Do Symptoms Get Worse After Perimenopause?

Written by Kendal Choe

Will My Symptoms Get Better or Worse?

Perimenopause can cause a wide array of symptoms as your body prepares for menopause, including hot flashes and sleepless nights. Everyone experiences different symptoms during and after this phase. Also, the severity of symptoms fluctuate drastically throughout the peri-menopausal period. While many find their symptoms gradually improve toward the end of perimenopause, others may experience worsened symptoms.

As you near the end of perimenopause, your hormone levels still fluctuate, but they begin to decline overall. These hormonal changes cause the wide symptom variability from person to person during this time. Some women experience more pronounced symptoms as they approach menopause because their bodies must adjust to the declining hormone levels. However, it’s crucial to remember that not all women experience worsening symptoms towards the end of perimenopause. Many women find their symptoms stabilize or even improve! Each person’s experience with perimenopause is unique.

Common Symptoms

Common symptoms that can occur during perimenopause and potentially worsen towards the end include:

• Irregular menstrual cycles: As perimenopause progresses, your menstrual cycles may become more irregular with changes in cycle length and flow. You may experience heavier or lighter menstrual periods.

• Hot flashes and night sweats: These sudden feelings of intense heat and sweating can become more frequent and intense towards the end of perimenopause.

• Mood swings and emotional changes: Hormonal fluctuations can affect mood and emotions. You may experience increased mood swings, irritability, or feelings of anxiety or depression.

• Sleep disturbances: Sleep issues like insomnia or frequent nighttime awakenings might persist or potentially worsen during the later stages of perimenopause.

• Vaginal changes: Decreasing estrogen levels can lead to vaginal dryness, itching, or discomfort, which can become more noticeable towards the end of perimenopause.

If your symptoms are significantly impacting your daily life and relationships, consult with your healthcare provider. They can evaluate your symptoms, provide guidance, and prescribe treatment options to help manage your challenges during this transitional phase.

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