Perimenopause significantly impacts women years before menopause begins, with new research showing over 55% of women aged 30-35 experience moderate to severe symptoms. This transitional phase, marked by dropping estrogen levels, often goes unrecognized and untreated in younger women.

Common Perimenopause Symptoms:

• Psychological symptoms (typically appear first):
  • Depression
  • Irritability
  • Anxiety
• Physical symptoms:
  • Sexual dysfunction
  • Vaginal dryness
  • Urinary incontinence
  • Hot flashes (more common in later stages)
  • Brain fog
  • Sleep disturbances
  • Irregular periods

Key Research Findings:

• 55.4% of women aged 30-35 report moderate to severe symptoms
• 64.3% of women aged 36-40 experience symptoms
• Most women don't seek treatment until age 56 or older
• Only 4.3% of women aged 30-35 seek medical help

Treatment Options:

Hormone Replacement Therapy (HRT):

• Replaces declining estrogen and progesterone
• Available in multiple forms:
  • Pellet therapy
  • Transdermal (patches, gels, sprays, creams)
  • Sublingual/buccal therapy
• Benefits include improved heart, brain, and bone health

Lifestyle Changes:

• 7-8 hours of sleep
• Regular hydration
• Balanced nutrition
• Gentle exercise and strength training
• Stress management techniques
• Meditation

Additional Treatment Options:

• Vaginal estrogen
• Laser therapy
• OTC lubricants and moisturizers
• Pelvic floor exercises
• Vaginal rejuvenation

Early recognition and treatment of perimenopause symptoms can significantly improve quality of life. Women experiencing symptoms should consult healthcare providers regardless of age, as early intervention can prevent unnecessary discomfort and health complications.

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