Life lately, is it perimenopause?

July 21, 2023

Life took a turn during the last three years. at first I thought it was just Covid, and everything associated with it, putting my hormones into a tailspin and my cortisol into overdrive. Then I had my hormones and cortisol tested. (hot tip, ask for saliva testing for both). Then came the news….it was menopause AND adrenal fatigue. FUN.

So friends and followers have been asking, how am I ‘biohacking’ my way through early menopause. I haven’t figured out the hormone stuff yet, and I am considering bioidentical hormones, more on that later. But, in the meantime, I wanted to share where I started with my own fact finding, understanding the menopause stages and symptoms and basic lifestyle changes to make.

Menopause and perimenopause aren’t part of our regular health education, sadly. The topics are finally trending wellness and women are shedding the stigma to talk about it.

Let’s start with some basic definitions of Perimenopause and Menopause

Women officially reach menopause when they have not had a period for 12 consecutive months. The road to menopause, however, is typically preceded by pre-menopause and perimenopause. This is a natural, normal progression.

Perimenopause, which occurs “around” and leading up to menopause, is also known as the “menopausal transition.” It commonly occurs during a woman’s 40s and is a gradual process that involves hormonal changes.

In order to continue to feel well during this life stage, it’s important for women to take care of themselves “holistically,” meaning their bodies, minds and emotional health (such as their capacity to deal with stress).

Today let’s discuss perimenopause is, the signs that it’s beginning to occur, plus insights on how to help navigate this stage of life.

What is Perimenopause?

Perimenopause is a transitional stage that occurs before menopause, marking the natural decline in reproductive hormone production in women, including in estrogen and progesterone. It typically begins several years before menopause.

In short, menopause occurs as a natural, normal biological process when women’s menses cease to occur. Generally speaking, for most women, menopause typically occurs between the ages of 40 and 58 — with an average age of 51 or 52, according to some sources. However, every woman is different.

Some women can be in perimenopause for years or even up to a decade or more. Women may become aware of some changes taking place in their bodies leading up to menopause, which can include lighter or less regular periods, and changes in body weight or body composition, among other signs. Some women may have no awareness of these changes at first.

Signs of Perimenopause

What are the most common normal signs of perimenopause? Perimenopause symptoms can vary widely among women (again, these are all considering normal during the perimenopausal transition to menopause). Common signs and symptoms include:

Irregular periods: Menstrual cycles may become shorter or longer, with unpredictable timing. Some women may experience heavier or lighter periods.
Hot flashes and night sweats: Sudden feelings of intense heat, often accompanied by flushing of the face and sweating, can occur during the day or at night, leading to disrupted sleep patterns.
Sleep disturbances: Many women experience difficulties with falling asleep or staying asleep, often due to night sweats, hormonal fluctuations or overall anxiousness.
Mindset changes: Hormonal fluctuations can affect one’s mindset, too. Some women may experience occasional irritability, anxiousness or other changes. .
Vaginal dryness and discomfort: Declining estrogen levels can naturally lead to vaginal dryness, itching or discomfort for some women.
Changes in libido: Some women may experience decreased libido or changes in sexual function that are common during this life stage.
Changes in energy levels: Hormonal changes, sleep disturbances and other changes can impact energy levels.

Lack of education

While there is a lot of information available about menopause itself, there has been relatively little focus on perimenopause, and doctors’ knowledge about this phase of life is often limited.

Most doctors are not trained to recognize or manage perimenopause: This is due in part to the fact that medical training programs often do not cover perimenopause in depth.

Perimenopause can last for several years, but there is a relative lack of research on the topic. This makes it difficult for healthcare providers to stay up to date on the latest information and recommendations for managing perimenopause.

Overall, the lack of knowledge and understanding about perimenopause among healthcare providers highlights the need for increased education and awareness about this important phase of life.

According to a study in The National Library of Medicine:

“Lack of education for women and their general practitioners is causing perimenopausal women to go through this important stage in their lives with a lack of knowledge and appropriate medical care. It is essential that women are taught about the menopause, from school onwards and that we offer health professionals appropriate training starting from the medical school curriculum.”

Women often receive inadequate care for perimenopause symptoms: Due to the lack of understanding and awareness about perimenopause, many women may not receive appropriate care for symptoms. According to a survey by the North American Menopause Society, only 20% of women who reported experiencing perimenopausal symptoms had discussed them with their healthcare provider.

Forbes published a piece in 2021 73% Of Women Don’t Treat Their Menopause Symptoms, New Survey Shows saying, “One-fifth (20%) of women surveyed had experienced symptoms for a year or more before being assessed by a healthcare provider and 34% had never been formally assessed or diagnosed as menopause.

My personal journey with perimenopause

The physical and emotional whirlwind of my symptoms, and the fact that there was no clear education or help from my medical doctors, has left me frustrated and confused.

While there is no shortage of anti-aging media, menopause is largely undiscussed. Because of my overall interest in wellness, I started researching the benefits of diet, nutrition and supplements – functional mushrooms, adaptogenic roots, plants, and herbs

Perimenopause Dietary and Lifestyle Tips

Diet

This one is pretty simple: prioritize a diet rich in protein, antioxidants, omega-3s, calcium and vitamin D.

According to some statistics, up to 70 percent of women ages 51–70, and as high as 90 percent of women over 70, don’t get enough vitamin D, meaning it’s essential not to skimp on vitamin D-packed foods. Digestion may also need to be supported during perimenopause; however, eating foods rich in probiotics, enzymes and fiber can usually help keep things on track.

General foods to include in your diet during the perimenopause to menopause transition include:

All types of fresh vegetables and fruits, such as leafy greens and berries
Wild-caught fish, such as salmon and tuna
Nuts and seeds, such as chia, flax, walnuts and almonds (they’re also high in calcium and healthy fats)
Fermented soy products, such as organic tofu or tempeh
Healthy fats, such as olive oil, avocado, nuts and seeds
Quality proteins, including poultry, fish, eggs, legumes and organic dairy products
Probiotic foods, including yogurt, kefir, sauerkraut and kimchi

Lifestyle Changes

A mix of resistance training and endurance exercises, to stay at a healthy weight and support overall health is especially important at this stage. Continuing exercise through the menopause transition can help promote heart health, bone health and hormonal health. Strength training, such as lifting weights or doing bodyweight exercises, will also help you maintain muscle and bone mass.

Other lifestyle habits to prioritize include getting enough sleep and managing stress, which can both impact hormones. Aim for 7 to 9 hours of sleep per night, as well as building stress-reducing activities into your day, such as yoga, meditation, journaling and reading.

Other tips for navigating perimenopause and menopause include:

Sharing your experiences with trusted friends or support groups.
Avoiding smoking and limit alcohol and caffeine intake, as they can worsen symptoms.
Dressing in light layers and wearing natural fabrics that allow your skin to breathe.
Using a fan or open windows to regulate temperature.
Avoiding triggers like spicy foods, hot beverages and stressful situations that can exacerbate hot flashes.
Establishing a relaxing bedtime routine and creating a comfortable sleep environment.
Avoiding too much caffeine and electronics before bed.
Using vaginal lubricants to help ease discomfort.

Supplements

Aside from eating well and exercising, certain supplements can support overall health. These can include:

1. Reishi Mushroom

Eastern thought points out that the body needs to maintain its “equilibrium” against stressors and more, especially during challenging times of life that involve significant changes. Beneficial mushrooms help the body maintain its equilibrium or balance. Generally speaking, some of the beneficial compounds in “functional mushrooms” include polysaccharides and polysaccharide peptides, beta glucans, glycoproteins and triterpenes.

Reishi, known scientifically as Ganoderma lucidum and popularly as “the king of herbs” or “10,000-year mushroom,” has been a go-to for thousands of years in the Asian region for promoting bodily balance.

Reishi is also generally considered an adaptogen and body tonic, helping the body to “adapt” its responses to stressors to help support the health of the whole body. It’s also used as a tonic that may help to “tone” and energize systems in the body, including a healthy immune system. Additionally, reishi features certain antioxidants, such as triterpenes, that can help fight free radicals, thereby helping to promote overall health.

2. Vitamin D3

Vitamin D is essential for proper absorption and metabolism of calcium, phosphorus and other nutrients. As we age we make less vitamin D than younger people do when exposed to sunlight, but some people avoid being out in the sun altogether — meaning they aren’t making vitamin D.

D3 is the preferred form to take in supplement form. Supplementing with vitamin D3, can help to support bone health, healthy immune system function and one’s overall outlook, too. You can also consider taking a high-quality multivitamin to cover your nutritional bases, including for vitamin D, which can be difficult to get from foods alone.

3. Black Cohosh

Black cohosh is an herb and root that has been used to support women’s reproductive health for centuries. It naturally contains chemicals that can be beneficial to the body, including for hormonal support. Research indicates that black cohosh needs to be taken consistently for 3–6 months before seeing results, so consistency is important when using this herb. It can support healthy energy, help reduce fatigue and effects of stress, and promote a positive mindset and reproductive health.

4. Probiotics

Have you ever heard that “you are what you eat”? Well, in fact, you are what your body actually absorbs! If you do not absorb the nutrients in your food, then those nutrients aren’t fully working to nourish your cells, muscles, brain and entire body.

Probiotics are “friendly” microbes that live in your gut and assist in healthy digestion and nutrient absorption. Eating probiotic-rich foods can help your gut produce more good bacteria, as can taking a quality probiotic supplement each day.