What is perimenopause?
The Moment You Realise It Was Never You
You’re lying awake at 3am, exhausted but wired.
You’ve snapped at someone you love and don’t quite recognise yourself.
Your body feels different. Your mind feels foggy.
And somewhere in all of that, a thought creeps in: “What’s wrong with me?”
We're here to say that it was never you, it's your hormones. Read on.
What Is Perimenopause?
Perimenopause is the natural hormonal transition before menopause, when oestrogen and progesterone fluctuate and your menstrual cycle begins to change.
Menopause is defined as 12 consecutive months without a period.
Perimenopause is the phase leading up to that, and it can last anywhere from 2 to 10 years.
Most women begin perimenopause in their early to mid-40s, though it can start earlier.
And importantly, symptoms often begin before your periods noticeably change.
Why You Thought It Was You
Perimenopause rarely arrives with clarity and a fairy godmother.
Instead, it shows up as small shifts:
- You feel more anxious, but don’t know why
- Your sleep changes, even if your routine hasn’t
- You feel less like yourself, but can’t explain it
And because these symptoms are often treated separately, many women internalise them.
They think:
- “I’m just stressed.”
- “I need to handle things better.”
- “Maybe I’m just getting older.”
But research shows that fluctuating oestrogen directly affects brain chemistry, including serotonin and dopamine, which regulate mood, focus, and emotional stability.
It’s a biological change, not a mindset issue.
What’s Happening in Your Body During Perimenopause?
During your reproductive years, hormones follow a predictable rhythm.
In perimenopause, that rhythm becomes irregular.
- Oestrogen fluctuates unpredictably
- Progesterone gradually declines
- Ovulation becomes inconsistent
Oestrogen receptors exist throughout your body, including your brain, gut, skin, and cardiovascular system.
Which means this can affect:
- Mood and mental clarity
- Sleep
- Energy
- Metabolism
- Skin and hair
- Libido
This is why perimenopause can feel like everything is shifting at once.
Common Symptoms of Perimenopause
Every woman’s experience is different, but common symptoms include:
Changes to Your Period
- Irregular cycles
- Heavier or lighter bleeding
- Skipped periods
Emotional & Cognitive Symptoms
- Anxiety
- Irritability
- Low mood
- Brain fog
Sleep Changes
- Trouble falling asleep
- Waking during the night
- Night sweats
Physical Symptoms
- Hot flushes
- Fatigue
- Headaches
- Joint pain
- Weight gain (especially around the middle)
- (there are many others….like smelling smoke)
Intimacy Changes
- Vaginal dryness
- Reduced libido
According to the SWAN study, up to 80% of women experience symptoms like hot flushes.
“I Thought I Was Losing Myself”
This is something we hear often, and something we’ve lived.
As Lisa shares:
“There was a point where I genuinely thought I wasn’t coping anymore. Understanding it was perimenopause didn’t fix everything overnight, but it changed how I saw myself.”
Kate adds:
“The shift wasn’t just physical. It was emotional. I stopped blaming myself and started supporting my body differently.”
This is the turning point. Reframing not as fixing, but understanding yourself.
You’re Not Alone in This Experience
Even women in the public eye have spoken about this stage.
Michelle Obama shared: “I started having hot flashes… I didn’t know what was going on.”
Naomi Watts described it as: “A time of confusion — because no one really prepares you for it.”
And Drew Barrymore had a hot flush live on air. And we love her for it.
This experience is incredibly common, it’s just not talked about enough.
What Actually Helps During Perimenopause
Perimenopause is something that happens to all biological women, but that doesn’t mean you need to push through unsupported.
Small, consistent changes can make a meaningful difference.
Nourish Your Body
- Protein-rich meals
- Healthy fats
- Whole, fibre-rich foods
Move Gently but Consistently
- Strength training
- Walking
- Pilates or yoga
Support Your Nervous System
- Breathwork
- Time outdoors
- Reducing constant stress input
Prioritise Sleep
- Consistent sleep routine
- Limiting alcohol and caffeine
- Creating a calming wind-down
Explore Support Options
- Nutritional and herbal support
- Hormone therapy (HRT)
Always with guidance from a trusted practitioner.
This Is Your First Step
If you’ve found yourself here feeling confused, overwhelmed, or unlike yourself…
Let this be your reframe:
You are changing. And that can be good, too.
Perimenopause isn’t the end of who you are.
It’s the beginning of understanding yourself differently.
And from that place, things start to feel clearer, calmer, and more manageable.
Frequently Asked Questions About Perimenopause
How do I know if I’m in perimenopause?
If you’re in your late 30s or 40s and noticing changes like anxiety, poor sleep, brain fog, or irregular periods, perimenopause may be the reason.
There’s no single test, it’s about recognising patterns in your body.
At what age does perimenopause start?
Most women begin between 40 and 45, though it can start earlier.
Can perimenopause cause anxiety?
Yes. Hormonal fluctuations can directly affect your nervous system, leading to increased anxiety or emotional sensitivity.
You’re not imagining it.
How long does perimenopause last?
Typically 2 to 10 years, with most women experiencing it for around 4–8 years.
Can you still have regular periods during perimenopause?
Yes — especially in the early stages. Symptoms can begin even when your cycle still appears regular.
Is perimenopause the same as menopause?
No. Perimenopause is the transition phase.
Menopause is when you’ve gone 12 months without a period.
Will I be more like me again?
Yes, and often with a deeper understanding of your body.
With the right support, many women feel more grounded and connected than before. We help you be more unstoppable than ever before.
Still not sure, try our Starter Pack. Simple morning + night ritual guaranteed to help you feel more unstoppable, or we'll give you your money back.
References
- Australasian Menopause Society (2023)
- Brinton, R. D. et al. (2015)
- Freeman, E. W. et al. (2014) – SWAN Study
- NICE Guidelines (2015)
- Santoro, N. (2016)
- Soares, C. N. (2019)