Perimenopause Symptoms: What Every Woman Needs to Know
If you’re in your late 30s or 40s and starting to feel like your body is playing by a whole new set of rules, you’re not alone. That transition period before menopause—called perimenopause—can bring a wave of symptoms that leave many women wondering if they’re “just stressed” or if something deeper is going on. Spoiler: it’s not all in your head.
Perimenopause is your body’s natural shift as estrogen and progesterone begin to fluctuate. These hormonal changes can happen gradually or suddenly, and the symptoms can feel unpredictable. But understanding what’s happening inside your body is the first step to feeling empowered, instead of blindsided.
When Does Perimenopause Start?
Perimenopause usually begins between ages 35 and 45, though it can start earlier for some women. This stage can last anywhere from 4 to 10 years, depending on your body, genetics, and lifestyle.
In your late 30s, you might notice subtle shifts: heavier PMS, changes in your period, or increased fatigue.
In your early to mid-40s, symptoms often become more noticeable—irregular cycles, hot flashes, sleep changes, and mood swings.
In your late 40s, estrogen and progesterone levels drop more significantly, and many women experience the most intense symptoms before officially reaching menopause (defined as 12 months without a period).
Knowing the age range helps take the guesswork out of what’s happening—it’s not just stress, burnout, or “getting older.” It’s a biological shift, and your body is asking for more support.
Common Symptoms of Perimenopause
Here are the most common signs you might be navigating this season:
Irregular periods – cycles may become shorter, longer, heavier, or lighter.
Hot flashes and night sweats – sudden waves of heat that disrupt your day (and your sleep).
Sleep disturbances – even if you’re exhausted, falling or staying asleep can feel impossible.
Mood changes – irritability, anxiety, or mood swings tied to fluctuating hormones.
Brain fog – forgetfulness, difficulty concentrating, or feeling mentally “off.”
Weight changes – especially around the midsection, even if your habits haven’t changed.
Vaginal dryness and discomfort – due to declining estrogen levels.
Decreased libido – often tied to hormonal shifts and other symptoms like fatigue.
Fatigue – the “I’m tired no matter how much I sleep” type of exhaustion.
Why These Symptoms Happen
Hormones—especially estrogen and progesterone—don’t decline in a straight line. They fluctuate wildly before they eventually level out in menopause. These ups and downs affect everything from your sleep cycles to your mood, digestion, weight, and brain health. Think of it as your body recalibrating, not failing you.
What You Can Do About It
The good news? You don’t have to suffer through perimenopause. Small, intentional changes can make a big difference:
Prioritize sleep hygiene – create a nighttime routine that supports deep rest.
Balance blood sugar – consistent meals with protein, fiber, and healthy fats help regulate hormones.
Manage stress – meditation, breathwork, acupuncture, and gentle movement can calm cortisol spikes.
Strength train – muscle is protective against weight gain, bone loss, and energy dips.
Track your cycle – even if it’s irregular, noticing patterns can help you stay ahead of symptoms.
Seek support – functional medicine, herbal support, and acupuncture can ease the transition naturally.
Final Thoughts
Perimenopause is not the beginning of the end—it’s the start of a new chapter. When you understand your symptoms and respond with the right tools, you’ll move through this season with resilience and confidence.
You don’t have to figure it out alone. If you’re nodding your head as you read this and wondering how to get relief, know that support and solutions are available. Your body isn’t betraying you—it’s guiding you toward the next phase of your health.
If you’re noticing signs of perimenopause and want clarity on what’s happening in your body, let’s talk. I offer a free initial call where we’ll explore your symptoms, your goals, and the best next steps for supporting your hormones naturally. Schedule your call today and take the first step toward feeling balanced and energized again.