Perimenopause is the stage leading up to menopause, when your hormone levels—especially estrogen—begin to fluctuate. These changes can begin 8–10 years before menopause, most commonly starting in your mid-40s, though some women may notice signs earlier.
During perimenopause, estrogen levels may rise and fall unpredictably. This hormonal imbalance affects your menstrual cycle and can lead to a wide range of symptoms. Everyone’s experience is unique—some may only notice irregular periods, while others experience several physical and emotional changes.
The main hormonal shift during perimenopause is a gradual decline in estrogen, which disrupts its usual balance with progesterone. Because these hormones fluctuate—sometimes increasing, sometimes decreasing—symptoms can come and go or vary in intensity.
his “hormonal rollercoaster” is a normal part of the transition, but it can be confusing or uncomfortable without guidance from your healthcare team.
Perimenopause can last around four years, but for some women it may last only a few months or up to eight years. The length varies from person to person and depends on how your body adjusts to changing hormones.
Irregular periods are often the first sign that perimenopause has begun. Your cycle may become shorter, longer, lighter, heavier, or more unpredictable.
Many women also experience symptoms such as:
These symptoms can vary widely, and some may resemble signs of other health conditions. Talking with your Columbus OB/GYN provider can help confirm whether your symptoms are related to perimenopause and rule out other concerns.
Perimenopause cannot be stopped, but there are many ways to manage symptoms and improve daily well-being. Treatment is personalized based on your symptoms and health needs.
Your provider may recommend:
Get personalized guidance and support for perimenopause symptoms. Call Columbus OB/GYN or schedule your appointment online today.
