7 Common Myths About Perimenopause - And the Real Truth You Need to Know

Understanding Perimenopause: Unraveling the Facts Behind Common Misconceptions

The journey through perimenopause is a deeply personal one, often accompanied by a mix of physical, emotional, and cognitive shifts. Amidst personal experiences and well-intentioned but sometimes inaccurate advice from various sources, it's easy to feel overwhelmed and confused. Let’s clear the waters a bit and debunk some of the most common myths about perimenopause, making this transition as easy as it can be for you.

Myth 1: “Perimenopause Only Happens in Your 50s”

What you need to know: Menopause is officially diagnosed after 12 consecutive months without a period, which typically occurs around the age of 51. However the precursory phase of perimenopause can indeed begin much earlier, sometimes as early as the late 30s or early to mid-40s. This highlights a crucial point: the hormonal changes that cause transition into menopause don't adhere strictly to a specific age bracket. 

The initiation of perimenopause is driven by the gradual decline in ovarian function, leading to fluctuating levels of estrogen and progesterone. This decline can commence years before periods actually stop, and we often don’t even realise it is happening. Factors influencing the timing of perimenopause are varied and include genetics (a family history of early or late menopause can be a predictor), lifestyle factors (such as smoking, which has been linked to earlier menopause), and certain medical conditions or treatments.

It's important for women in their late 30s and 40s to be aware that changes they might be experiencing – such as subtle shifts in their periods, sleep disturbances, or unexplained mood changes – could be early indicators of perimenopause. Dismissing these changes because you think you’re too young to be in perimenopause can delay getting the support and treatment you need to make this transition as smooth as possible. Recognising the potential for earlier onset allows for proactive management and a better understanding of one's body. 

Key Takeaway: Perimenopause isn't exclusively a phenomenon of the 50s. Understanding its potential to begin earlier is crucial for timely recognition and proactive self-care.

Myth 2: "Still Getting Your Period? You Could Still Be in Perimenopause"

Let’s Break It Down: The persistence of menstruation can indeed be misleading. Irregularities in the menstrual cycle are, in fact, a hallmark characteristic of perimenopause. As the ovaries become less consistent in their hormone production, the ebb and flow of estrogen and progesterone become less predictable. This hormonal instability impacts the regularity, duration, and flow of your periods.

During perimenopause, you might experience cycles that are longer or shorter than your usual, periods that are heavier or lighter, or even skipped cycles interspersed with regular ones. The key is the change from your established pattern. While the complete cessation of menstruation marks menopause, the years leading up to it are often marked by this irregularity.

It's important to understand that even while you are still menstruating, the hormonal fluctuations can trigger a wide range of perimenopause symptoms. Attributing all bodily changes to other causes simply because periods are still occurring can lead to a delay in recognising and addressing the underlying hormonal shifts.

Key Takeaway: Don't let the presence of periods lull you into a false sense of security. Changes in your menstrual cycle are a significant clue that perimenopause may be underway.

Myth 3: Perimenopause: “Just a Few Hot Flushes? Think Again.

Here’s the Truth: Hot flushes might get all the attention, but they're just one guest at this hormonal party. Perimenopause can bring a full cast of characters — from sleep drama and mood swings to brain fog, bloating, and libido lulls. And here’s the kicker: it can last anywhere from two to ten years.

That’s not to scare you. It’s to arm you. Because when you know what’s coming, you can meet it with tools, support, and zero shame.  Hot flushes are just one guest at the hormonal party — and the least complicated one.

• Sleep Changes: Difficulty falling asleep, frequent awakenings, and a general decline in sleep quality can be significant and impact daily functioning.

• Mood and Emotional challenges: Increased susceptibility to anxiety, irritability, feelings of sadness, and even worsening of pre-existing mood disorders can occur.

• Changes in Sexual Desire: Fluctuations in libido can be upsetting for some women and their partners.

• Cognitive Concerns: Difficulties with concentration, memory recall, and overall mental clarity, often referred to as "brain fog," can make daily tasks difficult. 

• Skin Changes: Changes in skin elasticity, increased dryness, and changes in hair texture or thickness can be noticeable.

• Metabolic and Body Composition Shifts: Some women experience weight gain, particularly around the abdomen, and changes in their metabolism.

• Musculoskeletal Discomfort: Aches and pains in joints and muscles can become more prevalent.

Practical Implications: Be prepared for the possibility of experiencing a range of symptoms beyond hot flushes, and understand that the duration of perimenopause can vary significantly. Developing coping strategies for different symptoms and seeking support when needed is crucial for managing this phase effectively.

Key Takeaway: Perimenopause is a multifaceted and often prolonged transition. Understanding the wide array of potential symptoms and the variable timeline is essential for realistic expectations and proactive management.

Myth 4: "HRT Is the Only Option"

The Reality: Hormone Replacement Therapy (HRT) can be a highly effective treatment for many challenging symptoms. But it’s not the only solution — and it’s not right for every woman. The decision for HRT is personal, best made in consultation with your healthcare provider, considering your individual health.

For those who cannot or choose not to use HRT, or who want to complement their HRT journey, there are many other informed strategies available. Empowering yourself with knowledge about your body's interconnected systems can lead to more holistic and effective management.

Consider these key approaches:

• Understanding Your Body's Interconnected Systems: Your gut health has a profound impact on your hormones and overall well-being during perimenopause. An imbalanced gut can affect mood, metabolism, and even hormone processing. Learning about this link is a powerful first step. Dive deeper here: Gut Health & Hormones: The Link No One Talks About in Perimenopause.  You don’t always need to replace hormones — sometimes you need to support how your body processes them.

• Targeted Nutritional Support: Products like Glowfix, developed to support the body through perimenopause, are designed with this holistic understanding in mind. Unlike HRT, which directly replaces hormones, Glowfix works by nourishing your body from within, focusing on optimising gut health, supporting liver function (vital for hormone metabolism), and providing comprehensive well-being support.
  

• Lifestyle as Foundational Support: Healthy lifestyle choices are powerful tools. Regular physical activity, a balanced diet (which also nurtures gut health), effective stress management, and prioritising quality sleep are fundamental for managing symptoms and maintaining hormonal equilibrium.
  

• Other Medical and Localised Options: Your doctor may suggest non-hormonal medications for specific symptoms like mood changes or hot flushes. For concerns like vaginal dryness, localised oestrogen therapy (creams or rings) or pelvic floor rehabilitation can provide excellent relief.
  

Key Takeaway: HRT is a significant option, but it's part of a broader landscape of informed choices. Understanding your body's systems, like the gut-hormone link, and considering targeted support like Glowfix, alongside lifestyle adjustments, empowers a holistic approach to your perimenopause journey.

Myth 5: "Your Sex Life Is Over?” Nope.

Here’s what’s really going on: This is a particularly disheartening myth that can create unnecessary anxiety and negatively impact self-esteem and relationships. While perimenopause can bring about physiological and emotional changes that affect sexual function and desire, it absolutely does not have to signify the end of sexual intimacy and enjoyment.  Desire may shift — but intimacy isn’t off the table.

Symptoms such as vaginal dryness (due to decreased estrogen), fluctuations in libido (influenced by hormonal shifts and mood changes), and discomfort during intercourse can present challenges. However, these issues are often manageable and treatable:

• Addressing Vaginal Dryness: Regular use of water-based lubricants and vaginal moisturisers can significantly alleviate discomfort during intercourse. Local estrogen therapy is another effective option for many women.

• Open Communication and Exploration: Honest and open communication about changes in desire or comfort is crucial for maintaining intimacy. 

• Focusing on Overall Well-being: Managing mood swings, anxiety, and sleep disturbances can indirectly improve libido and sexual responsiveness.

• Seeking Professional Support: Sex therapists or counselors specialising in menopausal health can provide valuable guidance and strategies for navigating these changes as individuals and as couples.

• Considering Medical Options: In some cases, healthcare providers may recommend specific treatments to address low libido or other sexual health concerns.

Key Takeaway: Perimenopause can bring changes to your sexual experience, but it does not have to be the end of your sex life. Open communication, self-care, and seeking appropriate support can help maintain intimacy and pleasure.

Myth 6: "Irregular Periods = Infertility"

Time to set the record straight: You can still get pregnant in perimenopause — even with irregular periods. While fertility does decline during perimenopause as the number and quality of eggs decrease, ovulation can still occur, albeit less predictably. The erratic hormonal fluctuations mean that you can still release an egg, even if your menstrual cycles are irregular or infrequent.

Therefore, it is crucial for women in perimenopause who do not wish to conceive to continue using effective contraception until they have reached menopause, defined as 12 consecutive months without a menstrual period. Relying on the assumption of infertility based on cycle changes alone is not a reliable method of birth control.

Practical Implications: Maintain consistent contraception until menopause is officially confirmed by a healthcare professional. Discuss appropriate contraceptive options for perimenopause with your doctor.

Key Takeaway: Perimenopause does not equate to infertility. Continued contraception is necessary until menopause is confirmed to prevent unintended pregnancy.

Myth 7:  “Decline Is Inevitable”

We’re calling BS on that one: This isn’t a slow fade — it’s a new chapter. And you get to write it.  This is a deeply negative and inaccurate portrayal of perimenopause. While the hormonal shifts can bring about challenges, it is essential to understand that perimenopause is a natural transition, not a predetermined path to diminished vitality and well-being. Many women navigate this phase with resilience, adapting to changes and often discovering new strengths and perspectives.

Focusing on self-care, adopting healthy lifestyle habits, and seeking appropriate support can empower women to maintain their energy levels, emotional well-being, and sense of self-worth throughout perimenopause and beyond. This includes:

• Prioritising Physical Health: Engaging in regular physical activity, maintaining a balanced diet, and ensuring adequate sleep are fundamental for energy levels and overall health.

• Nurturing Emotional Well-being: Practicing mindfulness, engaging in enjoyable activities, and seeking support from friends, family, or mental health professionals can help manage mood changes and maintain joy.

• Embracing Self-Acceptance: Recognising that bodies change throughout life and focusing on health and well-being rather than adhering to unrealistic beauty standards can foster a positive self-image.

• Seeking Information and Support: Connecting with knowledgeable resources and support networks can provide valuable guidance and a sense of community.

You don’t lose your spark in perimenopause - you just learn how to protect it differently

Key Takeaway: Perimenopause is a chapter of change, not a conclusion. By prioritising your health and well-being, you can absolutely maintain your energy, joy, and feel good in your own skin throughout this transition.

In Conclusion:

Myths fuel confusion. Facts fuel confidence.  By understanding the realities of perimenopause and dispelling these common myths, we aim to empower you with accurate information and a sense of control as you navigate this significant life stage. Remember that your experience is unique, and seeking personalised advice and support is always recommended.

Need personalised support? Glow Fix was formulated to support the gut–hormone axis during perimenopause. Learn more here