Perimenopause: Debunking Unhelpful Myths

woman in perimenopause looking at herself in the mirror

Perimenopause is the period of time leading up to menopause when women begin to undergo hormonal changes, such as fluctuations in estrogen and progesterone levels, which can then cause a variety of physical, emotional, and cognitive symptoms. While this phase most commonly begins in the 40s, it can start as early as the late 20s or 30s for some women, and typically lasts several years, culminating in menopause, which is defined as going 12 consecutive months without a menstrual period.

It’s important to know that perimenopause is a natural and normal phase of life, much like adolescence, and yet it’s often overshadowed by misconceptions that can make this transition feel confusing or isolating. In this article, let’s work to break down common myths and shed light on this transition, as well as check out some helpful resources along the way. By increasing our knowledge and understanding of this important phase in life, we can all feel more  empowered to approach perimenopause with confidence, and a sense of awareness over our health and well-being.

Ten Myths About Perimenopause

Myth 1: Perimenopause Starts at the Same Age for Everyone

The Truth: The onset of perimenopause is unique to each and every woman. While many enter this phase in their 40s, others may notice signs in their late 30s or even earlier. There is not a definitive test or genetic marker to predict its onset, which makes tuning into your own body’s signs and signals even more important.

Myth 2: Perimenopause Is a Short Phase

The Truth: Perimenopause isn’t a quick detour; it’s a winding path that can last anywhere from two to fourteen years, with an average duration of four years. It’s a gradual evolution, not a fleeting moment, and understanding this can help you better navigate its challenges and changes.

Myth 3: Perimenopause Only Causes Hot Flashes

The Truth: Hot flashes might get all the press, but they’re just one part of the story. You might have night sweats, mood shifts, changes in sexual desire like low libido, brain fog, vaginal dryness, sleep disruptions, and more. Each woman’s journey is different, and not every woman will experience each and every one of these symptoms, however, it is important to be aware of these potential symptoms as they can be your body’s way of signaling it’s undergoing a transformation.

Myth 4: Perimenopause Only Affects Older Women

The Truth: Perimenopause doesn’t mean your reproductive years are behind you. Depending on the timeline of when perimenopause starts, some women’s age can range from in their 20s to 40s. It’s entirely possible to get pregnant during this time, so contraception remains crucial until you’ve gone a full year without a period.

Myth 5: You Don’t Need to See a Doctor About Perimenopause

The Truth: You don’t have to just “power through” this phase. If your symptoms feel overwhelming, confusing, or distressing, reach out to your healthcare provider. It’s important to work with a healthcare provider that will hear and listen to your concerns to be able to create a personalized plan, offering treatments or strategies to make this transition more manageable.

Myth 6: Hormone Replacement Therapy (HRT) Is Dangerous and Should Be Avoided

The Truth: The story of HRT has changed over the years, and when used under the guidance of a qualified provider, HRT can be a safe and effective treatment to manage symptoms like hot flashes, mood changes, and even bone loss. Every woman’s needs are different, and HRT is just one of many tools available to support your health. Talk with your medical doctor to determine if HRT might be beneficial for you.

Myth 7: Lifestyle Changes Can’t Help Manage Symptoms

The Truth: Small, intentional shifts can have a big impact. Regular exercise, nourishing meals, stress management techniques, and quality sleep hygiene can all help reduce symptoms and improve overall well-being during perimenopause. A therapist or a medical doctor can help you navigate these lifestyle changes as effectively as possible.

Myth 8: Perimenopause Means You’re Done With Your Reproductive Years

The Truth: Pregnancy may be less likely but is still possible during perimenopause. However, it is still entirely possible to get pregnant during this time. Remember, until you’ve been period-free for a full year, contraception is your best bet for preventing unintended pregnancies.

Myth 9: Menopause Means You’re Getting Old

The Truth: Menopause is not the end of vitality—it’s the beginning of a new chapter. Aging is a natural process, and embracing it can open doors to deeper self-awareness, personal growth, and fulfillment. 

Moving Beyond Myths

Perimenopause doesn’t have to be a time of fear or confusion. Armed with accurate information, effective treatments, and a strong support system, you can navigate this transition with confidence. 

Struggling with perimenopause symptoms can feel overwhelming, but you don’t have to face this transition alone. At Wildflower, our compassionate team is here to support you with evidence-based care tailored to your unique needs. Whether you’re navigating mood swings, sleep disturbances, or physical changes, we can help you find strategies and treatments that work for you. Reach out today to start your journey toward relief and reclaiming balance in your life.

Interested in learning more about perimenopause?  Check out some of these trusted resources. They can help you better understand perimenopause and empower you to make informed decisions about your health. 

Educational and Medical Websites

  1. North American Menopause Society (NAMS)
    • Website: www.menopause.org
    • NAMS offers evidence-based information on perimenopause, menopause, and postmenopause, including treatment options and symptom management.
  2. Office on Women’s Health (OWH)
    • Website: www.womenshealth.gov
    • A U.S. government resource that provides comprehensive information on perimenopause and menopause, including lifestyle tips and healthcare advice.
  3. Cleveland Clinic
    • Website: www.clevelandclinic.org
    • Features articles and Q&A sessions with medical experts on managing perimenopause symptoms.
  4. Mayo Clinic
    • Website: www.mayoclinic.org
    • A well-regarded source for medical explanations, symptom trackers, and treatment options related to perimenopause.

Books

  1. “The Menopause Manifesto” by Dr. Jen Gunter
    • Written by a gynecologist, this book is an empowering guide to understanding perimenopause and menopause.
  2. “Perimenopause Power” by Maisie Hill
    • Focuses on understanding hormonal shifts and provides practical advice for managing symptoms.
  3. “What Fresh Hell Is This?” by Heather Corinna
    • A humorous yet informative book on the realities of perimenopause.

Podcasts

  1. The Perimenopause Podcast
    • Hosted by women navigating this transition, featuring expert interviews and real-life stories.
  2. The Dr. Louise Newson Podcast
    • Focuses on perimenopause and menopause with insights from medical professionals.

Social Media and Online Communities

  1. NAMS Facebook Page
    • Community-driven discussions and updates on menopause-related research.
  2. Reddit: r/Menopause
    • A supportive space where women share experiences and tips about perimenopause.

Healthcare Providers

  1. OB/GYN or a Certified Menopause Practitioner
    • Speaking directly with a healthcare provider specializing in perimenopause can provide personalized insights and guidance.
  2. Functional Medicine Practitioners
    • May offer alternative approaches for managing symptoms through lifestyle and nutritional interventions.

Support Groups

  1. Menopause Café
    • A global initiative hosting in-person and online gatherings to talk openly about menopause and perimenopause.
  2. Facebook Groups (e.g., “Perimenopause Hub”)
    • Supportive online communities where women share experiences and advice.