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Perimenopause

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Perimenopause is the transitional phase leading up to menopause in a woman's reproductive life. It typically begins in a woman's 40s but can start as early as the mid-30s or as late as the 50s. During this time, the body gradually produces less estrogen and progesterone, leading to various physical and emotional changes. Perimenopause can last anywhere from a few months to several years, ending when a woman has gone 12 consecutive months without a menstrual period, which marks the onset of menopause.

Additional Information

During perimenopause, women may experience a range of symptoms due to hormonal fluctuations:

  • Irregular menstrual cycles
  • Hot flashes and night sweats
  • Mood changes and irritability
  • Vaginal dryness and decreased libido
  • Sleep disturbances
  • Changes in breast tissue
  • Bone loss

It's important to note that while fertility decreases during this time, pregnancy is still possible. Many women find that their experience of sexuality changes during perimenopause, sometimes leading to a decrease in desire, while others report an increase in sexual interest.

Examples

Sarah, 47, noticed her periods becoming irregular and experienced occasional hot flashes, signaling the onset of perimenopause.

During perimenopause, Lisa found that using lubricants helped address the vaginal dryness she was experiencing during intercourse.