Peri Menopause

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Navigating Peri Menopause: An In-Depth Guide for Women

At The Dr Jenni Clinic, specialising in women’s health and hormones, we understand the complexities of peri menopause. This comprehensive guide is designed to educate and empower women through this significant life transition.

Understanding Peri Menopause

Peri menopause marks the end of a woman’s reproductive years and the onset of menopause, typically starting in the 40s, but it can vary. This period is characterised by significant hormonal changes as the body prepares for menopause.

Hormonal Changes

During peri menopause, the ovaries gradually decrease the production of oestrogen and progesterone. These hormonal fluctuations are more erratic and unpredictable compared to the more regular patterns seen during the reproductive years. Such changes can significantly affect a woman’s physical and emotional wellbeing.

Recognising the Signs of Peri Menopause

1. Menstrual Irregularity: One of the earliest signs of peri menopause is changes in menstrual cycles. Women may experience shorter or longer cycles, heavier or lighter bleeding, and even missed periods.

2. Hot Flushes and Night Sweats: These episodes are sudden and intense feelings of heat in the upper body, often accompanied by a rapid heartbeat, sweating, and redness of the skin. Night sweats can significantly disrupt sleep and affect daily life.

3. Mood Fluctuations: Hormonal changes can lead to increased susceptibility to mood swings, irritability, anxiety, and even depressive episodes. These emotional changes can be distressing and impact daily functioning and relationships.

4. Vaginal and Urinary Changes: Lower oestrogen levels can cause vaginal dryness, discomfort during intercourse, and increased susceptibility to urinary tract infections.

5. Sleep Disturbances: Many women report difficulty falling asleep, staying asleep, or experiencing quality sleep during peri menopause, which can lead to fatigue and irritability.

6. Sexual Function Changes: Changes in libido and sexual response can occur, often influenced by hormonal fluctuations, vaginal dryness, and emotional factors.

7. Cognitive Alterations: Some women may notice slight lapses in memory or difficulty concentrating, often attributed to hormonal changes and sleep disturbances.

Health Risks Associated with Peri Menopause

  • Bone Health: Reduced oestrogen levels can lead to a decrease in bone density, increasing the risk of osteoporosis. It’s essential to monitor bone health and consider preventive measures during this time.
  • Cardiovascular Health: Changes in hormonal levels can affect heart health, so it’s crucial to manage risk factors like blood pressure, cholesterol, and lifestyle habits.

Managing Peri Menopause: A Holistic Approach

Lifestyle Modifications

  • Diet: Emphasising a balanced diet rich in calcium, vitamin D, and phytoestrogens can support bone health and overall wellbeing. Foods like dairy products, green leafy vegetables, and soy can be beneficial.
  • Exercise: Regular exercise, including aerobic, weight-bearing, and strength-training activities, can help maintain bone density, improve mood and sleep quality, and reduce the risk of heart disease.
  • Stress Management: Managing stress through yoga, meditation, mindfulness, or other relaxation techniques can mitigate mood swings and improve overall emotional health.

Medical Interventions

  • Hormone Replacement Therapy (HRT): This treatment can be highly effective in alleviating many peri menopausal symptoms. Our amazing team of expert doctors at The Dr Jenni Clinic offers tailored HRT plans, considering individual health profiles and preferences.
  • Non-Hormonal Medications: For those who cannot or choose not to use HRT, there are medications and supplements that can help manage specific symptoms like mood disorders, sleep disturbances, and vaginal dryness.

Emotional and Mental Health Support

  • Counselling and Support Groups: Talking therapies, whether individual or in groups, can offer valuable emotional support and coping strategies. We are able to recommend and refer you to such services.

Expert Care at The Dr Jenni Clinic

The Dr Jenni Clinic offers a supportive and understanding environment, with a team of specialists in women’s health and hormones. We provide:

– Thorough health assessments, including detailed hormone testing.
– Personalised treatment plans, encompassing HRT, lifestyle changes, and alternative therapies.
– Continuous support and monitoring, adapting treatment plans as needed throughout the peri menopausal journey.


Peri menopause is a natural, albeit complex, phase of life. With the right support and information, women can navigate this transition more comfortably and confidently. The Dr Jenni Clinic is dedicated to providing the highest level of care and support during this significant period in a woman’s life.

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