ITV's resident health expert, Dr Hilary Jones, has shed light on the often-misunderstood phase of perimenopause, detailing seven crucial symptoms that many women fail to recognise. This transitional period before menopause can start a decade earlier than many realise, bringing a host of changes that extend far beyond the classic hot flush.
In a detailed explanation, Dr Hilary emphasised that perimenopause is not a single event but a process, a "run-up to the menopause," where hormone levels begin their significant fluctuation. This can lead to a variety of physical and emotional symptoms that are frequently mistaken for other issues.
The 7 Key Signs You Might Be Perimenopausal
While irregular periods are a well-known indicator, Dr Hilary highlights several other symptoms that can be just as telling:
- Anxiety and Low Mood: Fluctuating oestrogen can directly impact serotonin levels, leading to unexpected feelings of anxiety, irritability, or depression.
- Brain Fog: Difficulty concentrating, memory lapses, and struggling to find the right words are common complaints, often causing women to fear the onset of dementia.
- Sleep Disturbances: Waking up in the middle of the night, often drenched in sweat, even if you don't experience hot flushes during the day.
- Loss of Confidence: A noticeable drop in self-assurance, particularly in professional settings, can be a surprising and distressing symptom.
- Changes in Skin and Hair: Skin may become drier and itchier, while some women experience thinning hair or increased facial hair.
- Vaginal Dryness: This can lead to discomfort during intercourse and an increased frequency of urinary tract infections (UTIs).
- Heart Palpitations: Experiencing sudden, noticeable heartbeats can be alarming but is often linked to hormonal shifts.
When Does It Start And How Long Does It Last?
Dr Hilary stresses that perimenopause typically begins in a woman's mid-40s, but can start as early as the mid-30s for some. The process can last anywhere from four to ten years before menopause itself—defined as 12 consecutive months without a period—occurs, usually around the age of 51.
Seeking Help and Treatment Options
The key message from Dr Hilary is that no woman should suffer in silence. If symptoms are impacting your quality of life, a conversation with your GP is essential. Treatment options, including Hormone Replacement Therapy (HRT), have evolved significantly and can be tailored to individual needs and medical history.
"You don't have to put up with it," he affirms. A proper diagnosis and management plan can help women navigate this natural life stage with significantly improved comfort and well-being.
