Also known as pre-menopause, this is a phase just before the actual ending of periods, when ovulation declines or varies, resulting in various symptoms. Perimenopause is a time when periods are erratic and discomforts like hot flushes, insomnia etc occurs. Although according to research, perimenopause occurs almost a decade before actual menopause, medically this happens just 2-3 years before the actual time. Also, since it occurs in women who are just 35, symptoms are ignored.
Another reason this is ignored is because it occurs subtly. Women with a 28 day menstrual cycle, suddenly begin to have a 26 day cycle. Or, in some cases, the cycle gets prolonged to 30 days. Â Breast tenderness, hot flushes, vaginal dryness are prevalent too. Some women experience very heavy periods, making hysterectomy the only viable option.
Is it possible for a woman to conceive during perimenopause?
Yes! Although ovulation is frequent in women in their 20’s or 30’s, ovulation does occur, albeit with irregularity even during perimenopause. So just because your periods have become erratic occurring once in 45 days, does not protect you from pregnancy! Until there is a full-stop of menstruation for a year, you aren’t still safe. So, women in their 40’s could ovulate and thereby conceive.
Gynecologists these days believe that perimenopause is the right time to begin estrogen or progesterone or testosterone therapy. This is because when therapy at this stage is started, hormones are never in excess and are just being replaced by a declining natural supply. When actual menopause occurs, there could be an excess of hormones.
Perimenopause is the right time to change your existing lifestyle in case it is unhealthy. This is the right time to start the intake of calcium supplements, in order to prevent osteoporosis. Cut out unhealthy junk food and try to replace sodas and sweet juices with water. It will help you combat weight gain that can happen in menopause. Also, change your food habits to include more leafy vegetables, fresh fruits rich in fiber, reduce intake of salty food, stop smoking, try meditation, yoga and cultivate hobbies.
Exercising can help a lot during this time. Aerobics or dancing classes like Salsa or jazz can keep the spirits high as well as keep you fit and trim. Preparing for the actual arrival of menopause can mitigate many of the symptoms. Natural exercises like walking, running, bicycling and swimming can be helpful forms of exercise.
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