Most of us grew up believing menopause was something that happened suddenly — your period stops, and you get hot flushes. But that’s not the whole story.
In reality, the transition starts much earlier. And for many women, the first signs are emotional and mental — not physical.
So, what is perimenopause? And how can you tell if you’re in it?
What Is Perimenopause?
Perimenopause is the time leading up to menopause, when the body begins to shift hormonally. Oestrogen and progesterone levels start to fluctuate, sometimes dramatically, which affects the brain, nervous system, and body.
This stage can last anywhere from 4 to 10 years. You may still be having regular periods — even clockwork cycles — and still be in perimenopause.
Early Signs of Perimenopause
Some of the earliest signs include:
- Waking in the early hours of the morning, even when exhausted
- Mood swings or irritability that feel “out of character”
- Difficulty concentrating, forgetfulness, or feeling scattered
- Feeling emotionally flat or disconnected
- A loss of confidence or motivation
- Occasional hot flushes or feeling overheated for no reason
- Changes in period length, flow, or spacing
These symptoms can start subtly — and are often mistaken for stress, burnout, or depression.
Why It Matters
When perimenopause is missed, women may:
- Blame themselves for not coping
- Be misdiagnosed with anxiety, depression, or ADHD
- Feel isolated or ashamed
- Receive treatment that doesn’t address the root cause
Understanding what’s happening allows for better support — medically, emotionally, and socially.
What You Can Do
- Keep track of changes in mood, sleep, cycle, and focus
- Speak to your GP or psychologist if you feel something’s shifted
- Don’t dismiss your experience — it’s real, and you’re not alone
- Remember: perimenopause is a transition, not a malfunction
Final Thought
Perimenopause can start earlier than expected — and it doesn’t always begin with hot flushes. Sometimes it begins with a quiet sense that something’s not quite right. Paying attention to that can make all the difference.
