Riding the Estrogen Rollercoaster – Surviving the twists and turns of Perimenopause

Perimenopause, the transition leading up to menopause, can start 10 years prior to menopause and it is marked by fluctuating estrogen levels that can cause a range of physical and emotional symptoms. Unlike the steady decline of estrogen in menopause, perimenopause is characterized by erratic estrogen surges and dips, leading to unpredictable symptoms.

Early in perimenopause, estrogen levels may spike higher than usual, causing symptoms like heavy periods, breast tenderness, mood swings, and migraines. These surges are often followed by sudden drops, leading to hot flashes, night sweats, anxiety, and sleep disturbances. Over time, as ovulation becomes irregular, estrogen gradually declines, contributing to vaginal dryness, low libido, and brain fog.

Perimenopause affects each woman differently—some experience mild symptoms, while others face significant disruptions. Factors like lifestyle, nutrition, stress, and activity levels also play a role in hormonal health. Hormonal testing and a thorough consultation with a healthcare practitioner can provide valuable insights, helping to create a personalized treatment plan tailored to your specific needs.

Understanding the patterns of estrogen fluctuation is key to navigating perimenopause with confidence. If symptoms impact your quality of life, consider working with a healthcare professional to explore personalized, natural solutions.

Dr. Melanie Leppelmann BSc ND