Perimenopause vs. Menopause

What is the difference between perimenopause and menopause? And how do I know which phase I am in?

Perimenopause and menopause are two stages of a woman's reproductive life that can be confusing but have significant differences.

Perimenopause is the transitional phase leading up to menopause, and it can last anywhere from a few months to several years. During perimenopause, a woman's estrogen levels start to fluctuate and decline, which can lead to irregular menstrual cycles, hot flashes, night sweats, and mood changes. Women may still be able to get pregnant during perimenopause, although it becomes increasingly difficult as estrogen levels decline.

Menopause marks the end of a woman's reproductive years and is defined as the point when a woman has not had a menstrual period for 12 consecutive months. Menopause typically occurs between the ages of 45 and 55, but it can occur earlier or later. After menopause, the ovaries no longer release eggs, and estrogen levels drop significantly, which can cause a range of symptoms such as hot flashes, vaginal dryness, and sleep disturbances.

To determine which phase you are in, it's essential to pay attention to your menstrual cycle and any changes in your body. If you are still having regular periods, you are likely in perimenopause. If you have gone 12 consecutive months without a period, you have reached menopause. However, it's important to note that perimenopause and menopause can present differently for each woman, so it's essential to talk to your healthcare provider to confirm which phase you are in and discuss any symptoms you may be experiencing. They can also help you develop a plan to manage any symptoms and maintain your health during this time.


About The Author

Dana Ramsey is a Certified Nurse Midwife and has spent the past 15 years helping women navigate their gynecology, pregnancy, postpartum and menopausal challenges. Dana is dedicated to helping her patients overcome conditions impacting their ability to conceive and maintain a successful pregnancy.