Most women and even men will refer to menopause in a woman at the first signs of hot flashes, mood swings, and irregular periods. Officially, menopause doesn’t occur until one year after the last period (including spotting). The time of transition when menopausal symptoms begin is known as perimenopause. The symptoms can begin as early as mid 30’s in some women and be mild or severe.

Some of the symptoms of perimenopause:

Menstrual irregularity occurs because ovulation becomes unpredictable with the intervals between periods lengthening or shortening. The flow will also vary and may include skipped periods.

Hot flashes and sleep changes are a common. The intensity, duration, and frequency of Hot Flashes vary from woman to woman. Sleep problems often occur because of hot flashes or night sweats, but will also occur in women who do not have them.

Mood changes are experienced by women occur in the form of mood swings, Anxiety, irritability, or Depression during perimenopause. Sleep disruption or other menopausal symptoms rather than the hormonal changes of menopause can be the cause.

Vaginal and bladder problems due to diminished estrogen levels. Vaginal tissues may lose lubrication and elasticity, making intercourse painful. Low estrogen levels may also leave you more vulnerable to urinary or vaginal infections. Tissue tone loss may contribute to urinary incontinence.

Decreasing fertility. As ovulation becomes irregular, the ability to conceive decreases but is not eliminated. Birth control should be continued until there have been no periods for 12 months to avoid pregnancy.

Changes in sexual function may occur during perimenopause because sexual arousal and desire may change. Some of it may be due to a woman’s self-image and her attitude towards aging. Most women who had enjoyable and satisfactory sex lives before menopause continue to have it through perimenopause and beyond.

Bone loss occurs because of declining estrogen levels. Bone is lost more quickly than it is replaced and that increases the risk of osteoporosis.

Cholesterol levels change with declining estrogen levels. The imbalance that may occur with good and bad cholesterol levels may lead to an increased risk of heart disease.

Mostly the symptoms of perimenopause can be managed without medical care. This stage of being a woman can be embraced and welcomed. For some women though, when the symptoms interfere with participating in normal living or depression becomes severe, it is wise to seek medical attention. If there are any concerns regarding the health affects of the symptoms of perimenopause, contact a medical professional.