Perimenopause Symptoms You Shouldn’t Ignore
By Dr. Sairandhri Kate-Shinde – Consultant Gynecologist | Hera Clinic, Punawale, PCMC Pune
Perimenopause is the transitional phase before menopause, typically beginning in a woman’s 40s but sometimes even earlier. During this phase, your body undergoes hormonal shifts — especially fluctuations in estrogen and progesterone — which can trigger various physical and emotional changes.
While some symptoms are normal, certain perimenopause symptoms should not be ignored, as they may signal underlying health issues.
What Is Perimenopause?
Perimenopause means “around menopause.” It’s the period leading up to menopause when menstrual cycles become irregular, and estrogen levels begin to decline. It can last anywhere from 4 to 10 years.
Perimenopause Symptoms You Shouldn’t Ignore
-
Irregular Periods with Heavy Bleeding
- Very heavy flow
- Bleeding for more than 7 days
- Bleeding between periods
These may indicate fibroids, endometrial hyperplasia, or even early cancer. Don’t wait. See your gynecologist for an evaluation.
-
Severe Mood Swings, Anxiety, or Depression
- Frequent crying spells
- Panic attacks
- Feelings of hopelessness
These could mean you're dealing with hormone-triggered mood disorders or even perimenopausal depression. Seek medical support early — hormonal therapy or counseling can help.
-
Extreme Fatigue
Chronic tiredness despite rest may be linked to:
- Hormonal imbalance
- Thyroid dysfunction (common in midlife)
- Iron deficiency from heavy periods
Your doctor can order blood tests to rule out anemia or hypothyroidism.
-
Hot Flashes and Night Sweats That Disrupt
Sleep
These symptoms are common but frequent, severe hot flashes can:
- Affect quality of life
- Lead to sleep deprivation
- Increase risk of anxiety and heart issues
Hormone replacement therapy (HRT) or lifestyle changes can manage this.
-
Loss of Bladder Control or Vaginal Dryness
- Urinary incontinence
- Pain during sex
- Itching or dryness
These are signs of vaginal atrophy and pelvic floor weakening — both treatable with estrogen therapy and pelvic exercises.
-
Unexplained Weight Gain and Belly Fat
A slowing metabolism combined with hormonal imbalance can lead to abdominal fat, which increases the risk of:
- Diabetes
- Heart disease
- PCOS or insulin resistance
Your gynecologist may suggest blood sugar testing, diet plans, and exercise routines.
-
Memory Lapses or Brain Fog
Occasional forgetfulness is normal, but frequent confusion, foggy thinking, or forgetfulness could be related to estrogen’s effect on cognitive function. Keep track of symptoms and consult your doctor if they interfere with daily life.
How Is Perimenopause Diagnosed?
There’s no single test to confirm perimenopause, but your gynecologist may order:
- Hormone level tests (FSH, LH, estrogen)
- Thyroid function tests
- Ultrasound or pelvic exam
- Pap smear or biopsy (if abnormal bleeding is present)
When to See a Doctor
Contact your gynecologist if you experience:
- Periods that are too heavy or too frequent
- Persistent hot flashes or night sweats
- Mood changes that interfere with life
- Painful intercourse or vaginal dryness
- Sleep disturbances
- Bladder control issues
- Unexpected weight gain
Expert Perimenopause Care at Hera Clinic, Punawale
At Hera Clinic, we understand that perimenopause is a sensitive and confusing time for many women.
Dr. Sairandhri Kate-Shinde, a trusted gynecologist in PCMC Pune, offers comprehensive evaluations and personalized hormone balancing plans to help you feel your best.
We offer:
- Hormonal blood testing
- Perimenopause symptom management
- HRT and non-hormonal therapies
- Counseling and dietary guidance
- Pelvic health support
Serving patients from Punawale, Wakad, Ravet, Hinjewadi, Tathawade, Baner & PCMC Pune.
Schedule Your Consultation Today
Don't ignore changes in your body. Seek answers and feel empowered. Book your appointment with Dr. Sairandhri Kate-Shinde now.
Call: +91 88059 81909
Visit: www.heraclinics.in
Address: Shop No. 8, Ground Floor, Infinity Cube, Malwadi, Punawale, PCMC, Pune 411033