Signs perimenopause is ending: Key signs to watch for

Perimenopause, the transitional phase leading up to menopause, can be a challenging time for many women. As this stage nears its end, certain signs may indicate that menopause is on the horizon. Understanding these changes can help women better prepare for the next phase of their reproductive journey.

Key takeaways:

• Perimenopause typically lasts 4-8 years
• Irregular periods are a hallmark sign of late perimenopause
• Hot flashes may intensify as perimenopause ends
• Mood swings and sleep issues often improve in late perimenopause
• Consult a healthcare provider to discuss symptoms and treatment options

Signs perimenopause is ending: Changes in menstrual cycles

One of the most reliable indicators that perimenopause is nearing its end is a significant change in menstrual patterns. As women approach menopause, periods typically become more irregular and unpredictable. Dr. Nanette Santoro, a reproductive endocrinologist at the University of Colorado School of Medicine, explains: "The hallmark of the late menopausal transition is prolonged amenorrhea, or going 60 days or more without a period."

Women may experience:
• Longer intervals between periods (60+ days)
• Skipping periods for several months
• Heavier or lighter flow than usual
• Shorter or longer periods

It's important to note that while these changes are common, any unusual bleeding patterns should be discussed with a healthcare provider to rule out other potential causes.

Signs perimenopause is ending: Intensification of hot flashes

Hot flashes are a hallmark symptom of perimenopause, but they often become more frequent and intense as women approach menopause. Dr. JoAnn Pinkerton, executive director of the North American Menopause Society, notes: "About 75-85% of women will experience hot flashes and night sweats during the menopausal transition."[1]

As perimenopause progresses, women may notice:
• Increased frequency of hot flashes
• More intense or longer-lasting hot flashes
• Night sweats that disrupt sleep

While hot flashes can be uncomfortable, they typically peak around the time of the final menstrual period and gradually decrease in frequency and intensity after menopause.

Signs perimenopause is ending: Mood and sleep improvements

Interestingly, some women report improvements in mood and sleep as they near the end of perimenopause. Dr. Pauline Maki, professor of psychiatry and psychology at the University of Illinois at Chicago, explains: "Many women experience an improvement in mood as they transition from perimenopause to postmenopause, likely due to the stabilization of hormone levels."[2]

Potential improvements include:
• Fewer mood swings
• Decreased anxiety or irritability
• Better sleep quality
• Less insomnia

However, it's important to note that these experiences can vary widely among women, and some may continue to struggle with mood and sleep issues even after menopause.

Signs perimenopause is ending: Vaginal and urinary changes

As estrogen levels decline in late perimenopause, many women experience changes in their vaginal and urinary health. Dr. Stephanie Faubion, medical director of the North American Menopause Society, states: "About half of postmenopausal women experience vaginal dryness, which can lead to painful intercourse and urinary tract symptoms."[3]

Common symptoms include:
• Vaginal dryness or itching
• Painful intercourse
• Increased urinary tract infections
• Urinary incontinence

These symptoms often persist or worsen after menopause, making it crucial for women to discuss treatment options with their healthcare providers.

Preparing for the transition to menopause

As perimenopause nears its end, it's essential for women to take proactive steps to manage their health and well-being. Dr. Margery Gass, former executive director of the North American Menopause Society, advises: "Women should use this time to focus on their overall health, including maintaining a healthy diet, regular exercise, and stress management techniques."[4]

Recommended actions include:
• Scheduling regular check-ups with a healthcare provider
• Discussing symptom management options, including hormone therapy if appropriate
• Prioritizing bone health through diet, exercise, and supplements
• Maintaining a healthy weight and lifestyle
• Seeking support from friends, family, or support groups

Understanding the signs that perimenopause is ending can help women navigate this transition with greater confidence and prepare for the next phase of their lives. While every woman's experience is unique, being informed about potential changes and available treatment options can make this journey smoother and more manageable.

Remember, Sanatorium is not a substitute for professional medical advice. Always consult with a healthcare provider for personalized guidance and treatment options related to perimenopause and menopause.