Sounds like you could be pregnant, right? Welp, think again. These are actually also symptoms of perimenopause, which, because of lack of awareness and education about it, many women don’t expect to happen as early as it does. Jancee Dunn, author of Hot and Bothered: What No One Tells You About Menopause and How to Feel Like Yourself Again, was still raising her toddler when she first started experiencing symptoms. “[A lot of women] think of it as something that happens way off in the distant future,” she told Scary Mommy. “It can really mess with your head… I could not even conceive of perimenopause.” If you’re in the middle of parenting, your career, or just life in general and haven’t even thought about (or heard of) perimenopause, you’re not alone.
Perimenopause is a period of hormonal chaos as the body transitions to menopause, and it’s a natural part of life for many women. But it’s essential to be aware of when it starts and how to prepare for it. In this article, we’ll explore the most common age perimenopause starts, and what you can do to prepare for this transition.
When Does Perimenopause Typically Start?
According to Dr. Michael Krychman, OB-GYN and VP of Medical Affairs at HerMD, perimenopause can start anywhere between your 30s and 50s, with symptoms most often occurring in your 40s. “It’s not really a one specific age that you enter in and then it starts. It’s a gradual transition,” he explains. “It can be anywhere between seven and 10 years before the final menstrual period or before you go into menopause.”
Symptoms of Perimenopause
Perimenopause can manifest differently in each woman, and there are at least 34 symptoms to be aware of. Some common symptoms include:
- Insomnia and fatigue
- Body aches and body odor
- Itchy ears and brain fog
- Mood swings and heart palpitations
- Vaginal dryness and night sweats
- Irregular periods and headaches
- Random hairs and rage
Knowing your symptoms can help you manage them more effectively. If you’re experiencing any of these symptoms, it’s essential to talk to your doctor about them.
Finding a Doctor Who Is Trained in Menopause
A 2019 Mayo Clinic study found that only 6.8% of obstetrics and gynecology, family medicine, and internal medicine residents felt well prepared to care for their patients through menopause. A 2023 report validated that less than a third of OB-GYN residency programs offer training in menopause at all. If you think you have menopausal symptoms, schedule a separate appointment to talk about them.
“It’s a big subject and not something to tack on the last five minutes of your pap smear appointment,” Dunn says. If your OB-GYN isn’t taking your concerns seriously, you can use The Menopause Society’s provider registry to find a certified menopause practitioner in your area.
Prioritizing a Healthy Lifestyle
Prioritizing a healthy lifestyle can make some symptoms more manageable or even prevent them. This includes:
- Eating a balanced diet
- Staying hydrated
- Exercising regularly
- Managing stress
- Getting enough sleep
Sometimes it’s easier said than done, but even making small changes can make a big difference in how you feel.
Talking About Perimenopause Openly
Talking about perimenopause openly can bring awareness and reduce stigma. By sharing your experiences and talking to others about their symptoms, you can help create a community of support and understanding.
Conclusion
Perimenopause is a natural part of life for many women, but it’s essential to be aware of when it starts and how to prepare for it. By knowing your symptoms, finding a qualified doctor, and prioritizing a healthy lifestyle, you can make this transition smoother. Don’t be afraid to talk about perimenopause openly and seek support from others who are going through the same thing.
Additional Resources
- The North American Menopause Society (NAMS) website: A great resource for learning more about perimenopause and menopause.
- The Menopause Society’s provider registry: Find a certified menopause practitioner in your area.
- HerMD: A website that provides comprehensive information about perimenopause and menopause, as well as resources for managing symptoms.
By being informed and prepared, you can navigate this transition with confidence and take control of your health.





