No, it’s not menopause, but it is does involve the word ‘menopause’.

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Perimenopause is the stage of life where hormones start playing tricks, your body throws curveballs, and you might find yourself repeatedly muttering, “I just don’t feel like myself.” If this phrase resonates, you’re far from alone—perimenopause has been happening in the shadows for a long time but has only recently received the airtime it deserves.

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But what exactly is perimenopause, and how is it different from menopause?

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What Is Perimenopause, and How Is It Different from Menopause?

Perimenopause is like the long runway to menopause. It’s the transitional period where your hormones start to shift, but you haven’t yet hit menopause, which is defined as going 12 months without a period. Essentially, it’s the stage where your ovaries begin to wind down and oestrogen and progesterone start their unpredictable rollercoaster ride. Fun, right?

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While menopause marks the official end of your menstrual cycles (cue: no periods), perimenopause is the pre-show. You’re still menstruating, but it’s irregular, chaotic, and sometimes makes you wonder what your body is up to. On average, perimenopause can last anywhere from 4 to 10 years before you reach the menopause finish line.

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‍When Does Perimenopause Start?

This wonderful hormonal adventure can start as early as your mid-30s, but most women begin to notice symptoms in their 40s. Think of it like puberty in reverse: except this time, instead of waiting for your period to arrive, you're waiting for it to disappear.

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Signs You're in Perimenopause (Or Your Body’s New Favourite Hobby: Confusing You)

Perimenopause symptoms can range from mildly irritating to full-blown why-didn’t-anyone-warn-me. Here are some signs to look out for:

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· Irregular periods: Longer, shorter, heavier, lighter—you never know what you’re going to get.

· Hot flashes and night sweats: Just when you think you’re cool, your body decides to spontaneously combust.

· Mood swings: One minute, you're laughing; the next, you’re irrationally irritated. Hormonal fluctuations can cause emotional whiplash.

· Sleep disturbances: Either you can’t fall asleep, or you wake up at 3 a.m. like it’s party time. Thanks, hormones.

· Weight gain or body changes: Your metabolism slows, and your body starts to redistribute fat (hello, belly).

· Brain fog: “What was I just saying?” becomes a common phrase. Concentration can feel like herding cats.

· Decreased libido: When snuggling up with Netflix sounds better than anything else.

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And let’s not forget the ever-present feeling of “I just don’t feel like myself.” For many women, this phrase encapsulates the experience of perimenopause (and menopause). It’s not just physical—there’s a sense of disconnection, like you’re living in someone else’s body.

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What Perimenopause Means for Your Body

During perimenopause, oestrogen and progesterone production fluctuates. These hormones regulate everything from your menstrual cycle to your mood and metabolism, so when they go haywire, everything from your reproductive system to your mental health can feel out of sync.

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You may find yourself dealing with symptoms that impact your everyday life, and it’s not just about periods and hot flashes. Bone density can decrease, and your heart health may need extra attention due to hormonal shifts.

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How to Take Care of Yourself During Perimenopause

 First, know that you’re not alone. Millions of women are going through this transition. But how do you take care of yourself while your body is seemingly on its own mission? 

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1. Stay Active: Regular exercise can help with mood swings, energy levels, and weight management. A mix of strength training and cardio is ideal, as it also supports bone health and heart health.

2. Eat a Balanced Diet: Prioritize whole foods rich in fibre, protein, and healthy fats. Keep your blood sugar levels steady by eating regularly and avoiding highly processed foods.

3. Manage Stress: Meditation, yoga, or simply deep breathing can help you stay grounded when everything feels out of control.

4. Get Quality Sleep: Easier said than done, but establishing a solid nighttime routine and keeping your bedroom cool can help with night sweats and sleep disruptions.

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Nutrients That Can Support You 

Your body needs extra love during this time, and nutrients play a huge role in how you feel. Here’s a breakdown of some key players:

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· Magnesium: Helps with sleep quality, muscle relaxation, and mood stability.

· Calcium & Vitamin D: Essential for maintaining bone density, especially as your estrogen levels decline.

· Omega-3 Fatty Acids: These can help support heart health and reduce inflammation. Plus, they’re good for mood regulation.

· B Vitamins: Particularly B6 and B12, which help with energy production, brain function, and mood stability.

· Iron: If your periods are heavier during this transition, you might need more iron to prevent anaemia.

· Phytoestrogens: Found in foods like flaxseeds and soy, these plant compounds may help balance hormones.

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Perimenopause is a complex and often frustrating time, but understanding what is happening in your body is the first step to navigating it.

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If you’ve found yourself saying “I just don’t feel like myself”, know that it’s not in your head—this phase of life is real and challenging, but with the right support, you can take charge of your health and well-being.

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Remember, perimenopause is just one chapter in your life’s journey. Take care of your body, and it will take care of you.

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If you're feeling overwhelmed by perimenopause symptoms, it’s always a good idea to consult with a healthcare provider for personalised advice and support. You don’t have to go through this transition alone – Asklé is here to help.

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