When most people hear “menopause,” they think of women in their 50s. But the transition often starts much earlier—and for many women, symptoms begin quietly in their late 30s or early 40s.
This phase is called perimenopause, and it can feel like a confusing mix of “Am I too young for this?” and “Why do I feel so off?”
We want to help women understand what’s normal, what’s not, and how to navigate perimenopause with knowledge and support.
What Is Perimenopause, Exactly?
Perimenopause is the natural transition phase leading up to menopause, when your body gradually starts producing less estrogen and progesterone.
Menopause is officially defined as going 12 months without a period, but perimenopause can last several years before that happens—usually between ages 35 and 50, depending on genetics and overall health.
This isn’t something to fear. It’s a normal part of aging and doesn’t mean something is wrong. It just means your body is shifting—and it helps to know what to expect.
Signs You Might Be in Perimenopause
Not every woman has the same experience, but these are some of the most common early signs:
1. Changes in Your Period
- Periods become heavier, lighter, closer together, or further apart
- You may skip months or have two cycles in one month
- Cramps may feel different than they used to
This is often one of the first signs women notice.
2. Hot Flashes and Night Sweats
- Sudden waves of heat in the face, chest, or whole body
- Sweating at night that soaks your pajamas or sheets
- May come on gradually or feel intense
These symptoms are caused by hormonal fluctuations affecting your internal thermostat.
3. Mood Swings or Irritability
- Feeling anxious, down, or more easily overwhelmed
- Mood changes without a clear cause
- Emotional ups and downs that don’t feel like “you”
Hormones impact brain chemistry—so it’s not “just in your head.”
4. Sleep Changes
- Trouble falling or staying asleep
- Waking up too early or feeling unrefreshed
- Sleep disturbances from night sweats
Sleep problems are one of the most common and frustrating symptoms of perimenopause.
5. Brain Fog or Forgetfulness
- Difficulty concentrating or finding words
- Feeling mentally “slower” than usual
Estrogen plays a role in brain function and memory. When levels fluctuate, thinking can feel fuzzier.
6. Changes in Libido or Vaginal Health
- Decreased interest in sex
- Vaginal dryness or discomfort during intimacy
- More frequent UTIs or bladder changes
These are common and nothing to be embarrassed about—they’re part of a hormonal shift, not a personal flaw.
What’s Normal—and When to Schedule an Appointment
What’s Normal:
- Irregular periods or skipped cycles
- Occasional hot flashes
- Mild mood swings or sleep issues
Schedule an Appointment If You Notice:
- Bleeding that’s very heavy or lasts longer than 7 days
- Bleeding between periods or after sex
- Symptoms that interfere with daily life (sleep, mood, work, relationships)
- Signs of depression or anxiety that linger
- Questions about fertility or family planning
Even if you’re not sure what’s going on, we’re here to listen and help. You don’t need to “tough it out” or wait until things get worse.
Fertility and Perimenopause: Can You Still Get Pregnant?
Yes. You can still get pregnant during perimenopause, even if your periods are irregular. If pregnancy isn’t your goal, it’s important to continue using birth control until you’ve gone a full year without a period.
If you’re hoping to conceive and notice irregular cycles, talk to your provider early. Hormonal changes don’t mean it’s impossible—but timing and support can make a difference.
Can Anything Help With Perimenopause Symptoms?
Absolutely. You don’t have to suffer through it. Many women benefit from:
- Lifestyle changes: better sleep routines, stress management, regular movement
- Dietary support: increasing fiber, healthy fats, calcium, and hydration
- Supplements: talk to your provider about options like magnesium, B vitamins, or herbal supports
- Hormone therapy (if appropriate): small doses of estrogen or progesterone can offer relief for some symptoms
We’ll work with you to figure out what’s right for your body and lifestyle. Learn more about essential health screenings you should also consider during perimenopause.
You’re Not Alone
Perimenopause isn’t just a physical transition—it’s an emotional one, too. And for women juggling families, careers, aging parents, and more, it often arrives during a particularly busy season of life.
If you’re feeling “off,” confused, or just unsure if what you’re experiencing is normal, schedule an appointment. There’s no shame in talking about hormone health—and there’s no award for suffering silently.
At Northwest Family Clinics, we’re here to support you at every stage. Whether it’s answering questions, managing symptoms, or helping you feel like yourself again, we’re just a visit away.