What Is Perimenopause?
Perimenopause is the transitional phase leading up to menopause — typically beginning in a woman’s early-to-mid 40s, though it can start as early as the mid-30s. During this time, oestrogen and progesterone levels fluctuate unpredictably, causing a wide range of physical and emotional symptoms.
The 5 Key Signs to Watch For
01
Changes in Your Menstrual Cycle
Your cycle may become shorter, longer, or irregular. Heavier or lighter periods are common. This is often the earliest and most noticeable sign.
02
Sleep Disturbances & Night Sweats
Hot flushes — particularly at night — disrupt sleep quality and duration. Many women report waking frequently or feeling unrested despite adequate sleep hours.
03
Mood Changes & Anxiety
Hormonal fluctuations directly impact neurotransmitter function. Low mood, increased anxiety, irritability, and even panic attacks can all be symptoms of perimenopause.
04
Brain Fog & Cognitive Changes
Difficulty concentrating, memory lapses, and slower recall are widely reported. These symptoms are often distressing but typically improve with hormonal stabilisation.
05
Physical Changes
Joint stiffness, skin changes, hair thinning, and changes in libido are all well-documented symptoms. Many women attribute these to stress or ageing rather than hormonal shifts.
When Should You See a Doctor?
If any of these symptoms are affecting your daily life, sleep, or relationships — it’s time to seek expert advice. You do not need to wait until symptoms become severe. Early intervention with evidence-based treatment, including body-identical HRT, can significantly improve quality of life.
Dr Katy offers specialist menopause consultations with a thorough assessment, personalised treatment plan, and ongoing support.