Perimenopause

Perimenopause is a natural stage of life that marks the transition toward menopause, typically beginning in your 40s. During this time, fluctuating hormones can bring about physical and emotional changes. If you show signs of perimenopause, Stacy Petersen, MSN, PMHNP-C, FNP-C, in Aliso Viejo, California, can help. She understands the symptoms and provides effective treatments that can help ease the journey. Book a telehealth appointment today by phone or online.

What is perimenopause?

Perimenopause, meaning “around menopause,” is the transitional phase before menopause, when your ovaries gradually reduce estrogen production. This phase typically begins in your mid-to-late 40s but can start earlier. 

Perimenopause ends with menopause, marked by 12 consecutive months without a menstrual period. During this transition, hormonal fluctuations cause various physical and emotional changes.

While you may think the symptoms will eventually dissipate on their own, it’s best to schedule an appointment with Stacy for an evaluation and to get the treatment you need and deserve.

What are the symptoms of perimenopause?

Symptoms of perimenopause vary widely and may range from mild to severe. Common symptoms include:

• Irregular periods: changes in menstrual cycle length or flow
• Hot flashes and night sweats: sudden feelings of heat and sweating
• Mood changes: increased irritability, anxiety, or depression due to hormonal shifts
• Sleep disturbances: insomnia or waking up throughout the night
• Vaginal dryness and discomfort: decreased estrogen can lead to thinning and dryness
• Decreased libido: hormonal changes may reduce sexual desire
• Fatigue: persistent tiredness, even after adequate rest
• Memory and concentration issues: often referred to as "brain fog"

Other symptoms may include weight gain, joint pain, or worsening of pre-existing PMS symptoms.

How long does perimenopause last?

Perimenopause can last anywhere from a few months to up to 10 years, with an average duration of about 4-8 years. The length and intensity of this phase vary depending on genetics, health, and lifestyle factors.

How is perimenopause treated?

Stacy’s treatment for perimenopause focuses on managing symptoms and improving quality of life. Options include:

Hormone replacement therapy

Low-dose estrogen or combined hormone therapy can alleviate hot flashes, night sweats, and vaginal dryness.

Nonhormonal medications

Antidepressants or other drugs may help with mood changes, hot flashes, or sleep issues.

Lifestyle changes

Regular exercise, a balanced diet, stress management, and quality sleep can significantly improve symptoms.

Vaginal moisturizers or lubricants

Stacy may recommend Over-the-counter products to relieve dryness and discomfort.

You can rely on Stacy to tailor treatment to your needs and provide evidence-based treatments that offer effective results.

Call the office today to book an appointment if you have signs of perimenopause. You can also schedule an online as an easy option. All appointments occur via telehealth.