Because perimenopause and menopause symptoms can be very similar
'Perimenopause signals the beginning of the end of a woman’s reproductive ability, and can last anywhere from a couple of years to a decade before she reaches full menopause,' Dr Khan says.
'Most women begin to experience perimenopausal symptoms in their 40s, but sometimes in their late 30s. Although of course this varies between individuals. What may be assumed as PMS, or indeed menopause itself, may in fact be a symptom of perimenopause. This includes symptoms such as erratic mood swings, hot flushes and night sweats, as well as feeling exhausted.
'Women can expect their periods to become increasingly irregular between their mid-40s and mid-50s, before they finally stop altogether,' says Dr Khan. 'During the late stage of perimenopause – which occurs around six months before the onset of menopause – oestrogen levels will drop significantly, often resulting in further hot flushes, sleepless nights, vaginal dryness or painful intercourse which can continue throughout the first few years of the menopause. Change of hormone levels can also effect normal metabolism of the body and cause an imbalance of electrolyte or micronutrient levels.
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