How Do I Know If I'm Going Through Perimenopause? Your Ultimate Perimenopause Symptom Checklist
- Madison Fandel
- 4 days ago
- 3 min read
By: Dr. Madison Fandel, ND, MSCP | Menopause Practitioner
Follow me on socials @drmadisonfandel
How Do I Know If I'm Going Through Perimenopause?
As women journey through the various phases of life, their bodies undergo remarkable transformations. And as a Naturopathic Doctor whose focus is in women's health, I hear this question all the time in my clinic here in Pacifica, California.
And one phase that brings its unique set of challenges and changes is perimenopause. Often referred to as the transitional phase leading up to menopause, perimenopause can be a perplexing time for many women.
Today, we'll dive into the intricacies of identifying whether or not what you're experiencing is perimenopause and differentiating it from other hormonal fluctuations.
Let's get into it!
Disclaimer:
This content is for informational and educational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, naturopathic doctor, or other qualified healthcare provider with any questions you may have regarding a medical condition or health concern. Never disregard professional medical advice or delay seeking it because of something you have read here.
Understanding the Perimenopause Puzzle
Perimenopause, often coined as the "menopause transition," typically begins several years before menopause itself. It's a time when the ovaries gradually produce less estrogen, leading to irregular menstrual cycles and various physical and emotional symptoms. However, recognizing the onset of perimenopause can be challenging due to the erratic nature of symptoms.
It's important to remember that you're not alone in this transition, and what you're going through, although "normal" the severity of your symptoms can be treated with the right plan and health team.
Symptoms: Not a One-Size-Fits-All Scenario
The symptoms of perimenopause can manifest differently for every individual. Some may experience symptoms only at specific times in their menstrual cycle due to heightened sensitivity to hormonal fluctuations. For instance, symptoms like hot flashes, insomnia, or mood swings might intensify during menstruation.
It's essential to note that discerning between symptoms related to perimenopause and those tied to premenstrual syndrome (PMS) can be perplexing. While PMS symptoms occur during the luteal phase (after ovulation), perimenopause symptoms may not neatly align with this cycle. Additionally, irregular ovulation during perimenopause can cause unexpected bleeding episodes, further complicating the picture.
The Clinical Presentation: A Crucial Diagnostic Approach
Diagnosing perimenopause often relies on clinical presentation, especially for women over the age of 45. Doctors take into account the array of symptoms experienced by the individual, along with their age and menstrual cycle irregularities.
Strong indicators of perimenopause include:
Hot flashes
Low mood
Insomnia
Irregular periods
Symptoms that may be present, but significance varies:
Breast tenderness
Irritability
Boating
Decoding the Cycle: Peaks and Valleys of Symptoms
Perimenopause symptoms aren't confined to a specific phase of the menstrual cycle. They can surface during low estrogen windows, which often occur around day 2 or 3 of the cycle. However, these symptoms might persist throughout the entire cycle, potentially worsening during longer periods of amenorrhea (absence of menstruation). This unpredictability can leave many women questioning the origin of their discomfort.
Navigating the Journey: Insights and Awareness
As women journey through perimenopause, awareness is key. Keeping track of menstrual patterns, symptom intensity, and fluctuations can provide valuable insights. If you suspect you might be in perimenopause, maintaining a symptom diary can help you and your healthcare provider make a more accurate assessment.
While the journey through perimenopause can be challenging, it's essential to remember that you're not alone. Seeking support from healthcare professionals, friends, and family members can make a significant difference. Embracing a healthy lifestyle through balanced nutrition, regular exercise, and stress management techniques can also help alleviate some symptoms and promote overall well-being.
Final Thoughts
Perimenopause is a unique chapter in your life marked by its unpredictable symptoms and changes. So, if you're ever asked, "How Do I Know If I'm Going Through Perimenopause?", don't feel like you're the only one. Because, it is quite the opposite. By understanding the nuances of its onset, symptomology, and clinical diagnosis, you can navigate this transition with greater confidence and insight.
Remember, while the road might be uncertain, knowledge is your compass, and reaching out for support will guide you through the ebbs and flows of perimenopause.
If you're looking for support during your perimenopause journey, book a visit using the link below. I am currently accepting new patients in-person, in my clinic in Pacifica, California, or virtually.
Follow me on socials @drmadisonfandel