Perimenopause is a natural yet often misunderstood phase in a woman’s life. It marks the transitional period leading up to menopause, when hormonal changes can bring a wide range of physical, emotional, and cognitive symptoms. Understanding why it starts, when it begins, and how to recognize the early signs can empower you to manage your symptoms effectively — and feel more like yourself again.
In this blog, we’ll explore:
✔ Why perimenopause starts
✔ When it typically begins
✔ How to identify symptoms early
✔ Symptoms of ovulation during perimenopause
✔ The benefits of hormone therapy
✔ Why Medi-Gyn is the leading hormone balancing center in Dubai
Why Does Perimenopause Start?
Perimenopause begins when your ovaries gradually start producing less estrogen and progesterone, the hormones that regulate your menstrual cycle and support many vital functions in your body. This shift disrupts the hormone balance your body is used to, resulting in noticeable physical and emotional changes.
When Does Perimenopause Begin?
Most women begin experiencing perimenopause between the ages of 35 and 45. Factors such as genetics, lifestyle, and medical history can influence the timing. On average, perimenopause lasts 4 to 8 years, eventually leading to menopause — which is confirmed when you’ve gone 12 months without a period.
How to Identify the Symptoms of Perimenopause
Recognizing symptoms early helps in managing them better. Look out for:
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Irregular periods (shorter, longer, heavier, or lighter than usual)
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Hot flashes and night sweats
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Mood swings, irritability, or anxiety
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Sleep disturbances
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Vaginal dryness and low libido
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Fatigue or loss of focus
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Memory lapses and brain fog
Symptoms of Ovulation During Perimenopause
Even during perimenopause, ovulation may still occur, though not as regularly. This can make it difficult to predict your cycle or track fertility. Here are common ovulation-related symptoms women may still notice:
🔸 Mild Pelvic Pain (Mittelschmerz)
Some women feel a dull ache or twinge on one side of the lower abdomen during ovulation.
🔸 Increased Cervical Mucus
A temporary increase in clear, stretchy vaginal discharge (similar to egg whites) may occur mid-cycle.
🔸 Breast Tenderness
Ovulation can cause hormonal shifts that result in sore or swollen breasts.
🔸 Heightened Libido
Some women experience a noticeable increase in sexual desire around ovulation.
🔸 Mild Spotting
Light spotting or a brownish discharge could indicate ovulation, even if your periods are irregular.
It’s important to note that ovulation becomes less frequent and more unpredictable during perimenopause, so symptoms may come and go.
How to Manage Perimenopause Symptoms
Managing perimenopause involves both lifestyle support and medical treatments like hormone therapy.
Lifestyle Tips
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Eat a nutrient-rich, hormone-supportive diet
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Stay active with regular exercise
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Practice stress management (yoga, mindfulness, therapy)
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Get quality sleep and maintain good sleep hygiene
Natural Supplements
Plant-based remedies like maca root, ashwagandha, black cohosh, and evening primrose oil can help balance hormones naturally for some women.
Hormone Therapy (HT)
One of the most effective treatments for moderate to severe symptoms is Hormone Therapy, especially Bioidentical Hormone Replacement Therapy (BHRT). It replaces hormones like estrogen and progesterone to restore balance and relieve symptoms.
Hormone therapy may help with:
✔ Hot flashes and night sweats
✔ Mood swings and mental clarity
✔ Sleep disturbances
✔ Vaginal dryness and libido
✔ Bone health and long-term vitality
Why Choose Medi-Gyn for Hormone Therapy in Dubai?
When you’re navigating perimenopause, personalized care is essential. That’s exactly what Medi-Gyn delivers.
What Makes Medi-Gyn Different?
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Dubai’s leading hormone balancing center
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Run by experienced hormone specialist Dr. Priyanka Mehta
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Offers individualized BHRT treatment plans based on lab tests
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Integrates functional medicine and lifestyle-based care for holistic results
Whether you’re dealing with unpredictable periods, mood changes, or simply not feeling like yourself, Medi-Gyn is here to help you regain your balance and energy.
Take the First Step Toward Balance
Perimenopause doesn’t have to be overwhelming. With the right information and expert guidance, you can feel in control of your body again.
Book your consultation today and take charge of your hormones!
