and what you can actually do about it.

What Causes Breast Pain During Perimenopause?

Blame it on hormones. During perimenopause, your estrogen and progesterone levels don’t just quietly retire — they fluctuate wildly. This hormonal chaos can cause your breast tissue to swell, become tender, or even feel lumpy.

🔹 Estrogen surges tend to stimulate the breast ducts, making them feel fuller or achy.
🔹 Progesterone fluctuations can cause swelling of the milk glands, leading to a heavy, sore feeling.

According to a study published in The Journal of Menopausal Medicine, around 70% of women report experiencing breast discomfort at some point during perimenopause. (You’re in good company.)

What Does Perimenopause Breast Pain Feel Like?

Every woman’s experience is slightly different, but many describe it as:

  • A dull, heavy ache
  • Sharp, shooting pains
  • Tenderness around the nipples or sides of the breasts
  • A general feeling of fullness or sensitivity

It might hit one breast harder than the other, come and go unpredictably, or flare up right before your period — even if your periods are getting irregular.

When Should You See a Doctor?

Here’s the good news: most breast pain during perimenopause isn’t serious.
However, you should check in with your healthcare provider if you notice:

  • A new lump or mass that doesn’t go away
  • Clear, bloody, or suspicious nipple discharge
  • Skin changes like dimpling or puckering
  • Breast pain that’s localized to one specific spot

Your doctor might recommend a mammogram or ultrasound just to rule out anything more serious. When it comes to your health, it’s better to be safe than sorry.

How to Soothe Perimenopause Breast Pain — Naturally

Perimenopause breast pain can be uncomfortable, but there are natural remedies that may help alleviate the discomfort:

1. Supportive Bras Are Your New Best Friend

Think full coverage, no underwires digging into your skin, and the right fit. A properly fitted sports bra can be a game-changer, especially during workouts.

2. Try Dietary Tweaks

Some studies suggest reducing caffeine and salt may ease breast pain. Upping your intake of omega-3 fatty acids (think salmon, walnuts, chia seeds) could also help calm inflammation.

3. Apply Warm or Cold Compresses

A warm heating pad or cold packs can work wonders for soothing sore tissue.

4. Consider Evening Primrose Oil

This plant-based supplement is rich in gamma-linolenic acid (GLA), an anti-inflammatory fatty acid. Some small studies suggest it may reduce cyclical breast pain — though always check with your doctor before adding any supplements.

5. Manage Stress

Stress can amplify hormonal symptoms (thanks again, cortisol). Daily walks, mindfulness apps, and gentle yoga can all help bring those cortisol levels down a notch.

6. Talk to Your Doctor About Hormone Therapy

In more stubborn cases, your doctor might suggest low-dose hormonal treatments to help balance things out. It’s not for everyone, but it’s an option worth discussing if breast pain is cramping your style — and your wardrobe.


Final Thought

Perimenopause is messy, but you don’t have to power through the pain alone. Listening to your body, making a few lifestyle tweaks, and getting expert guidance can make a huge difference. Remember: sore boobs today don’t mean something serious tomorrow — but they do deserve a little TLC!


Take Control of Your Perimenopause Journey—With Confidence and Clarity!

Feeling confused or overwhelmed by perimenopause symptoms? Our practical, empowering guide is here to help. Packed with expert advice and easy-to-apply tips, you’ll learn how to manage mood swings, hot flashes, fatigue, and more—so you can feel your best every day.

Download your guide today and embrace perimenopause with power and confidence!

Midlife Nutrition Glow-Up: How to Eat Smart and Feel Fantastic After 40

Ladies, let’s talk midlife. This season of life brings a lot of changes—hello, hormones!—but it’s also a time to prioritize you. One of the best tools you have? Your plate. A few smart tweaks to your diet can help you feel energized, strong, and ready to take on whatever this chapter brings (yes, even the random hot flashes). Here’s how to keep your body thriving with simple, powerful nutrition moves:


1. Protein Power: Build and Protect Your Muscles

After 40, muscle mass naturally starts to slip away like your favorite skinny jeans from 2003. But you can fight back! Make sure you’re getting plenty of lean proteins—think grilled salmon, chicken breast, tofu stir-fries, a hearty lentil soup. Protein isn’t just about strength—it keeps your metabolism humming and helps you recover faster after workouts.

👉 Pro tip: Aim for a little protein at every meal. Yes, even breakfast!


2. Strong Bones, Stronger You: Don’t Skip Calcium and Vitamin D

Bones get sneakily fragile during midlife, especially as estrogen dips. Give them some TLC with calcium-rich foods like Greek yogurt, almond milk, broccoli, and kale. And don’t ghost Vitamin D—your bones need it to absorb all that calcium goodness.
A little sunshine (20 minutes a day) + fatty fish like salmon = bone health superheroes.


3. Fat is Not the Enemy: Choose Heart-Healthy Ones

Repeat after me: fat is not badthe right fats are fantastic! Boost your heart health and lower inflammation with omega-3s from walnuts, flaxseeds, chia seeds, and, yes, a juicy piece of grilled salmon. Swap butter for olive oil and load up on avocado toast (doctor’s orders).


4. Fiber Is Your Friend (Seriously)

Fiber isn’t just for your grandma. A high-fiber diet keeps things moving (you know what I mean) and protects your heart.
Think oats, quinoa, berries, chia seeds, roasted veggies—fill your plate with colors and textures that help you feel full and fabulous.


5. Stay Ahead of Dehydration

Midlife can sneakily dry you out—skin, hair, energy levels. Fight back by sipping water throughout the day, and nosh on hydrating foods like cucumbers, watermelon, and oranges.
Bonus: good hydration can even help ease some menopause symptoms like headaches and fatigue.


6. Iron Matters (Yes, Even Now)

Even post-period, iron is still essential for keeping your energy up. Load up on spinach, lentils, pumpkin seeds, and lean red meat if you like.
Pro move? Pair iron-rich foods with vitamin C (like tossing bell peppers into your spinach salad) for way better absorption.


7. Antioxidants = Glow Up

Fight free radicals and feel radiant with antioxidant-packed foods.
Berries, dark leafy greens, sweet potatoes, even a square (or three) of dark chocolate can help protect your skin and cells from aging faster than necessary. Glow from the inside out, literally.


8. Kick Processed Foods to the Curb (Most of the Time)

It’s not about never having a cupcake again (because, come on, life is too short), but cutting back on processed junk will help your blood sugar, energy, and mood stay more even.
Focus on foods that look like they came from the earth, not a factory.


9. Supplements: Sometimes You Need a Little Boost

Even the best diets might miss a few marks. You might benefit from extra calcium, magnesium, or vitamin D supplements—but check with your healthcare provider first. It’s all about personalized wellness, not one-size-fits-all.


10. Portion Patrol: Your Secret Weapon

Metabolism isn’t as speedy as it once was (ugh), so being mindful about portion sizes helps you stay energized without the weight creep.
Tip: Use smaller plates, slow down at meals, and tune into when you’re satisfied, not stuffed.


Bottom Line:
Midlife nutrition isn’t about rigid rules or restriction. It’s about fueling your fabulous self for strength, energy, and vibrance. Tiny, doable changes add up to big results. Trust me—you’ve got this!

✨Want ideas for easy meal plans or quick midlife-friendly recipes? Hit me up. I have lots of yummy inspiration coming your way!

References

Why Stress Hits Differently After 40—And What You Can Do About It

Let’s be honest—between juggling careers, family responsibilities, aging parents, and those ever-creeping hormonal shifts, women in their 40s and 50s often find themselves carrying stress like it’s a second handbag. And it’s heavy.

It’s not that women at this stage aren’t strong—we are. In fact, we’re often holding everything together. But carrying the emotional, physical, and mental weight of midlife can quietly wear us down. Stress doesn’t always show up in dramatic meltdowns; sometimes it looks like snapping at your partner, forgetting what day it is, or feeling drained before the day even begins.

But here’s the silver lining: you can manage it without overhauling your entire life. You don’t need expensive retreats, fancy supplements, or a therapist on speed dial (though all of those things can help). What you really need are simple, doable practices that actually fit into your day—and help you feel like yourself again.

This blog is packed with practical, science-backed tools you can use even when time is tight and your to-do list is long. From breathing techniques to boundary-setting, these strategies are designed to help you manage stress in a way that feels realistic, not rigid.

Let’s walk through some easy ways to bring more calm into your life—one small habit at a time. Let’s dive in.


1. Start with Breathwork: The Five-Minute Reset

Short on time? Start with your breath. Deep breathing activates the parasympathetic nervous system—your body’s natural “rest and digest” mode.

Try this:

  • Inhale for 4 counts
  • Hold for 7 counts
  • Exhale slowly for 8 counts

Repeat for five minutes. This simple trick can reduce cortisol (your stress hormone) and help you feel grounded.


2. Embrace the Power of Movement (Even If It’s Just a Walk)

We’re not talking HIIT or hardcore spin classes (unless you love that). Gentle, consistent movement like walking, yoga, or swimming can lower anxiety, balance blood sugar, and reduce hot flashes.

Plus, a 2022 Mayo Clinic study found that moderate exercise boosts serotonin levels, a major mood enhancer. So lace up your sneakers—even a 20-minute walk does wonders.


3. Prioritize Sleep Like It’s Your Job

Sleep and stress are locked in a feedback loop: poor sleep makes stress worse, and stress keeps you up at night. According to the Sleep Foundation, women in midlife are more prone to insomnia, especially during perimenopause and menopause.

Stress-busting sleep hygiene tips:

  • Stick to a bedtime schedule
  • Avoid screens 1 hour before bed
  • Try magnesium glycinate or a calming herbal tea

4. Create a “No List” and Set Boundaries Like a Queen

One word: boundaries. In your 40s and 50s, saying “yes” to everything can seriously burn you out. Stress relief often starts with what you don’t do.

Make a “No List” of energy-drainers—things you no longer want to tolerate. From there, build in personal time that’s non-negotiable (even if it’s 15 minutes to read or drink tea in peace).

🧠 Tip: Use the Eisenhower Matrix (urgent vs. important tasks) to triage your weekly responsibilities.


5. Nourish Your Nervous System with the Right Foods

Did you know what you eat can either fuel anxiety—or calm it? For women over 40, focusing on anti-inflammatory and nutrient-dense foods supports hormone balance and reduces stress.

Stock up on:

  • Omega-3 rich fish like salmon
  • Leafy greens and magnesium-packed foods
  • Dark chocolate (yes, it’s science!)
  • Fermented foods for gut-brain balance

6. Build a “Mini Joy Toolkit”

What’s one thing that instantly brings you joy? A nostalgic playlist? A journal and a candle? A 10-minute laugh-out-loud podcast?

Create a physical or mental “joy toolkit” filled with things that uplift you in the moment. When stress hits, open it up—it’s your emotional emergency kit.


This Isn’t About Perfection—It’s About Progress

It’s easy to think that managing stress means we have to do everything “perfectly”—from getting the perfect amount of sleep, to always making time for exercise, to sticking to a rigid self-care routine. But here’s the thing: life doesn’t work that way, and especially not during the busy, often unpredictable years of your 40s and 50s.

Stress is a natural part of life. We all experience it—whether it’s related to work, family, or the various life transitions that come with aging. But what we don’t have to do is carry that stress all the time. The goal isn’t to eliminate stress entirely (which, let’s be honest, is nearly impossible). The goal is to shift our relationship with it, so it no longer controls us or dictates our happiness.

Progress Over Perfection

Rather than aiming for an unrealistic standard of “perfect” stress management, focus on making small, consistent improvements. It could be as simple as taking five minutes to breathe deeply before responding to a stressful situation, or committing to a 10-minute walk to clear your mind.

By focusing on progress—whether it’s reducing stress by 10% or finding one practice that works for you—you’ll build habits that truly support your long-term well-being. These moments of self-care don’t need to be grand gestures; instead, think of them as micro-moments that accumulate and help you navigate life with more peace and resilience.

A Powerful Time for Self-Awareness

Your 40s and 50s are a time of increased self-awareness. You’ve likely gone through some life-changing experiences by now—whether that’s having children, experiencing career shifts, or going through personal growth and change. With age often comes the realization that there’s a lot less time for things that drain your energy. And that’s okay.

This stage of life offers the perfect opportunity to reflect on what really matters to you, and where you want to focus your time and energy. If stress management feels overwhelming, think of it this way: you don’t need to do everything at once. Start small, with one change that feels achievable, and over time, it will make a big difference. It’s about being intentional with your time, making space for what brings you joy, and choosing calm over chaos when possible.

Making Room for Calm

At the end of the day, the goal is not to be perfect, but to make room for calm in your life—even amidst the chaos. You’re in a phase where you can be more intentional with your choices and actions, and stress relief doesn’t need to be an afterthought.

It can be as simple as saying no to that extra commitment, setting boundaries in relationships, or taking a quiet moment to yourself. You’re allowed to create space for relaxation and peace without guilt. Prioritize what makes you feel balanced—whether it’s deep breathing, a solo walk, or simply turning off your phone for an hour. These small acts are powerful in creating a life that feels less reactive and more intentional.

In your 40s and 50s, progress is the key. Be kind to yourself, and remember that each small step you take to reduce stress will lead you toward a more balanced, calmer version of yourself. Your 40s and 50s are not just about aging—they’re about evolving, learning, and growing into a life that feels more aligned with your values. Embrace the journey of progress, not perfection.

References

Sarmiento, L. F., Lopes da Cunha, P., Tabares, S., Tafet, G., & Gouveia, A., Jr (2024). Decision-making under stress: A psychological and neurobiological integrative model. Brain, behavior, & immunity – health38, 100766. https://doi.org/10.1016/j.bbih.2024.100766

Mayo Clinic. (2022). Exercise and stress: Get moving to manage stress. https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/exercise-and-stress/art-20044469