
Perimenopause is essentially a second puberty, so it’s a time of hormonal change. What is actually happening in the body during this time/transition? Estrogen is getting lower now but still fluctuating up to some high points.įinally, phase 4 or late perimenopause is the waiting room - or the time between what you think might be the final period and achieving menopause 12 months later. Phase 3 is when cycle length starts to vary more dramatically, with up to 60 days between periods. The timing from the onset of irregular cycles till the first skipped period is 2-3 years. Estrogen is still high but fluctuating more widely with some real low points - leading to both high estrogen symptoms like irritable mood and breast pain AND estrogen withdrawal symptoms like migraines and night sweats. Cycle length means counting from day 1 of the bleed to day 1 of the next bleed. Phase 2 is the early menopause transition when cycle length starts to vary by more than 7 days. This phase can last 2-5 years and is usually a time of high estrogen and low progesterone. Phase 1 of a normal perimenopause is when periods are still regular but symptoms are starting.

Women born before 1985 are likely to be in perimenopause currently. Instead, it’s about the recalibration of the entire hormonal system and the support you may need during that temporary process The normal age for menopause (periods stopping) is anywhere from 45 to 55, and the normal age for perimenopause is up to ten years before that-as young as 35! That’s why perimenopause is not about ageing. It is usually the time of almost no symptoms. Menopause is the life phase that begins one year after the final period. It is the time of greatest symptoms, but it is temporary. Perimenopause is the two to ten years before menopause.


What is happening during perimenopause and menopause?įirst, some definitions. If you’re experiencing symptoms, you are not alone. Remember, menopause can actually be regarded as an advantageous evolutionary process that is quite profound and a part of womanhood to be celebrated. She’s shared her wealth of knowledge on everything from what is happening during this hormonal transition period to her tips to support yourself on the journey. As part of this year’s Menstrual March, we chatted to our JSHealth Vitamins hormone expert, author of Period Repair Manual and Hormone Repair Manual, Lara Briden (AKA ‘The Period Revolutionary’) to delve into the world of perimenopause and menopause.
