What's the difference between Menopause and Perimenopause?

Perimenopause is the transitional phase leading up to menopause. It can start several years before menopause, typically in a woman's 40s, but it can begin earlier. During perimenopause, the ovaries gradually produce less estrogen, which can lead to irregular menstrual cycles. You may experience symptoms such as hot flashes, night sweats, mood changes, sleep disturbances, and changes in libido. This phase can last anywhere from a few months to several years.

Menopause is the point at which a woman has not had a menstrual period for 12 consecutive months. It marks the end of the reproductive years. The average age for menopause is around 51, but it can occur earlier or later. After menopause, the ovaries produce very low levels of estrogen and progesterone, and you may continue to experience some symptoms similar to those in perimenopause, though they often become less intense over time.

The treatment for both perimenopause and menopause is very similar and includes replacing the hormones that are diminishing or missing, with hormone replacement therapy. The key is to restore hormone balance and eliminate symptoms. The key is to individualize treatment for every patient.

In summary, perimenopause is the time leading up to menopause with fluctuating hormones and symptoms, while menopause is the point when menstrual periods have ceased for a full year, signifying the end of reproductive capability. If you have any concerns about symptoms or how to manage them, feel free to discuss them with your healthcare provider.