A hot topic of discussion in many of my fitness consults with members is hormonal changes, how can we fight the effects of ageing, exercise comfortably while experiencing hormonal symptoms like hot flushes and fighting off the dreaded hormonal weight gain. As a woman in my 40’s too, I know what you are going through, together we can navigate this tricky phase of our lives and still feel confident in our own skin.
Firstly let’s get a good understanding on what is actually happening to our bodies as we hit these life changes which can start to occur from our 30’s through to 50’s
Menopause officially marks the end of female reproduction. Although this life stage is well-known, there are actually different stages within menopause that are important to recognize and understand. Menopause itself officially occurs when you stop menstruating.
Perimenopause, on the other hand, is defined as “around menopause.” It’s also known as the menopause transitional phase, called such because it happens before menopause.
Although both part of the same overall life transition, perimenopause and menopause have differences in terms of symptoms and treatment options. Any abnormal symptoms or concerns should be discussed with your gynecologist.
Premenopause vs. perimenopause
Premenopause is when you have no symptoms of going through perimenopause or menopause. You still have periods (whether they’re regular or irregular) and are considered to be in your reproductive years. Some hormonal changes may be occurring, but there are no noticeable changes in your body.
On the other hand, during perimenopause you will start to experience symptoms of menopause (for example, changes in period cycle, hot flashes, sleep disturbances, or mood swings).
Premenopause and perimenopause are sometimes used interchangeably, but technically they have different meanings.
Timelines for perimenopause and menopause
Perimenopause occurs well before you officially hit menopause. In fact women enter this stage 8 to 10 years ahead of menopause. This happens during your 30s or 40s.
Perimenopause is marked by a drop in estrogen, which is the main female hormone produced by the ovaries. The estrogen levels can also go up and down more sporadically than a normal 28-day cycle, which can cause irregular periods and other symptoms.
During the final stages of perimenopause, your body will produce less and less estrogen. Despite the sharp drop in estrogen, it’s still possible to get pregnant. This phase of menopause can last for as little as a few months and as long as four years. Menopause officially kicks in when the ovaries produce so little estrogen that eggs are no longer released. This also causes your period to stop, once you haven’t had a period for a full year your doctor can clearly diagnose that you have hit menopause.
A common question is when will menopause affect me? Just like getting your period for the first time menopause is just as unpredictable however you may hit it earlier than normal if you:
- have a family history of early menopause
- are a smoker
- have had a hysterectomy or oophorectomy
- have undergone cancer treatments
Symptoms of perimenopause and menopause
When it comes to menopause, most people think about the symptoms more than anything else. These can include those infamous hot flashes, but there are many other changes you might experience during this transition.
Symptoms of perimenopause may include:
- irregular periods
- periods that are heavier or lighter than normal
- worse PMS before periods
- breast tenderness
- weight gain
- hair changes
- increase in heartbeat
- loss of sex drive
- concentration difficulties
- muscle aches
- urinary tract infections
- fertility issues (in women who are trying to conceive)
As estrogen levels drop, you might start experiencing symptoms of menopause. Some of these can occur while you are still at the perimenopause stage. You might experience:
- hot flashes
- night sweats
- anxiety or irritability
- mood swings
- dry skin
- vaginal dryness
- frequent urination
Perimenopause and menopause can also increase cholesterol levels. This is one reason why women in postmenopause are at an even higher risk for heart disease. Continue to have your cholesterol levels measured at least once a year.
When to call a doctor
You don’t necessarily have to call your doctor to obtain a perimenopause or menopause diagnosis, but there are instances when you should definitely see your gynecologist. You might already be experiencing some early symptoms, but there are other signs that should be addressed with a doctor. Call right away if you have:
- spotting after your period
- blood clots during your period
- bleeding after sex
- periods that are much longer or much shorter than normal
Some possible explanations are hormonal imbalances or fibroids, both of which are treatable. However, you also want to rule out the possibility of cancer. You should also call your doctor if the symptoms of either perimenopause or menopause become severe enough to interfere with your daily life.
Treatments for perimenopause and menopause
Treatment is a very personal choice, some people are happy to go with GP recommendations and others prefer a more natural approach. Let’s weigh out all your options so it’s easier to know where to start.
Your doctor can provide prescription relief for menopausal symptoms. Estrogen (hormone) therapy can help treat both perimenopause and menopause. These medications work by normalizing estrogen levels so sudden hormonal spikes and drops don’t cause uncomfortable symptoms. Some forms may even help reduce the risk of osteoporosis.
Other menopause medications are more targeted. For example, prescription vaginal creams can alleviate dryness as well as pain from intercourse. Antidepressants can help with mood swings and pain relief for migraines,
If you are looking for a more natural approach then consulting a Naturopath is well worth the investment. A Naturopath will look at your blood test results and listen carefully to your symptoms and use natural remedies to help alleviate the signs of menopause.
It’s not surprising that medical professionals and natural practitioners agree on one thing – recommending exercise to help improve your mood, weight gain issues, and even (ironically) your hot flashes. Make it a plan to get some form of physical activity in your daily routine. Just don’t work out right before bedtime, as this can increase insomnia. Time your workouts so you have enough time to wind down and relax into a good bedtime routine.
Getting enough rest can seem impossible if you’re dealing with insomnia. Try doing a relaxing activity right before bed, such as gentle yoga or a warm bath. Avoid daytime naps, as this can interfere with your ability to sleep at night.
Here are a few other methods you can try to relieve symptoms:
- Avoid large meals.
- Quit smoking.
- Avoid alcohol.
- Limit caffeine to small quantities (and only in the morning).
Both perimenopause and menopause are transitional phases that indicate an end to your reproductive years. There are certainly adjustments to be made, but remember that not all aspects are negative. With all of the treatments that are available, you can get through these stages more comfortably with a bit more freedom too. The Bondi Vixen community is full of women just like you going through different hormonal stages and are some of the strongest women you will meet. Feel free to book in a Fitness Consult with Vix to discuss what’s going on for you, together we can create your training schedule to work with your body’s changes.