What Is Perimenopause? Symptoms, Process, and Supportive Treatment Approaches
Perimenopause is a natural transitional phase in a woman’s life, marking the period leading up to menopause. During this time, ovarian function begins to decline, and fluctuations in estrogen and progesterone levels can cause both physical and emotional changes.Op. Dr. Yeliz Akçelik provides personalized approaches to help women manage this period with greater comfort — aiming to reduce symptoms, maintain quality of life, and support hormonal balance effectively.
When Does Perimenopause Begin?
Perimenopause typically starts in the early 40s, though for some women, it may begin as early as age 35. This stage can last for several years and continues until menopause officially begins.As the process progresses, menstrual cycles become irregular, ovulation occurs less frequently, and hormonal balance gradually shifts.
Common Symptoms of Perimenopause
Changes in hormone levels can lead to a wide range of symptoms. The most common include:
Irregular periods (shorter, longer, or missed cycles)
Hot flashes and night sweats
Sleep disturbances
Mood swings, anxiety, or mild depression
Decreased libido
Vaginal dryness or discomfort during intercourse
Hair thinning and dry skin
Weight gain and slowed metabolism
Symptoms vary from woman to woman. What matters most is recognizing them early and managing them under the guidance of an experienced gynecologist.
What Should Be Done During Perimenopause?
Regular medical check-ups, balanced nutrition, and stress management play a vital role in this phase. Additionally:
Increase calcium and vitamin D intake.
Engage in regular exercise and walking.
Reduce alcohol, caffeine, and smoking.
Maintain a consistent sleep routine.
In some cases, hormonal support therapies may be prescribed under medical supervision.
Dr. Yeliz Akçelik helps her patients maintain physical and emotional well-being through personalized hormonal support, nutritional supplementation, and lifestyle guidance tailored to individual needs.
Sexual and Emotional Health During Perimenopause
Hormonal fluctuations during perimenopause affect not only the body but also emotional and sexual health.Common concerns include decreased libido, vaginal dryness, and reduced self-confidence.Through sexual health counseling and appropriate treatment options, both physical comfort and relational balance can be supported effectively.
Perimenopause Support at Our Clinic
At the Clinic of Op. Dr. Yeliz Akçelik, women receive a comprehensive support program during perimenopause.Each patient’s hormonal profile, lifestyle, and symptoms are carefully assessed, and an individualized treatment and counseling plan is developed.The goal is to help women navigate this transition in a healthy, comfortable, and informed manner.
Frequently Asked Questions
1. What is the difference between perimenopause and menopause?Perimenopause is the transition period leading up to menopause, whereas menopause is the complete cessation of menstruation.
2. How long does perimenopause last?It generally lasts between 2 and 8 years, varying from person to person.
3. Is it possible to become pregnant during perimenopause?Yes. Since ovulation does not stop entirely, pregnancy is still possible, though less likely.
4. Can perimenopausal symptoms be treated?Yes. With hormonal regulation, nutritional support, and lifestyle adjustments, symptoms can be effectively managed.
5. What helps with hot flashes?Avoid caffeine, alcohol, and spicy foods, wear light clothing, and seek medical support if symptoms are severe.
6. Are skin and hair changes normal during this period?Yes. Lower estrogen levels can cause dry skin, hair thinning, and brittle nails.
7. Can perimenopause cause depression?Hormonal fluctuations can lead to emotional instability, but psychological support and the right treatment can ease this process.
8. When should menopause-related tests be done?When irregular periods begin, simple blood tests can measure hormone levels to assess menopausal status.
9. Is loss of sexual desire temporary?Yes. With balanced hormone levels and appropriate treatment, sexual desire often returns.
10. How often should doctor visits be scheduled?At least once a year for a gynecological exam — more frequently if symptoms are bothersome or changing.
Perimenopause is not a condition to fear but a natural transformation that can be managed with awareness, support, and proper care. With the right guidance, women can move through this period feeling empowered, healthy, and balanced.
