Perimenopause: When does Menopause start?

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Perimenopause is a chapter in your life that heralds a significant transition, leading up to menopause. It’s a time when you might start noticing changes like irregular periods, night sweats, and even joint pains. Typically beginning between 35 and 45, this phase can span several years, marking a gradual decrease in estrogen production. This shift brings about symptoms commonly associated with menopause, such as hot flashes and mood changes. Recognizing the signs of perimenopause is key to managing this natural progression effectively.

The Perimenopause Experience

Perimenopause is essentially the prelude to menopause, characterized by varied changes in your menstrual cycle and hormone levels. This period can last anywhere from a few months to over a decade, with an average duration of four to eight years. During this time, your body undergoes hormonal shifts, including decreases in inhibin and progesterone and an increase in follicle-stimulating hormone (FSH) levels. These changes can lead to irregular periods, hot flashes, and even impact your bone density and cholesterol levels due to declining estrogen.


Common Symptoms of Perimenopause

Navigating through perimenopause, you might face a range of symptoms that can affect your daily life in different ways:

  • Physical Symptoms:
    • Irregular Periods: The most noticeable sign of perimenopause.
    • Vasomotor Symptoms: Hot flashes and night sweats can vary in severity.
    • Genitourinary Issues: Decreased estrogen can lead to vaginal dryness and urinary urgency.
  • Emotional and Cognitive Symptoms:
    • Mood Fluctuations: Mood swings, anxiety, and depression are not uncommon.
    • Sleep Disturbances: Changes can lead to difficulties in sleeping.

Lifestyle Tips for Managing Symptoms

Making lifestyle changes can significantly help in managing perimenopause symptoms:

  • Diet and Exercise:
    • Include calcium-rich foods like milk, yogurt, and kale to support bone health.
    • A balanced diet with plenty of fruits, vegetables, whole grains, and omega-3 fatty acids is beneficial.
    • Regular physical activities such as walking, running, or yoga can help.
  • Environmental Adjustments:
    • Keep your bedroom cool and wear light clothing to alleviate night sweats.
    • Reduce intake of caffeine and alcohol to manage hot flashes better.
  • Social Support:
    • Connect with others going through perimenopause for comfort and practical tips.

Perimenopause and Fertility

Understanding the relationship between perimenopause and fertility is important. Fertility gradually declines in your 30s, with a more significant drop in the mid-40s. However, pregnancy is still a possibility during perimenopause due to the unpredictable nature of ovulation. Consistent contraception is recommended until menopause is officially reached to avoid unplanned pregnancies.

Preparing for the Next Stage

Perimenopause isn’t just about physical changes; it’s a time to focus on your overall health and well-being:

  • Health Screenings: Discuss comprehensive health screenings with your healthcare provider.
  • Structured Approach: Prepare for consultations with questions and concerns about hormonal changes and mental health.
  • Breaking the Stigma: Open discussions about menopause can provide support and foster a supportive community.

Treatment Options

  • Non-Hormonal and Behavioral Interventions: Cognitive Behavioural Therapy (CBT) and lifestyle adjustments can be beneficial.
  • Hormonal Treatments: Hormone Replacement Therapy (HRT) can alleviate symptoms but discuss the risks and benefits with your doctor.
  • Supplementation: In addition to lifestyle changes and building a supportive network, supplements can play a role in managing the challenges of menopause. One such supplement is Pause, a blend specifically formulated with menopause in mind.

Pause combines several ingredients known for their potential benefits to mental well-being:

  • Ashwagandha: An adaptogenic herb that helps the body manage stress and can promote a more balanced mood.
  • Dong Quai: Often referred to as “female ginseng,” Dong Quai, a powerful herb, offers potential benefits for menopause by promoting hormonal balance and providing relief from symptoms such as hot flashes, mood swings, and night sweats.
  • Soya Bean Extract: Contains isoflavones, plant-based compounds with estrogen-like effects that help balance hormones and mood swings.
  • Pine Bark Extract: This antioxidant-rich ingredient helps combat oxidative stress, supporting cardiovascular health and promoting radiant skin from within.
  • Magnesium: An essential mineral that plays a crucial role in brain function and mood regulation, often used to combat stress and anxiety.
  • Hibiscus Extract: Known for its cooling and soothing properties, it helps alleviate hot flashes, night sweats, and other uncomfortable symptoms.

Incorporating Pause into your daily routine provides an extra layer of support for emotional balance and mental clarity during menopause. For more information about Pause, please check here.

Pause menopause supplement


Perimenopause signifies a pivotal period of transition, marked by both challenges and opportunities for health and personal growth. By understanding the signs, symptoms, and treatment options, you can navigate this phase with confidence and ease. Embracing lifestyle changes, seeking medical advice, and fostering open conversations can all contribute to a smoother transition into menopause.


What are the initial signs of perimenopause? Symptoms include mood fluctuations, changes in sexual interest, headaches, night sweats, and irregular periods, among others.

How long does perimenopause last? On average, it lasts about four years but can vary from a few months to over ten years.

At what age does perimenopause typically start? Most women begin to experience perimenopause in their mid-to-late 40s, but it can start as early as the mid-30s or as late as the late 50s.

How is the transition from perimenopause to menopause defined? Menopause is confirmed after 12 consecutive months without a menstrual period, marking the end of the perimenopausal phase.

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