Are You in Perimenopause? Here’s What You Need to Know

Understanding the Perimenopause Transition

If your periods are suddenly irregular, your sleep is off, or you’re snapping at your partner for no reason, you might be wondering: Am I in perimenopause? You’re not alone.

Perimenopause is the natural transitional stage before menopause, and it can start earlier than many women expect—sometimes as early as your mid-30s or early 40s. While it’s completely normal, the symptoms can be confusing, frustrating, and even scary if you’re not sure what’s going on.

In this article, we’ll break down what perimenopause is, how to recognize the signs, and what you can do to feel better during this important phase of your life.

What Is Perimenopause?

Perimenopause literally means "around menopause." It’s the time when your hormone levels, especially estrogen and progesterone, begin to fluctuate as your ovaries prepare to slow down.

This phase can last anywhere from 4 to 10 years, and it ends when you’ve gone 12 consecutive months without a period (that’s when you officially enter menopause).

Common Signs You Might Be in Perimenopause

Every woman experiences perimenopause differently, but here are some of the most common symptoms reported:

1. Irregular Periods

Your cycle may get longer or shorter, heavier or lighter—and it's often unpredictable.

2. Hot Flashes and Night Sweats

Sudden feelings of heat, flushed skin, and waking up drenched in sweat are classic signs of estrogen fluctuations.

3. Mood Swings and Anxiety

You might feel more irritable or anxious than usual. Mood changes are driven by shifts in serotonin and dopamine, not just hormones.

4. Trouble Sleeping

Falling or staying asleep can become difficult, especially if night sweats are waking you up.

5. Brain Fog and Forgetfulness

Struggling to focus or remember things? That’s menopause brain fog, and it can start in perimenopause.

6. Fatigue and Low Energy

Hormonal changes affect everything from sleep quality to metabolism, leaving many women feeling drained.

7. Vaginal Dryness and Libido Changes

Decreased estrogen can lead to changes in intimacy, including dryness, discomfort, or decreased desire.

If you’re noticing two or more of these symptoms, chances are you’re in perimenopause.

When Does Perimenopause Start?

Most American women begin perimenopause between ages 40 and 44, though it can begin earlier or later depending on genetics, lifestyle, and health factors.

Some women experience early perimenopause in their mid-30s, especially if they've had certain medical treatments, autoimmune conditions, or a family history of early menopause.

How Is Perimenopause Diagnosed?

There is no single test to confirm perimenopause. Most doctors diagnose it based on:

• Your age and symptoms
• Menstrual history
• Blood tests (sometimes) to measure FSH, estradiol, or thyroid levels

Because hormone levels can fluctuate wildly during this time, one test might not give the full picture.

How to Feel Better During Perimenopause

While perimenopause is a natural stage of life, that doesn’t mean you have to suffer. Here are some evidence-based ways to take back control of your body and mind:

1. Support Your Brain Chemistry

Perimenopause doesn’t just affect your hormones—it also disrupts the production of neurotransmitters like serotonin and dopamine. These chemicals affect your mood, memory, sleep, and appetite.

Supplements like Pink Moon are designed to naturally support your brain's balance using vitamins, minerals, and adaptogens without the risks of hormone therapy.

2. Prioritize Sleep

• Keep a consistent bedtime
• Limit screen time 1 hour before sleep
• Try magnesium glycinate or herbal sleep support (like chamomile or GABA)

3. Eat a Balanced, Anti-Inflammatory Diet

A Mediterranean-style diet rich in vegetables, fruits, lean proteins, and healthy fats can help reduce hot flashes and support hormone metabolism.

4. Move Your Body Daily

Exercise improves mood, sleep, energy, and estrogen metabolism. Try walking, strength training, yoga, or swimming—whatever you enjoy!

5. Manage Stress with Mind-Body Practices

Chronic stress can worsen perimenopausal symptoms. Try:

• Deep breathing
• Meditation apps like Calm or Headspace
• Journaling or gratitude practices

For more natural tips, check out our article on 7 Natural Remedies for Hot Flashes That Actually Work.

Is Hormone Replacement Therapy (HRT) the Answer?

HRT can relieve severe symptoms for some women, but it comes with risks that may outweigh the benefits, especially for those with a family history of breast cancer, stroke, or heart disease.

To learn more, read our in-depth breakdown: The Shocking Truth About Hormone Replacement Therapy (HRT) Risks.

When to See a Doctor

While perimenopause symptoms are often manageable with lifestyle changes, you should see your doctor if you experience:

• Extremely heavy or frequent bleeding
• Debilitating anxiety or depression
• Sudden changes in weight or sleep
• Memory issues that interfere with daily life

Your provider can rule out other causes and help create a personalized plan.

Perimenopause is a normal part of life, but that doesn’t mean you have to go through it blindly or silently. Recognizing the signs early and taking steps to support your hormones, brain, and lifestyle can make a world of difference.

You deserve to feel empowered, clear-headed, and strong through every phase of womanhood. Whether it's through diet, movement, stress support, or natural supplements like Pink Moon, there's a path forward.

Know your body. Trust the signs. And get the support you need to thrive through perimenopause.

*This article is for educational purposes only and is not intended to replace medical advice. Please consult with your healthcare provider for personalized guidance.