Women’s bodies go through remarkable changes throughout life, and the transition from reproductive to non-reproductive years is one of the most significant. Yet, many women are left wondering—Is this perimenopause? Or am I already in menopause? And are these symptoms normal?
At the Women’s Health Center of Chicago, we believe knowledge is power. In this article, we break down the differences between perimenopause and menopause, what you can expect, and when it’s time to talk to your OB-GYN.
What Is Perimenopause?
Perimenopause means “around menopause.” It’s the time leading up to menopause when hormone levels, particularly estrogen and progesterone, begin to fluctuate. This stage can start as early as your mid-30s but is more commonly experienced in your 40s.
Symptoms often come and go, and cycles may become irregular—this is your body’s way of preparing for the natural end of menstruation.
What Is Menopause?
Menopause is officially diagnosed after 12 consecutive months without a menstrual period—not caused by other health conditions. It marks the end of your reproductive years and typically occurs between ages 45 and 55, with the average age in the U.S. being 51.
Once in menopause, your ovaries produce much less estrogen, and menstruation stops permanently.
The Key Differences Between Perimenopause and Menopause
| Feature | Perimenopause | Menopause |
|---|---|---|
| Periods | Irregular | None for 12+ months |
| Hormones | Fluctuating | Consistently low |
| Duration | Several years | Ongoing phase |
| Symptoms | Come and go | May stabilize over time |
Perimenopause is the transition. Menopause is the milestone.
Common Symptoms You Might Experience
Many symptoms overlap, but severity and frequency can vary. You may experience:
Hot flashes or night sweats
Mood swings and irritability
Trouble sleeping
Vaginal dryness
Low libido
Weight gain or bloating
Irregular or heavy periods (during perimenopause)
Brain fog or forgetfulness
What’s Considered Normal—And What’s Not
Not every change is “just hormones.” See your OB-GYN if you experience:
Excessively heavy bleeding
Bleeding between periods or after sex
Severe anxiety or depression
Painful intercourse
Sudden weight loss or gain
Symptoms disrupting your daily life
Some of these may indicate other health issues like thyroid problems, fibroids, or even cancer—and should never be ignored.
How Hormone Levels Shift Over Time
Estrogen and progesterone don’t decline steadily—they fluctuate. That’s why perimenopause can feel like a rollercoaster. Your body may overproduce one hormone while underproducing another, leading to unpredictable symptoms.
After menopause, hormone levels stay consistently low, which may help some symptoms stabilize, but others (like bone thinning and dryness) may persist.
Coping With Symptoms: Lifestyle and Medical Options
You’re not alone—and you don’t have to suffer in silence. There are many ways to manage symptoms, including:
Hormone Replacement Therapy (HRT)
Non-hormonal medications (e.g. SSRIs for hot flashes or mood swings)
Herbal and natural supplements
Dietary changes (calcium, vitamin D, phytoestrogens)
Exercise and stress management techniques
At the Women’s Health Center of Chicago, we work with you to personalize a care plan that fits your lifestyle and health needs.
When to See Your OB-GYN
The earlier you consult a gynecologist, the more options you’ll have. Don’t wait until symptoms become overwhelming. Whether you’re unsure about changes in your cycle, or just want to be proactive, we’re here to listen, guide, and support you.
Embracing the Change: A New Chapter in Women’s Health
Menopause isn’t an ending—it’s a beginning. With the right care, this stage can be one of empowerment, wisdom, and renewed health. There’s strength in understanding your body and confidence in knowing what’s normal.
💬 Ready to Talk About It? Let’s Make a Plan Together
Whether you’re navigating perimenopause or entering menopause, expert guidance can make all the difference.
👉 Book your appointment today at Women’s Health Center of Chicago and take charge of your health with compassionate, personalized care.
