Usually, the first sign that change is happening in the body. During this time, your periods can be longer or shorter than usual, the flow may be heavy or light, and sometimes you may skip some periods.
Sudden and intense warm surges throughout your body. The intensity, length, and frequency may vary.
Because estrogen levels are decreasing, the vaginal tissues may lose elasticity and lubrication. This can make intercourse painful and uncomfortable.
The decrease in estrogen levels also makes the body vulnerable to urinary or vaginal infections. At the same time, the loss of tissue can make you feel the need to pee often.
Hot flashes make it difficult to get a good night’s rest. That said, sleep disturbances during this time can occur without experiencing hot flashes.
You may find yourself being more irritable, anxious, depressed, or have mood swings during this time.
Because ovulation becomes irregular, the ability to fall pregnant also decreases. However, pregnancy is still possible.
Sexual arousal and desire may change during perimenopause.
As estrogen levels decrease, the risk of osteoporosis increases. This is because the body loses bone more quickly than what can be replaced.
During perimenopause, there is an increase in cholesterol levels, which increases the risk of heart disease. It’s best to get your cholesterol levels checked annually.
These symptoms can last anywhere from a few months to several years.1 While these symptoms may look like other conditions, including menopause, it’s important to talk to your doctor if your symptoms affect your quality of life.