Perimenopause Symptoms: What to Expect and How to Manage Them Naturally

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Most women tend to be prepared for menopause and the symptoms it can bring. But, what about perimenopause symptoms? 

Understanding the perimenopause phase of your life, what to expect, and how you can manage symptoms naturally can make a world of difference in your health and wellness. That’s exactly why we’re covering all of that and much more in our comprehensive guide. 

Key Takeaways:

  • Perimenopause Overview: Perimenopause is a natural transitional phase before menopause, typically beginning in the 40s, but can start in the mid-30s.
  • Common Perimenopause Symptoms: Symptoms like hot flashes, mood swings, and sleep disturbances can significantly affect daily life.
  • Natural Ways to Manage Symptoms: From herbal remedies to dietary adjustments and lifestyle changes, there are various natural ways you can manage perimenopause symptoms.
  • Exercise and Stress Management: Regular exercise and stress reduction techniques like meditation and yoga can provide significant relief.
  • Dr. Karen Threlkel’s Approach: Dr. Threlkel offers personalized, naturopathic treatments that provide natural relief for perimenopause symptoms.

Understanding Perimenopause and Its Impact

Perimenopause tends to go slightly unnoticed in the realm of women’s health. If you weren’t aware, perimenopause is a natural phase in a woman’s life that typically begins in her 40s, though some may experience it as early as their mid-30s. 

It marks the transitional period before menopause, when the ovaries gradually produce less estrogen, leading to various physical and emotional changes. 

While perimenopause is a normal part of aging, its symptoms can significantly impact daily life, from physical discomfort to emotional fluctuations.

Although the symptoms of perimenopause can be disruptive, it’s important to recognize that there are natural and holistic approaches to managing them effectively, allowing women to maintain their quality of life during this transitional period. 

Common Symptoms of Perimenopause

To ensure that you know what to look out for, let’s go over the main symptoms of perimenopause in depth. Of course, every woman’s experience will look slightly different, but this can help you best prepare for this phase of your life. 

Hot Flashes 

Unsurprisingly, hot flashes are one of the most recognized — and most common — perimenopause symptoms. 

These flashes cause sudden feelings of warmth that spread throughout the upper body, and they may be accompanied by sweating and a flushed appearance, particularly on the face and neck. 

Hot flashes occur due to a decrease in estrogen, which affects the hypothalamus, the part of the brain responsible for regulating body temperature. The body’s ability to control temperature becomes erratic, leading to the uncomfortable sensations of heat.

So, if you find yourself experiencing hot flashes more frequently than you used to, it may be a sign of perimenopause. 

Mood Swings 

Another common perimenopause symptom is mood swings, and these are due to the hormonal fluctuations that the body experiences during this period of time. 

Estrogen, for example, plays a key role in the production of serotonin, a neurotransmitter that regulates mood. As estrogen levels decrease, serotonin levels may also drop, resulting in feelings of irritability, anxiety, or sadness. 

Many women report feeling more emotionally reactive or overwhelmed during perimenopause, even if they haven’t experienced mood-related issues before.

Learn more about the importance of balancing estrogen and progesterone in our blog post. 

Sleep Disturbances 

Unfortunately, sleep disruptions are another common challenge during perimenopause. Women may struggle with insomnia, difficulty staying asleep, or waking up earlier than usual. 

Night sweats, caused by the same temperature regulation issues behind hot flashes, can disrupt sleep quality, as well. 

These sleep disturbances can lead to daytime fatigue and make it harder to manage other perimenopausal symptoms.

Irregular Periods

One of the hallmark perimenopause symptoms is irregular periods. 

As estrogen levels fluctuate, the menstrual cycle becomes less predictable. Some women may experience longer gaps between periods, while others may have more frequent or heavier periods.

Spotting or skipping periods altogether can also occur, as the body prepares for the eventual cessation of menstruation in menopause. During this time, keeping an eye on your cycle can be integral in determining whether or not you’re entering perimenopause. 

Additional Symptoms

Along with the primary symptoms we’ve discussed, many women experience a range of other physical changes. Vaginal dryness is common due to reduced estrogen levels, which can make intercourse uncomfortable and lead to an increased risk of vaginal infections. 

Weight gain, particularly around the abdomen, may occur as metabolism slows down with age. 

Some women also notice changes in cognitive function, such as memory lapses or difficulty concentrating — also known as brain fog.

Natural Ways to Manage Perimenopause Symptoms

While perimenopause symptoms can be frustrating and uncomfortable, there are plenty of natural ways you can manage them, helping you to feel more like yourself again. 

From herbal remedies to simple dietary adjustments and even some lifestyle changes, let’s talk about how you can naturally mitigate these perimenopause symptoms. 

Herbal Remedies

We all know that plant-based remedies are some of the most effective — and the most gentle. 

In fact, several herbs have been traditionally used to balance hormones and alleviate common symptoms of perimenopause:

  • Black Cohosh: This herb is widely known for its ability to reduce hot flashes and night sweats. It works by supporting the body’s hormonal balance and is often recommended as a natural alternative to hormone replacement therapy (HRT).
  • Red Clover: Rich in phytoestrogens (plant-based compounds that mimic estrogen), red clover can help ease hot flashes and improve bone health.
  • Evening Primrose Oil: Often used to reduce breast tenderness and manage mood swings, evening primrose oil contains gamma-linolenic acid (GLA), which has anti-inflammatory properties and may also help with skin health.
  • Vitex (Chasteberry): Known to support hormonal balance, Vitex is often used to regulate menstrual cycles and ease symptoms like mood swings and irritability.

Adding these herbs to your daily routine can help you feel more balanced and holistically aligned — something that can feel so great after experiencing the discombobulation of perimenopause symptoms. 

Dietary Adjustments

Of course, a well-balanced diet can make a significant difference in managing perimenopause symptoms.

Incorporating certain foods can promote hormonal health and reduce the severity of symptoms:

  • Phytoestrogen-Rich Foods: Foods such as flaxseeds, soybeans, and chickpeas contain phytoestrogens, which can help balance hormone levels and reduce the intensity of hot flashes.
  • Omega-3 Fatty Acids: Found in fatty fish like salmon, flaxseeds, and walnuts, omega-3s can support brain health and help combat mood swings and “brain fog.”
  • Calcium and Vitamin D: Since estrogen levels drop during perimenopause, bone health can be compromised. Ensuring adequate intake of calcium (through leafy greens, almonds, and dairy products) and vitamin D (through sunlight exposure or supplements) can help prevent osteoporosis and maintain strong bones.

Lifestyle Changes

Finally, making some lifestyle changes can also bring natural relief to your everyday life while improving the overall management of perimenopause symptoms:

  • Limit Caffeine and Alcohol: Both caffeine and alcohol can exacerbate hot flashes and disrupt sleep. Reducing or eliminating these from your diet may help improve your ability to manage symptoms.
  • Increase Hydration: Drinking plenty of water can help combat vaginal dryness and assist with temperature regulation, especially when experiencing hot flashes.

These natural approaches can empower women just like you to navigate perimenopause with less discomfort, while also promoting long-term health and balance. 

The Role of Stress Management and Exercise in Symptom Relief 

Along with the remedies we mentioned above, stress management techniques and certain exercises can also play a huge role in managing the symptoms that perimenopause may bring. 

First, let’s talk about some effective stress management techniques:

  • Meditation: A few minutes of mindfulness meditation daily can ease anxiety and emotional fluctuations.
  • Yoga: Combines gentle movement and deep breathing to reduce stress, improve sleep, and promote well-being.
  • Deep Breathing: Simple breathing exercises can help calm the body and reduce the intensity of hot flashes.

When it comes to exercise, regular physical activity offers a wide range of benefits for women going through perimenopause. It not only helps with weight management but also reduces the intensity of symptoms like hot flashes and mood swings:

  • Aerobic Exercise: Activities like walking or swimming boost mood, reduce hot flashes, and improve cardiovascular health.
  • Strength Training: Lifting weights or using resistance bands helps maintain muscle mass and bone strength, reducing the risk of osteoporosis.
  • Flexibility Exercises: Stretching or yoga improves mobility and eases joint stiffness

By incorporating stress management techniques and regular exercise into daily life, women like you can experience significant relief from the physical and emotional challenges of the perimenopause phase. 

Explore our seven ways to destress and beat anxiety naturally in our blog post! 

How Dr. Karen Threlkel Can Help 

So, how can we provide you with support quickly and effectively? 

Dr. Karen Threlkel specializes in naturopathic treatments designed to help women manage perimenopause symptoms naturally and effectively. By offering personalized care, she tailors each treatment plan to address the unique needs of her patients, providing holistic solutions that promote overall well-being.

Dr. Threlkel uses a combination of herbal remedies, dietary guidance, and lifestyle adjustments to target the root causes of perimenopause symptoms. 

Her approach focuses on balancing hormones naturally, alleviating discomfort, and improving quality of life. Whether you’re struggling with hot flashes, mood swings, or sleep disturbances, Dr. Threlkel’s expertise in natural medicine can help you find relief without relying on synthetic hormones or pharmaceuticals.

Navigating Perimenopause with Natural Support

While perimenopause may bring a variety of symptoms, with the right natural strategies, you can manage this transition smoothly. By understanding the changes in your body and adopting holistic solutions, we can help you reduce discomfort and improve your quality of life.

If you’re looking for a natural and personalized approach to managing perimenopause symptoms, Dr. Karen Threlkel is here to be your guide. With her expertise in holistic treatments, you can find relief and support through this important stage of life. 

Schedule a consultation today to discover how natural medicine can work for you.

About The Author:
Picture of Dr. Karen Threlkel, Naturopathic Physician, Washington DC
Dr. Karen Threlkel, Naturopathic Physician, Washington DC

Dr. Threlkel received her degree of Doctor of Naturopathic Medicine from The National College for Naturopathic Medicine (now called The National University of Natural Medicine) in Portland, Oregon. She also holds a Bachelor Degree in Kinesiology from The University of Maryland. She is licensed in Naturopathic Medicine by the Government of the District of Columbia Department of Health. Dr. Threlkel is a member of the American Association of Naturopathic Physicians, past president & current member of the Washington DC Association of Naturopathic Physicians.

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