You've probably heard about menopause widely known as a moment when the menstrual cycle of a person stops forever. But it may surprise you that many symptoms that arise during menopause begin much earlier, during a phase called perimenopause.
Perimenopause refers to a period of time when people begin to notice inconsistency in their menstrual cycle until menopause actually begins. The menopause begins technically when someone has passed 1
This should not be confused with the word  premenopause which you probably have heard before. It refers to the time until a person begins to experience the symptoms of menopause (so basically now if you are a person who receives a period), said Alice Dveck, author and gynecologist from New York, practicing for 20 years.
Given that all terminology, symptoms, and terms can make a complicated time, even more complex, HuffPost has talked with experts on all aspects of perimenopause to make it clearer. Here's what you need to know about when this can happen, what to expect and how to alleviate any annoying issues:
When does perimenopause begin?
Although there is no way to determine the exact age of someone experiencing perimenopause, Santoro said that the average individual begins his transition with a missed period or "noticeable difference in the variability" of his menstrual cycle in his 40 years. By the time someone is 49, they may have gone through for about 60 days without a menstrual cycle. Up to 51 or 52 they are usually menopausal.
Santoro noted that some people may begin to experience perimenopause already in the 30's. However, this is not an extremely common phenomenon. According to Dvec, people who experience missed periods in the middle or at the end of the thirties should be more likely to undergo a pregnancy test or other condition, like a thyroid gland disorder, than to go directly to perimenopause as the culprit. (And even if your unpredictable periods are perimenopause-related, Dweck is still advised to use contraception if you are not trying to get pregnant.)
The length of perimenopause depends on the average duration of several years. For some people, this may take up to ten years.
What are the symptoms of perimenopause?
In addition to periodic inequalities, perimenopause is accompanied by a number of other symptoms that are very similar to most people commonly associated with menopause. They can increase in severity, the closer you reach the point where your menstrual cycle is completely stopped, Santoro said.
One of the most frequently discussed issues is the hot flashes, AKA's "overwhelming and very fast warmth that moves to your face and head, during which you start to chase like crazy," Dweck said. When they occur at night, they are often called night sweats.
There is also a mood fluctuation. During perimenopause, people are more likely to begin to notice some irritability, anxiety and depression.
"Women are at risk of receiving the first episode of major depression when they are in perimenopause," said Santoro, who was a symptom she discovered during her study. "And about 15 to 25 percent of women will report an increase in the number that we call depressive symptoms."
Finally, both experts said that people could expect a worsening of sleep and an increase in dry vagina. Part of the interruptions of sleep can be explained by the awakening of hot flashes, says Santoro, but the other culprit is the fluctuation of hormones (changes in hormones also cause dryness of the vagina). By perimenopause, the hormones of estrogen and progesterone reflect your regular menstrual cycle. After they become false and cause periodic abnormalities and other symptoms, Dvec explained.
What factors influence perimenopause?
If you are hoping for an understanding that your perimenopausal experience may look like Dvec and Santoro have suggested looking at your family history as genetics plays a role. Lifestyle is also a factor.
"If your mother had an early menopause and your lifestyle is similar to her, then it's very likely that you will follow a very similar scenario," Dweck said, adding that smoking is an important factor in lifestyle because smokers " It is known that the previous menopause has passed. "
Weight and ethnicity can also play a role. Santoro said that overweight is associated with more serious outbreaks and that, according to her data, black people are usually have long and hardest flashes. Asian Americans have shorter and less powerful influences. andvi and white individuals fall somewhere in the middle, she said.
So what can you do with all this?
all this sounds inevitable and stunning, there is hope.Peremenopause and Menopause can have a great impact on your life, but much can be obtained from open and honest conversations with your doctor to discuss treatment options.
To begin with, it may be time to start a lifestyle decision, like an increase in exercise and counseling with dietitian, said Dvec. It goes without saying, but you probably want to quit for several reasons. You can also learn how to avoid or limit triggers for hot flashes, which, according to Dwight, include alcohol, especially red wine, caffeine and stress.
Hormonal therapy is another way, added Santoro, although there are some risks and side effects associated with it. It essentially returns the hormones that you have lost – estrogen and progesterone – back to your body, which helps with almost every perimenopausal symptom.
If hormonal therapy is not an option for you because, for example, you have certain types of cancer or are prone to blood clots, the medicines approved by the FDA are available on the market to control the influx. Santoro also said that many studies on the prevention of hot flashes are ongoing. One clinician, she said, even works on an experimental drug that blocks the receptors of the brain responsible for hot flashes.
As Dvec and Santoro clearly point out, much can be done to make this transition less inconvenient. Speaking of this, this is the first step.