Short answer: perimenopause β the transition before menopause β can begin years earlier than many expect, sometimes in the late 30s, and often before your periods noticeably change. Fluctuating hormones can bring disrupted sleep, mood shifts, irregular cycles, changes in weight and skin, and more. It's normal, and there's a lot that helps.
What's actually happening
In perimenopause, oestrogen and progesterone fluctuate rather than simply dropping, which is why symptoms can feel erratic. This phase can last several years before menopause (defined as 12 months without a period). Because periods may still be regular early on, symptoms are often missed or attributed to stress.
Common signs to know
Trouble sleeping, mood changes, more pronounced PMS, irregular or heavier periods, brain fog, shifting weight (often toward the middle), and drier skin are all common. Recognising them as perimenopause can be a relief in itself β you're not imagining it.
What helps
Strength training and protein protect muscle and metabolism; sleep and stress management ease mood and hot-flush triggers; and balanced blood sugar helps energy. Speak to your doctor about options including menopause hormone therapy. For everyday support, our Herbal Harmony: Meno Rebalance is formulated around the menopausal transition. It supports general wellbeing β it isn't a substitute for medical care for significant symptoms.
FAQ
When does perimenopause start? Often in the 40s, sometimes the late 30s, and it can last several years.
Can I have symptoms while my periods are still regular? Yes β hormonal fluctuations can cause symptoms before cycle changes are obvious.
What should I do? Track symptoms, prioritise sleep, protein and movement, and discuss options with your doctor.
General education only, not medical advice. Perimenopause symptoms and treatments should be discussed with a healthcare professional.
