25/05/2026
Perimenopause doesn’t happen overnight, it’s a gradual transition that unfolds over several years as hormone levels begin to shift. Understanding the different stages can help the changes feel less confusing and more manageable
1. Very Early Perimenopause
This stage can begin in your mid-to-late 30s or early 40s, often while your cycles still appear regular. Subtle symptoms such as increased PMS, anxiety, fatigue, sleep disturbances or feeling “not quite yourself” may begin to appear as progesterone levels start to decline.
2. Early Perimenopause
Cycles may start becoming shorter or longer, often varying by 7+ days from your usual pattern. Ovulation becomes less consistent, and symptoms linked to oestrogen dominance (relative to progesterone) may emerge, including mood swings, breast tenderness and heavier periods.
3. Late Perimenopause
Periods become increasingly irregular and may be spaced 60+ days apart. Oestrogen levels decline more significantly during this phase, commonly contributing to symptoms such as hot flushes, night sweats, brain fog, vaginal dryness and sleep disturbances.
4. Menopause
Menopause is officially reached once you have gone 12 consecutive months without a period. At this stage, ovarian hormone production has significantly declined. While some symptoms may improve, others such as vaginal dryness, weight changes and metabolic shifts can continue into the postmenopausal years.
Understanding the stages of perimenopause and menopause can help you feel more informed, supported and empowered throughout the transition
If you’d like to learn more about perimenopause, symptoms and holistic support strategies, my ebook A Holistic Guide to Perimenopause is linked in bio 🤍
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