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?

La préménopause,  période qui précède la ménopause, commence généralement entre 35 et 45 ans. Les hormones commencent à fluctuer (baisse la progestérone puis des œstrogènes) entraînant des signes diffus comme des cycles irréguliers, une fatigue inhabituelle ou un stress plus marqué. C’est une phase d’adaptation progressive du corps.

Which tests can confirm perimenopause?

Il n’existe pas de test unique.. La préménopause se reconnaît surtout par l’évolution des cycles et l’apparition de signes typiques. Les bilans biologiques  (dosage de la LH, FSH, œstrogènes et progestérone) peuvent aider à comprendre son terrain, mais ne “détectent” pas la préménopause.

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?

Oui si la femme est en période de préménopause. Les règles peuvent continuer pendant plusieurs années, même si elles deviennent irrégulières et que les cycles se raccourcissent ou s’allongent. Le début de la périménopause ne signifie pas l’arrêt immédiat des menstruations, et les femmes restent encore potentiellement fertiles durant toute la  phase de préménopause.

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?

Pas forcément. Chez certaines femmes, les premiers signaux sont émotionnels (stress, irritabilité), cognitifs (brouillard mental) ou physiques (fatigue, tension mammaire, troubles digestifs).

Can diet help?

Une alimentation équilibrée riche en fibres, protéines de qualité et oméga-3, et plus modérée en sucres rapides, peut soutenir l’énergie, l’humeur et le bien-être global.  Le régime pour la santé par excellence, également en périménopause, est le régime méditerranéen. Ce n’est pas un traitement, mais un soutien important pour accompagner le corps dans cette transition.

Do all women experience perimenopause in the same way?

Non. Chaque parcours est unique. Certaines femmes ressentent de nombreux signaux, d’autres très peu. Les changements hormonaux peuvent aussi se faire sentir tôt  dès le milieu de la trentaine, ou plus tard dès le milieu de la quarantaine. L’essentiel est d’écouter son propre corps et de s’appuyer sur des repères clairs et bienveillants.

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.