What is Perimenopause- Frequently Asked Questions

by Jennifer Bunn, RN

Menopause is an inevitable part of every woman’s life. Some women sail through relatively unscathed, while others experience every symptom in the book. Menopause is an intensely personal experience for every woman. Perimenopause precedes menopause, although some of the symptoms can overlap, and can occur at varying ages.

When does perimenopause begin?

Symptoms perimenopause generally begin when a women is in her 40’s, although they may start sooner than this.

What triggers perimenopause?

Perimenopause is triggered by a gradual and slow reduction in the amount of estrogen produced by the ovaries.

How long does perimenopause last?

Perimenopause can last for many years, with the average being 4 years. For some women, this period may only last for months, while for others perimenopause will last for up to 10 years.

When does perimenopause end?

Just before menopause, the reduction in the amount of estrogen the ovaries produce accelerates. This is when women are more likely to experience menopausal symptoms. Perimenopause is officially over when a woman has not experienced a period for 12 months, at which point she is said to be in menopause. For women who no longer experience menstrual periods due to hysterectomy, levels of hormones can be measured by blood sampling.

What are the symptoms?

  • Hot flashes
  • Mood changes
  • Vaginal dryness
  • Fatigue
  • Breast tenderness
  • Menstrual period irregularities
  • Sleep disturbances

Can I still become pregnant during perimenopause?

Yes! Although hormone levels are reduced and fertility declines, you may still become pregnant. You should continue to use birth control if you do not want to become pregnant until you have gone 12 consecutive months without a menstrual period.

Source: http://www.mayoclinic.com/health/perimenopause/DS00554

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