Frequently asked questions about perimenopause

Perimenopause raises many questions, sometimes even before we can put into words how we feel. Here are some clear and reassuring answers to help you better understand this hormonal transition, at your own pace.

What are the most common signs of perimenopause?

The most common symptoms are: irregular cycles, hot flashes, night sweats, increased stress, sleep disturbances, mood swings, fatigue, decreased libido, and vaginal dryness. Some women also experience hormonal migraines, palpitations, or difficulty concentrating. The intensity varies from woman to woman.

At what age does perimenopause begin?

It can begin as early as age 35, with the first hormonal imbalances. According to Ainoha™, perimenopause encompasses the entire process: from the first hormonal changes (perimenopause) to stabilization after menopause (postmenopause). It is a continuum that can last from 5 to 15 years.

How can you better cope with perimenopause?

Understanding hormonal fluctuations and adopting a suitable lifestyle can be beneficial. This includes getting enough sleep, exposing yourself to sunlight in the morning, managing stress, doing gentle physical activity, meditating, and eating a balanced diet. Tracking symptoms allows one to adjust their habits accordingly. Certain dietary supplements, such as plant extracts, vitamins, minerals, and omega-3 and omega-6 fatty acids, can also be beneficial during this transitional phase. Having support and information makes this transition easier.

When should you consult a doctor?

When hormonal changes disrupt your daily life or if you need reassurance, guidance, or simply more information. A professional can help you understand your hormonal cycle and offer valuable insight.

At what age does perimenopause begin on average?

Perimenopause, the period before menopause, typically starts between ages 35 and 45. Hormone levels fluctuate, with progesterone and then estrogen dropping, leading to vague symptoms like irregular cycles, unusual fatigue, or increased stress. This stage is a gradual adaptation process for the body.

Which tests can confirm perimenopause?

There is no single test. Perimenopause is primarily recognized by changes in menstrual cycles and the appearance of typical symptoms. Biological assessments (measuring LH, FSH, estrogens, and progesterone) can help understand an individual's hormonal profile, but they do not 'detect' perimenopause. 

Are perimenopause and menopause the same thing?

Premenopause corresponds to the onset of hormonal fluctuations (around age 35). Perimenopause encompasses the entire process, up to postmenopausal stabilization.

How long does perimenopause last?

It typically lasts between 5 and 15 years, sometimes longer. Its duration depends on each woman's unique hormonal rhythm.

Can you have periods and be in perimenopause?

Yes, if the woman is experiencing perimenopause. Menstruation may continue for several years, even if cycles become irregular, shorter, or longer. The onset of perimenopause does not mean menstruation will stop immediately. Women remain potentially fertile throughout the perimenopausal phase.

Is it normal for symptoms to vary from month to month?

Yes, hormones can fluctuate during this period, as can ovulation quality. This explains why certain signs appear, disappear, or change in intensity from one cycle to the next.

Does perimenopause always begin with irregular cycles?

Not necessarily. For some women, the first signs are emotional (stress, irritability), cognitive (brain fog), or physical (fatigue, breast tenderness, digestive issues).

Can diet help?

A balanced diet that is rich in fiber, high-quality protein, and omega-3s and low in fast-acting sugars can support energy levels, mood, and overall well-being. The Mediterranean diet is the ultimate healthy diet, even during perimenopause. While it is not a treatment, it can provide important support to help the body through this transition.

Do all women experience perimenopause in the same way?

No, every journey is unique. Some women experience many signs, others very few. Hormonal changes can also be felt as early as your mid-thirties or later in your mid-forties. The key is to listen to your own body and rely on clear and supportive guidelines.

In summary

Perimenopause is neither an abnormality nor an unavoidable fate. It is a natural, hormonally-driven transition, sometimes disorienting but always understandable. With good guidance, attentive listening, and appropriate support, it can become a period of self-reconnection.