Premenopause symptoms are the first signs before the actual menopausal stage. It usually begins at the age of 40, but sometimes some women may experience it as early as 37 or 38 years old. When you begin to have premenopausal symptoms, it simply means that you’re getting closer to the age of menopause. Such symptoms can actually become bothersome. They can be either naturally happen or be induced medically (e.g. surgery).

Symptoms

During premenopausal stage, women will normally have erratic mentrual cycles for up to eight years before they finally stop. Her periods may become lighter and shorter or heavier and longer. The reason for such irregular periods is that women may begin skipping ovulation from time to time due to the decreasing levels of estrogen.

With the drop in estrogen level, physical symptoms will also occur such as vaginal dryness, breast tenderness, weight gain, nausea, hot flashes or night sweats, hair loss, heavy or scant bleeding, insomnia, dry eyes and a weaker immune system. Emotional changes may also happen including anxiety, depression, irritability, mood swings, decrease libido, forgetfulness, which can all cause frustration for women.

Management

In managing menopause, it should always be remembered that it is not a disease but a natural part in a woman’s life, so treatment is not actually necessary. But sometimes the symptoms can be quite severe, which can be managed with a lifestyle change and medically.

A diet change will be very helpful for those experiencing premenopausal symptoms. Eat lots of fruits and vegetables like broccoli, cauliflower, cabbage, watercress and other veggies to increase your immune system and reduce the risk of hear disease. The hormonal imbalances can reduce bone mineral density which can lead to osteoporosis. It is important to include a diet rich in calcium like milk, cheese, yogurt and other calcium fortified foods. Soy foods, peanuts and foods rich in omega-3 fatty acids may also relieve other premenopausal symptoms.

Some women may require medication depending on the severity of the symptoms. The most common prescribed medication for menopause are Hormone Replacement Therapy (HRT), phytoestrogens, antihypertensives, bisphosphonates and lipid-lowering drugs. These drugs when taken in low doses may help in excessive bleeding and hot flashes. For emotional symptoms, Zoloft and Prozac are the recommended medications. But women should take note that most of these drugs carry unwanted side effects especially if prolonged use.

The premenopausal stage may be a stressful and challenging time for women. But such phase is inevitable and can never be avoided. However, with the right knowledge and right intervention, then any woman will learn how to go through it and  stay healthy no matter what symptom it may be.