Perimenopause is a natural transition for women, but it can come with unpredictable changes. Understanding what’s happening in your body can help you navigate this phase with greater ease. As a specialist in menopause care, Dr. Heidi Queen, MD, provides expert guidance to help women manage perimenopausal symptoms and maintain long-term health.

Changes in Menstrual Patterns

One of the earliest signs of perimenopause is a shift in menstrual cycles. Hormonal fluctuations cause periods to become irregular—sometimes shorter, sometimes longer, and often with varying levels of flow. Initially, these changes may be subtle, but over time, cycles may become increasingly erratic. Some women may notice occasional skipped periods, while others experience extended gaps between cycles. Keeping track of these changes with a calendar or app can help provide a clearer picture when discussing symptoms with a healthcare provider.

Hot Flashes and Night Sweats

Hot flashes and night sweats, known as vasomotor symptoms, are among the most common and disruptive aspects of perimenopause. A sudden wave of heat, often concentrated in the face, neck, and chest, can lead to sweating, chills, or even heart palpitations. At night, these symptoms may disrupt sleep, leading to fatigue and irritability. While hot flashes are a hallmark of this transition, their severity and duration vary from woman to woman. Lifestyle adjustments, stress management, and medical guidance can help ease discomfort and improve quality of life.

Hormonal Shifts and Their Impact on the Body

Beyond cycle changes and temperature fluctuations, declining estrogen levels affect multiple aspects of health. Some women experience vaginal dryness, discomfort during intimacy, or increased susceptibility to infections. Others notice weight gain, particularly around the midsection, making it more challenging to maintain previous fitness levels. A balanced approach to nutrition, movement, and self-care can play a critical role in counteracting these shifts.

The Emotional and Cognitive Impact

Hormonal fluctuations don’t just affect the body—they also impact mood, mental clarity, and emotional well-being. Many women report increased anxiety, mood swings, or even symptoms of depression during perimenopause. Additionally, cognitive changes such as forgetfulness or “brain fog” can create unnecessary worry about long-term memory health. While these challenges can be frustrating, they are typically temporary and manageable with the right support system in place.

Taking Charge of Your Health

Perimenopause is different for every woman, but no one has to navigate it alone. Understanding these changes is the first step toward managing them with confidence. By seeking expert guidance, tracking symptoms, and making lifestyle adjustments, women can maintain their vitality and well-being throughout this transition.

Certified by The Menopause Society, Dr. Heidi Queen is one of the few doctors in Marin County with this distinction, offering specialized care for women navigating menopause and related health challenges. With a patient-centered approach, she empowers women to take charge of their health through personalized care plans and integrative solutions tailored to their unique needs.