Perimenopause, also known as the Menopause Transition, occurs several years before menopause. It can last for a few months or for years.

Premenopause and perimenopause have different meanings but are used interchangeably, which is incorrect.

Premenopause is when you begin to experience some hormonal shifts but have no symptoms of perimenopause or menopause.

In the perimenopausal stage, your ostrogen levels begin to decline slowly. They can also fluctuate, leading to irregular periods and some other symptoms.


  • Irregular periods
  • Hot flashes
  • Irritability, mood swings
  • Frequent urination
  • Difficulty in sleeping
  • Vaginal dryness
  • Heavy bleeding or very light bleeding during period
  • Weight gain
  • Heart palpitations
  • Hair changes


Your ovaries are producing lesser of the hormones that help you ovulate. Hence your menstrual cycle becomes irregular, which is normal.


If you face any of the below, consult with your gynaecologist immediately :

  • Heavy bleeding – you need to change your sanitary pad every 2-3 hours
  • Bleeding for more than 7 days
  • Bleeding occurs in less than 21 days
  • Spotting after sexual intercourse

Potential causes of abnormal bleeding are - hormonal imbalance, birth control pills, fibroids, blood clotting issues, consumption of blood thinners, and cancer.


You can treat the symptoms of perimenopause by doing the following things -

  • Exercise regularly
  • Eat a healthy balanced diet
  • Get enough sleep
  • Relax and rest
  • Reduce alcohol consumption
  • Stop smoking
  • Sufficient intake of calcium