The Perimenopause Signs: 10 Clues Your Body Is Changing and How to Prepare

Perimenopause often arrives unannounced, bringing a series of unexpected changes that can be baffling to any woman. Marking the transition towards menopause, perimenopause involves fluctuations in hormone levels that can begin as early as the mid-30s and stretch to the late 50s. The symptoms are not only diverse but often subtle, making them easy to overlook or misattribute to other health issues. This article explores ten surprising signs of perimenopause and offers practical advice on how to handle these changes, ensuring you manage this natural phase of life with ease and confidence.

Irregular Periods

Understanding Your Menstrual Cycle Changes

The hallmark of perimenopause is the change in the menstrual cycle. You might notice that your periods become irregular—longer, shorter, heavier, or lighter than usual. Sometimes, you might even skip them altogether. This unpredictability is due to the ovaries gradually decreasing estrogen production.

What You Can Do

Keep a menstrual diary to track changes and discuss them with your healthcare provider. This record can help your doctor determine if you are perimenopausal or if other medical evaluations are necessary.

Hot Flashes in Cool Weather

The Heat That Comes Without a Warning

Hot flashes are typically associated with menopause, but they can begin during perimenopause. These sudden feelings of warmth can strike even in cooler weather and are often accompanied by sweating and flushing.

What You Can Do

Dress in layers, which can be easily removed when a hot flash strikes. Consider lifestyle adjustments like reducing spicy foods, caffeine, and alcohol, which can trigger or worsen hot flashes.

Sleep Disturbances

Nights That Are Longer Than Ever

If you find yourself tossing and turning at night, unable to fall or stay asleep, it might be a sign of perimenopause. These sleep disturbances are often due to hot flashes or night sweats, but they can also occur without them.

What You Can Do

Create a bedtime routine that promotes relaxation, such as reading or meditation. Keep your bedroom cool and avoid electronic devices before bedtime. If sleep issues persist, consult your doctor about possible treatments.

Mood Swings

Emotional Rollercoaster

During perimenopause, you might experience mood swings that feel out of character. One moment you’re up, and the next, you’re down. These swings can be mild to severe and are primarily caused by hormonal fluctuations.

What You Can Do

Regular physical activity and a balanced diet can help stabilize your mood. Engage in stress-reducing practices like yoga or mindfulness meditation. If mood swings are severe or interfere with your daily life, talking to a mental health professional might be beneficial.

Decreased Libido

The Unspoken Shift in Desire

A decline in sexual desire can be distressing and is a common yet unexpected sign of perimenopause. This can stem from hormonal changes, fatigue, or emotional distress.

What You Can Do

Open communication with your partner about your feelings and changes can help. Also, consider consulting a healthcare provider about hormone therapy or other treatments that can address this issue.

Increased Anxiety

Anxious Feelings Without Clear Cause

An increase in anxiety is often reported by women entering perimenopause. These feelings of nervousness and worry can be due to hormonal changes affecting neurotransmitters in the brain.

What You Can Do

Mindfulness and breathing exercises can help reduce anxiety. Maintaining a regular exercise schedule also supports mental health. If anxiety affects your quality of life, consider professional counseling.

Breast Tenderness

When Discomfort Comes Uninvited

Many women experience breast tenderness during their usual menstrual cycles, but this symptom can increase in frequency or intensity during perimenopause.

What You Can Do

Wear supportive bras and avoid underwires if they cause discomfort. Over-the-counter pain relievers and warm or cold compresses can also provide relief.

Urinary Urgency

The Need That Can’t Wait

An increase in urinary urgency or the onset of urinary incontinence can be a surprising symptom of perimenopause. Lower estrogen levels can weaken the urethral tissues, leading to these uncomfortable situations.

What You Can Do

Pelvic floor exercises, known as Kegels, can strengthen the muscles and help manage this issue. Reduce intake of diuretics like caffeine, which can exacerbate symptoms.

Memory Lapses

Forgetting the Little Things

Short-term memory loss and difficulties concentrating can also indicate the onset of perimenopause. These “brain fogs” are often temporary and manageable.

What You Can Do

Keep your brain active with puzzles, reading, and other cognitive activities. Ensure you’re getting enough sleep, as fatigue can worsen memory lapses.

Weight Gain Without Changes in Diet

The Unwelcome Surprise

Unexplained weight gain, especially around the midsection, is a common complaint among perimenopausal women. This weight gain can occur despite maintaining the same diet and exercise routine.

What You Can Do

Focus on a diet rich in fruits, vegetables, and whole grains. Incorporate strength training into your routine to combat muscle loss and increase metabolic rate. If weight gain is rapid or unmanageable, consult a healthcare professional.


What age does perimenopause usually start? Perimenopause typically begins in a woman’s 40s, but it can start as early as the mid-30s.

How long does perimenopause last? The duration of perimenopause varies but generally lasts from four to eight years until menopause is reached.

Can perimenopause cause changes in hair texture? Yes, hormonal changes during perimenopause can lead to changes in hair texture and volume.

Is it necessary to see a doctor for perimenopause symptoms? While perimenopause is a natural stage, consulting a healthcare provider can help manage symptoms effectively.

Are there any treatments available to ease the symptoms of perimenopause? Treatments can range from lifestyle adjustments and natural remedies to hormone replacement therapy, depending on the severity of symptoms.


Recognizing the signs of perimenopause is the first step toward managing this significant life transition. With the right strategies and support, you can navigate these changes effectively, maintaining your health and well-being. Remember, it’s not just about getting through it; it’s about thriving during and beyond perimenopause.

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