Perimenopause is the transitional phase before menopause, when your body begins to produce less oestrogen. This natural process usually begins in your 40s, but for some women, it can start in their late 30s. It can last anywhere from a few months to several years, and while it’s a normal part of ageing, the symptoms can sometimes feel anything but normal.
What age does perimenopause start?
Perimenopause typically begins in your early to mid 40s, but it can start earlier or later. The average age for menopause (when you haven’t had a period for 12 consecutive months) is 51, and the perimenopause phase commonly starts around age 40-45, with symptoms lasting for 4 to 10 years. A sign of early perimenopause can often be menstrual irregularity1, eventually progressing to a menstrual cycle that is greater than or equal to 60 days apart.
Common symptoms of perimenopause
Perimenopause Anger
One of the more surprising symptoms of perimenopause is intense, sometimes unpredictable anger or irritability — commonly referred to as perimenopause rage. You might find yourself reacting strongly to minor annoyances or feeling emotions bubbling up more intensely than usual. This is often linked to fluctuating oestrogen levels, which affect serotonin, the brain’s mood-regulating chemical.
If you’re experiencing mood swings or anger that feels out of character, it’s a valid and recognised part of the perimenopause journey.2
Nausea and Digestive Upset
Some women experience nausea, gastrointestinal symptoms, abdominal pain and discomfort during perimenopause.3 This can be caused by hormonal fluctuations that affect digestion, or by related issues such as increased anxiety or changes in appetite. These can also be a normal part of going through menopause.
Simple dietary changes, stress reduction, and hydration can help but if nausea is persistent, it’s worth checking in with a healthcare provider.
Weight Gain and Body Changes
A common concern during perimenopause is unexplained weight gain, especially around the abdomen. This isn’t just about lifestyle factors — declining oestrogen levels due to progressive loss of ovarian function4 can affect how your body stores fat, as well as your metabolism and insulin sensitivity.
Other body changes may include:
- Bloating
- Muscle loss
- Slower metabolism
- Changes in appetite or cravings
It’s not all in your head, your body is working through significant hormonal shifts. Gentle exercise, balanced nutrition, and stress management can support you through this stage.
Dry Skin, Hair and Eyes
Oestrogen plays a key role in your skin’s elasticity and hydration5. During perimenopause, you may notice dry skin, a duller complexion, brittle nails or even dryness in the eyes or scalp.
Reach out for support
Perimenopause can feel confusing and overwhelming, especially when the symptoms come and go in waves. Please remember that you don’t have to navigate it alone, and help is available. From personalised treatment plans to lifestyle support, talking to a healthcare professional can help you take control of your symptoms and feel like yourself again.
Book a video consult with Doctors on Demand to discuss any symptoms or concerns and possible treatments with one of our experienced practitioners. Book an appointment or join the queue to speak with one of our dedicated doctors at a time that suits you.
References
1 https://pmc.ncbi.nlm.nih.gov/articles/PMC4834516/
2 https://menopause.org.au/hp/information-sheets/mood-and-the-menopause
3 https://pmc.ncbi.nlm.nih.gov/articles/PMC3322543/