Perimenopause: Understanding Changes and Getting the Support You Deserve
Perimenopause is a natural stage of life, yet many people feel unprepared for the physical and emotional changes it brings. Symptoms are often overlooked or dismissed — but you deserve clear information and supportive care.
What is perimenopause?
Perimenopause is the transition phase before menopause, when hormone levels begin to fluctuate. It commonly starts in the 40s, though it can begin earlier, and may last several years.
Common symptoms
Perimenopause can affect many areas of health and wellbeing. Symptoms may include:
- Changes to periods
- Hot flushes or night sweats
- Sleep difficulties
- Anxiety, low mood or irritability
- Brain fog or memory changes
- Fatigue
- Joint aches
- Changes in libido
Symptoms can fluctuate and may feel unpredictable, which can be unsettling.
Why perimenopause matters
Hormonal changes during perimenopause can affect work, relationships, self-confidence and mental health. Understanding what’s happening can reduce fear and help you make informed choices about care.
Managing symptoms
Support is available, and management should be individualised. Options may include:
- Education and reassurance
- Lifestyle strategies to support sleep and stress
- Hormonal contraception
- Menopausal hormone therapy (MHT) for some
- Mental health support when needed
Your GP can help you explore options safely and at your own pace.
When to seek help
If symptoms are impacting your quality of life, you don’t need to struggle alone. Help is available, and treatment can make a meaningful difference.
Andrew Place Clinic provides evidence-based, supportive care for women navigating perimenopause and menopause, with a focus on feeling heard, informed and supported.