This is a time when the ovaries begin to produce less oestrogen due to the reduction in eggs. Periods are more ‘spaced out’ and eventually stop altogether. The perimenopause usually starts in your forties. Symptoms vary between individuals, lasting for a few months or sometimes years (average of 5).
Regular ovulation produces a hormone called Progesterone in the second half of the cycle. It stabilises the lining of the uterus and stops it from thickening. When ovulation happens less often, the lining can build up, leading to unpredictable and sometimes heavy bleeding.
There are things that can be done if perimenopause is interfering with your quality of life. See your doctor.
Perimenopause symptoms include abnormal bleeding, hot flushes a disturbed sleep and moods, vaginal dryness, reduced libido and difficulty having intercourse. It is worth while having a discussion with your doctor, to decide what assessments and treatments are indicated.