Perimenopause is the transition period that leads up to menopause, during which a woman’s body undergoes hormonal changes that can cause various symptoms. While menopause typically occurs around the age of 50, perimenopause can start as early as a woman’s 30s or 40s. Identifying the early signs of perimenopause can help women prepare for this transition and manage any symptoms that may arise.

Irregular Periods

One of the earliest signs of perimenopause is changes in menstrual cycles. Periods may become irregular, with cycles that are shorter or longer than usual. Some women may also experience heavier or lighter periods than before.

Hot Flashes and Night Sweats

Hot flashes and night sweats are common symptoms of perimenopause. Hot flashes occur when the body suddenly feels hot and sweaty, while night sweats cause excessive sweating during sleep.

Mood Changes

Hormonal changes during perimenopause can cause mood swings, irritability, and depression. Women may find themselves feeling more emotional than usual, with mood changes that are difficult to control.

Vaginal Dryness

As estrogen levels decrease during perimenopause, vaginal tissues may become dry and less elastic. This can cause discomfort during sex and increase the risk of vaginal infections.

Decreased Fertility

During perimenopause, a woman’s fertility declines, and it becomes more difficult to get pregnant. Women who are trying to conceive should be aware of this and speak to their healthcare provider if they have concerns.

Changes in Libido

Hormonal changes during perimenopause can also affect a woman’s sex drive. Some women may experience a decrease in libido, while others may have an increased sex drive.


Perimenopause can cause fatigue and decreased energy levels. Women may find themselves feeling tired even after a good night’s sleep.

If you are experiencing any of these early signs of perimenopause, it’s important to speak to your healthcare provider. They can help you manage your symptoms and provide guidance on how to prepare for menopause. Women who have a family history of early menopause or who have had a hysterectomy may be more likely to experience perimenopause earlier than others. However, every woman’s experience with perimenopause is unique, and it’s important to listen to your body and seek medical advice if you have any concerns.

Explore Better Hormone Health

ReVital offers free consultations where you can speak to one of our clinicians about ReVital’s Bioidentical Hormone Replacement Therapy. At ReVital, we can conduct simple blood tests to evaluate the levels of these hormones in your system and prescribe supplements or therapies to treat and control the majority of hormonal imbalances. We also encourage that you connect with your regular doctor about any changes in your health and moods.