05/11/2025
Peri-Menopause Versus Menopause
Although these terms are used interchangeably sometimes, they are two very clear-cut phases women experience in midlife.
Peri-menopause is the time before menopause happens and generally lasts from 4 – 10 years. The average age it occurs is from mid 40s to mid 50s, but can be earlier or less rarely, later.
I like to think of it as puberty in reverse – as it’s a time when women experience a lot of hormonal upheaval. Think of a hormonal teenager – only older and more tired! Hormones start to swing up and down as the body tries to whip the ovaries into one final push at reproduction.
This manifests as symptoms such as:
• Irregular menstrual cycles
• Insomnia and sleep disturbance
• Irritability, mood swings
• Changes to the monthly cycle – either longer or shorter
• Changes to periods – usually heavier, sometimes lighter
• The famous hot flushing and night sweats
• Changes to libido and vaginal dryness
• Fertility generally declines – but ‘change of life babies’ can happen. Contraception is still important.
• Brain fog, loss of memory and concentration
• Weight Gain, especially around the middle
For a certain percentage of women symptoms can be very severe and debilitating. If symptoms are affecting your life you don’t have to tough it out. There are nutrients and herbs that can be very effective in supporting women at this time in their life.
Menopause, by definition, occurs one year after the final period. For many women menopause is the calm after the storm, a kinder phase of life. But some women do continue to have hot flushes and other symptoms.
If women in peri-menopause are given the information and support they need studies show they are less likely to have more severe health problems in the decades that follow, particularly osteoporosis and cardiovascular disease.
Peri-menopause and menopause are two very distinct phases of a women’s life. Peri-menopause affects women in different ways depending on their health going into peri-menopause and their health history. It’s important to tailor treatment to suit a women’s individual health issues. Helping the symptoms, and transition of women in peri-menopause may also help prevent some of the health issues of women as they age.