For many women, menopause seems like a distant milestone—something to think about “later.” But what often comes first is perimenopause, a transitional phase that can begin years before menopause officially occurs.

At ReyesMD, we believe education is empowerment. Understanding perimenopause can help women recognize changes early, manage symptoms effectively, and feel more in control of their health.

What Is Perimenopause?

Perimenopause means “around menopause.” It’s the time when your body gradually transitions toward menopause, marking the end of reproductive years. This phase typically begins in a woman’s 40s, but for some, it can start in the mid-30s.

Unlike menopause—which is defined as 12 consecutive months without a menstrual period—perimenopause can last anywhere from 4 to 10 years.

Common Signs and Symptoms

Hormonal fluctuations—especially estrogen and progesterone—can cause a variety of symptoms. These may include:

• Irregular periods (shorter, longer, heavier, or skipped cycles)

• Hot flashes or night sweats

• Mood swings or increased irritability

• Sleep disturbances

• Brain fog or difficulty concentrating

• Decreased libido

• Vaginal dryness

• Weight gain, especially around the abdomen

Many women are surprised to learn that symptoms like anxiety, joint discomfort, or heart palpitations can also be linked to hormonal shifts.

Why Perimenopause Matters

Perimenopause isn’t just about uncomfortable symptoms. Hormonal changes during this time can impact:

• Bone density (increased risk of osteoporosis)

• Heart health

• Metabolism and insulin sensitivity

• Mental health

Recognizing this phase early allows for proactive care and prevention strategies.

When Should You See a Doctor?

You should consider speaking with your healthcare provider if:

• Your periods become extremely heavy or frequent

• You experience severe mood changes or depression

• Sleep problems affect your daily functioning

• Hot flashes interfere with work or quality of life

• You’re unsure whether your symptoms are hormonal or related to another condition

A medical evaluation can rule out thyroid disorders, anemia, or other health concerns that may mimic perimenopause symptoms.

Managing Perimenopause Symptoms

There is no “one-size-fits-all” solution. Treatment depends on your symptoms, health history, and preferences.

Options may include:

Lifestyle Adjustments

• Regular strength and weight-bearing exercise

• Balanced nutrition rich in calcium and vitamin D

• Limiting caffeine and alcohol

• Stress-reduction techniques such as meditation or breathing exercises

Hormone Therapy

For some women, hormone replacement therapy (HRT) may help relieve moderate to severe symptoms. This decision should always be made in consultation with your physician.

Non-Hormonal Treatments

Certain medications and supplements may help with mood, sleep, or hot flashes.

Supporting Your Long-Term Health

Perimenopause is an opportunity—not just a challenge. It’s a time to prioritize:

• Preventive screenings

• Bone density testing when appropriate

• Cardiovascular risk assessment

• Mental health support

• Weight and metabolic health monitoring

Proactive care during this stage can improve quality of life for decades to come.

You’re Not Alone

Many women experience perimenopause silently, assuming symptoms are “just stress” or “part of aging.” Open conversations with your healthcare provider can bring clarity and relief.

At ReyesMD, we’re here to support you through every stage of life—because women’s health deserves attention, understanding, and personalized care.

If you have questions about perimenopause or would like to schedule a consultation, contact ReyesMD today here. Your health journey matters, and we’re here to walk it with you.