Perimenopause Symptome: Was du wissen solltest

Perimenopause symptoms: what you should know

Menopause often announces itself quietly, but the symptoms cannot be ignored - do you know them?

It starts out of the blue. A sudden rush of heat floods your body, and you wonder if all the heaters have just been turned up. But no, that's just one of the signposts indicating that perimenopause has begun. This transition period is a completely natural period in our lives, often associated with physical and emotional changes that we should better understand in order to manage them.

What is Perimenopause?

Perimenopause – a term that denotes the period that precedes menopause. During these years our body begins to prepare for the new phase of life and the hormonal carousel sometimes turns unexpectedly. You may notice changes in your cycle, which may become longer, shorter or even irregular. This is a clear sign that fertility is slowly declining.

During this phase of life, the production of the hormones estrogen and progesterone, which are responsible for the regular menstrual cycle, gradually reduces. Hormone levels can fluctuate significantly and cause some discomfort: hot flashes, sleep disorders, mood swings or altered libido. Remember that every woman is unique and experiences with perimenopause may vary. Trust your body and be mindful of the changes it goes through.

Definition and time frame

Perimenopause refers to the transition phase before a woman's last menstrual period, the menopause.

A notice: Perimenopause can begin up to ten years before the last menstrual period.

This phase is not fixed at a specific age and can begin between the mid-30s and late 40s, although the duration varies from person to person. However, it often begins around the age of 45. Full menopausal transformation is usually completed with the last menstrual period, followed by postmenopause.

Hormonal changes explained

During perimenopause there is a decline in the hormone estrogen, which regulates fertility and the cycle. This leads to the well-known symptoms.

Progesterone , another key hormone, also fluctuates widely. This affects the cycle and causes irregularities.

These hormonal fluctuations are reflected in a variety of physical and emotional symptoms. In addition to hot flashes and mood swings, sleep disorders and changes in metabolism can occur.

The balance between estrogen and progesterone is crucial for our well-being. During perimenopause, this balance loses its stability, which subsequently leads to various symptoms. It is important to understand these changes as a normal part of the female life cycle and to seek support if they become too stressful.

Common symptoms of perimenopause

Perimenopause can be varied and unpredictable – a veritable kaleidoscope of sensations. You may experience increased mood swings , ranging from being exhilarated to feeling sad to death. Your periods become more irregular: sometimes gradually light, then surprisingly heavy again. Sleep problems, be it difficulty falling asleep or waking up at night, can be commonplace. Altered libido and vaginal dryness are also not uncommon and can affect well-being and intimate relationships. These are all facets of a phase of life in which the body plays its own symphony - which needs to be understood and directed.

Menstrual changes

The cycle is out of order.

During perimenopause, you can experience a rollercoaster of menstruation. You may notice that your periods become more irregular: sometimes they stop, sometimes they come unexpectedly or with an intensity that throws you off track. The length of the cycle can vary, as can the severity of the bleeding. It is not uncommon for bleeding to change from very heavy to very light.

Spotting is no reason to panic.

It is completely normal that spotting may also occur - a sign that hormone levels are changing. However, if bleeding is persistent or heavy, be sure to seek professional advice to rule out other health problems.

Ask your body to be patient.

The good news is that these changes are usually nothing to worry about. They are a natural part of the transition that every woman will go through. This may take a few years, but eventually the body settles into a new hormonal balance.

Menopause is not a finish line, but a journey.

You will notice that your body adapts and changes during this time. Remember that perimenopause is a phase of transition - not the end, but rather a new chapter. It is important to listen to your body's signals and ensure a balanced diet, exercise and enough rest to support you in this process.

Physical and emotional signs

The most common companions of perimenopause include hot flashes and mood swings. These can really turn harmonious days upside down and are completely normal.

Sleep depth and quality may decrease, leading to daytime sleepiness.

Heavy periods or cycle irregularities are also part of the transition and vary from person to person.

Physical changes, such as an increase in waist circumference, bring with them insecurities that we should lovingly embrace.

In addition to physical symptoms, there are also emotional rollercoaster rides that should encourage women to practice self-care and communicate with others.

Lastly, relationships and sexuality are also affected by the changes, which signals a need for discussion with partners and friends.

Dealing with the symptoms

It's essential to develop your own self-care routine to address the diverse symptoms of perimenopause. In addition to improving physical well-being, regular exercise can also have a positive effect on mood and sleep quality. Relaxation methods such as yoga, meditation or breathing exercises can help reduce stress and relieve hot flashes. It is also important to eat a healthy diet with enough vitamins and minerals. Phytoestrogens, such as those found in soy or flaxseed, can have a positive effect on hot flashes in some women. Exchanging ideas in a familiar circle or a self-help group also offers emotional support. If you still feel overwhelmed, don't hesitate to seek professional help.

Lifestyle adjustments

Dietary changes can work wonders. A balanced diet rich in fruits, vegetables and whole grains supports your body during perimenopause.

We know that perimenopause can be a hormonal roller coaster. But even small changes, like limiting caffeine and alcohol, can make a big difference. Try to give your body rest with enough sleep and breaks - it's important to listen to your body's signals and act accordingly. Eat a regular, balanced diet and incorporate foods with natural estrogens, such as soybeans or chickpeas, into your meals.

Physical activity should not be underestimated. Regular training not only strengthens muscles and bones, but can also prevent cardiovascular diseases. Gentle forms of exercise such as yoga or swimming are particularly gentle on the joints and are therefore ideal.

Lastly, it should be mentioned that mental health is just as important. Take time for yourself and your needs. Whether through mindfulness exercises, journaling, or just quiet moments, find what works for you to organize your thoughts and reduce stress. By paying conscious attention to your mental health, you can overcome the challenges of perimenopause more powerfully.

Medical treatment options

Hormone replacement therapy (HRT) can alleviate symptoms, but should be carefully considered. The individual risks and benefits must be taken into account.

Phytoestrogens in supplement form are an alternative option. They could provide gentle relief from hot flashes and other symptoms without the risks of HRT. That's why we recommend our product Harmony at the beginning and Meno at the end of your perimenopause.

Non-hormonal medications like antidepressants can also improve symptoms, especially when it comes to mood-related changes. They should be used under medical supervision.

Natural remedies and lifestyle changes can help, but in some cases medical treatment is the option of choice. It is crucial to have a personal consultation with your doctor.

Ultimately, the choice of medical treatment is a very individual decision. Be well informed and choose what suits you best.

When to see a doctor?

If you experience symptoms during perimenopause that severely impact your daily life or new health concerns arise, you should see a doctor. Professional advice is particularly needed if you have persistent bleeding disorders, extreme mood swings or if you suspect that something is wrong.

Some symptoms could also be signs of other medical problems. Therefore, do not hesitate to seek medical advice early in order to rule out other causes and receive appropriate treatment.

Differentiation from other health problems

Perimenopausal symptoms are complex and can resemble other diseases. How do you differentiate them correctly?

The symptoms of perimenopause, such as hot flashes or sleep disorders, are typical but not exclusive. For example, thyroid problems could cause similar signs.

It is important not to prematurely attribute perimenopausal symptoms to “menopause” without ruling out other conditions. Cardiovascular diseases, for example, can cause symptoms similar to hot flashes.

A precise anamnesis and, if necessary, additional examinations are crucial in order to classify symptoms and not confuse them with those of depression or anxiety disorder.

Describing your own observations precisely to your doctor helps to differentiate perimenopause from other health problems.

Importance of medical advice

Don't hesitate to seek medical advice if you notice any changes in your body.

A well-founded diagnosis is essential because perimenopause does not have to be the only cause of certain symptoms. A detailed discussion with your doctor and, if necessary, a series of examinations ensure that other illnesses that could cause similar symptoms are ruled out.

It is important to maintain open communication. Describe your everyday life, your symptoms and your emotional changes as precisely as possible. This allows your doctor to get a complete picture and make recommendations tailored to your individual needs.

Furthermore, expert care can be valuable support during the perimenopause. Your doctor can give you tips for lifestyle adjustments that promote well-being and, if desired, provide information about hormonal and non-hormonal therapy options.

Let's remember : your health and well-being come first. Obtaining a medical opinion is not only useful, but can also have a reassuring effect and help you take the right steps in this phase of life.


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