Perimenopause is a significant yet often overlooked transition, beginning as early as the late 30s or early 40s and lasting several years. Fluctuating hormones trigger symptoms like:

• Hot flushes

• Sleep disturbances

• Mood swings

• Brain fog

• Joint pain

• Vaginal dryness

• Skin - dry, sensitive, change in collagen and elastin

Yet many women suffer in silence, attributing these changes to life’s demands—parenting, careers, or caring for aging parents—leading to misdiagnosis or dismissal of their concerns.

Symptoms often overlap with other life stressors, making perimenopause difficult to recognise. Fatigue, irritability, and forgetfulness may be blamed on work pressure, while weight gain is seen as a natural part of aging rather than hormonal shifts. Without proper education and support, women can feel lost or unheard in their experiences.

Prioritising key aspects of health can ease menopause symptoms and prevent long-term conditions like osteoporosis and metabolic disease. Strength training preserves muscle and bone density, while a balanced diet supports metabolic health and reduces inflammation. Addressing pelvic health can improve bladder function and sexual well-being, while stress management and social connection enhance mental resilience. By recognising perimenopause early and taking proactive steps, women can transition into this stage with confidence and vitality.