When we think about reproductive health, we often focus on two key stages: menstruation and menopause. But between the first period and the final one lies a lesser-known, deeply transformative phase—perimenopause. It’s the middle chapter of a woman’s hormonal journey, and yet, it rarely gets the attention, care, or conversation it deserves.
What is Perimenopause?
Perimenopause literally means “around-menopause.” It’s the transitional time when your ovaries gradually begin to produce less hormones (estrogen) which causes your menstrual cycle to become irregular. This phase can start as early as your mid-30s or as late as your mid-50s and typically lasts for several years, leading up to menopause, when periods stop completely.
Think of it as puberty in reverse! Hormones shift. Emotions fluctuate. And your body starts sending signals that it’s preparing for something new. But without the same cultural narrative or health education that accompanies puberty, many women find themselves confused, caught off guard, and even dismissed.
Common symptoms, but not always common knowledge
Perimenopause can look different for everyone! Some sail through with minor changes, while others feel like they’ve been hit with a wave of unfamiliar symptoms. Here are a few common ones:
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Irregular periods: As ovulation becomes more unpredictable, cycles might become shorter, longer, heavier, or lighter.
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Hot flashes and night sweats: Sudden waves of heat, often accompanied by sweating and a flushed face.
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Sleep disturbances: Alongside hot flashes and night sweats, most might find trouble falling or staying asleep which could be related to insomnia.
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Mood swings and irritability: Hormonal changes can trigger emotional ups and downs. Although, mood swings may also be caused by factors not related to the hormonal changes of perimenopause!
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Brain fog: Difficulty concentrating, forgetfulness, or feeling mentally “off.”
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Lower libido or vaginal dryness: Changes in sexual health and comfort.
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Vaginal and bladder problems: Most women experience needing to pee more frequently.
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Lower back pain or hip pain: As estrogen levels drop, your body starts to lose bone density faster which can lead to osteoporosis, a condition that makes your bones weak, brittle, and more prone to fractures. Women most commonly experience lower back or hip pain.
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Shifts in cholesterol: Lower estrogen may raise your “bad cholesterol” (LDL; low-density lipoprotein) and decrease your “good cholesterol” (HDL; high-density lipoprotein). Together, these changes can increase your chances of developing heart problems. Shifts in cholesterol actually don’t have common symptoms, you may be surprised with high cholesterol on a routine lab test.
These aren’t just symptoms of “getting older.” They're valid health experiences that deserve recognition and support.
What Can You Do?
Perimenopause is a natural phase in every woman’s reproductive journey, and there’s no treatment to stop it from happening. It typically ends when you haven’t had a period for 12 consecutive months; marking the official transition into menopause. Once this happens, you can get the Menopause package to get a full screening!
This package includes a personalized evaluation by a women’s health specialist, who will provide expert guidance on the most suitable hormone replacement therapy (HRT) based on your needs and medical history. You’ll also receive support for managing vaginal health, including prevention and treatment of infections and dryness, as well as lifestyle and wellness recommendations to help you navigate this transition with comfort and confidence. Whether you’re newly menopausal or deep into the shift, this package offers the care and clarity you deserve.
For now, here are some things you can do during this transition phase:
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Track your cycle and symptoms: Journaling changes can help you make sense of patterns—and advocate for yourself with your healthcare provider.
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Talk to a trusted doctor: Have an OBGYN Consultation for compassionate care throughout the reproductive lifespan, including perimenopause.
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Prioritize rest, movement, and nutrition: Gentle lifestyle shifts can ease symptoms and support your body through this transition. Kindred offers a few services that cater lifestyle changes:
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Find your support system: Whether it’s friends going through the same thing, a therapist, or a community space like Kindred, connection can be healing.
Every Phase Is Worthy of Care
Perimenopause isn’t an ending—it’s a transition into a new chapter filled with resilience and growth. This process is often emotionally and physically draining. At Kindred, we’re here to support you through every phase of womanhood; not just the ones that get the spotlight. Because understanding your body is important, and honoring it is something you deserve.