By ZOE PAPADATOS, ACUPUNCTURIST and CHINESE HERBALIST
Perimenopause, often referred to as the “transition to menopause”, is a natural and inevitable stage in a woman’s life, during which as woman’s body undergoes hormonal changes in preparation for the cessation of menstruation.
Instead of viewing it solely as a time of challenges and discomfort, perimenopause can be reframed as a powerful rite of passage, a transformative journey that offers women an opportunity for self–discovery, growth, and empowerment.
Physiological changes of Perimenopause:
The main hormonal shift during this phase involves a decline in oestrogen levels. Oestrogen is the primary female sex hormone responsible for regulating the menstrual cycle, maintaining bone density, and supporting various physiological functions.
The decline in oestrogen production during perimenopause can be irregular, leading to fluctuations in hormone levels. This hormonal instability can result in a range of symptoms and physical changes such as irregular menstruation, hot flushes, night sweats, mood changes (including anxiety and depression), changes in libido and sexual health, sleep disturbances and changes in bone and cardiovascular health. Additionally, the levels of other hormones, such as progesterone and testosterone, may also fluctuate during perimenopause, albeit to a lesser extent.
Perimenopause as a rite of passage:
Although perimenopause is seen as a stage of physiological changes on a woman’s life, this time is also powerful rite of passage for a woman. Just like adolescence marks the transition from childhood to adulthood, perimenopause marks the transition for reproductive years to the next phase of a woman’s life. It is a time of profound change, both physically and emotionally. By embracing this change as a natural part of life’s journey, women can cultivate a sense of acceptance and curiosity about what lies ahead.
Perimenopause invites women to explore their sense of self and reflect on their experiences, values, and priorities. It provides an opportunity for self–discovery, as women may reassess their roles, relationships, and aspirations. By taking time for self–reflection, women can gain a deeper understanding of themselves and make intentional choices that align with their authentic selves.
Perimenopause also offers an empowering invitation for women to prioritize their own wellbeing. As the body undergoes hormonal changes, it becomes essential to listen to its needs and practice self–care. Self–care practices can play a vital role in managing the symptoms and promoting overall wellbeing during perimenopause. Here are some self–care strategies that can help:
Prioritise healthy lifestyle habits: Maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Stay hydrated and limit your intake of caffeine, alcohol, and spicy foods, as they may trigger hot flashes. Regular physical activity, such as aerobic exercises, strength training, or yoga, can help alleviate symptoms and support bone health. Avoid smoking and minimise stress through relaxation techniques, deep breathing exercises, or mindfulness practices.
Manage stress: Perimenopause can be a time of increased stress due to hormonal changes and life transitions. Engaging in stress management techniques can help reduce its impact. Explore activities that promote relaxation and wellbeing, such as meditation, deep breathing exercises, yoga, or spending time in nature. Prioritise self–care activities that bring you joy and help you unwind.
Get adequate sleep: Aim for a regular sleep routine and create a sleep–friendly environment. Establish a calming bedtime routine, such as reading, taking a warm bath, or practicing relaxation techniques before sleep. Ensure your bedroom is cool, dark, and comfortable. Limit exposure to electronic devices before bedtime, as they can interfere with sleep quality.
Seek support: Connect with friends, family, or support groups who understand and empathise with your experiences. Sharing your feelings, concerns, and experiences with others going through similar transitions can provide comfort and validation. Consider joining online communities or local support groups focused on women’s health and perimenopause.
Practice mindful awareness: Pay attention to your body’s signals and needs. Listen to your body and give yourself permission to rest when you need it. Take breaks throughout the day, engage in activities that bring you joy, and honour your personal boundaries. Prioritise self–care and self–compassion.
Explore complementary therapies: Some women find relief from perimenopausal symptoms through complementary therapies such as acupuncture, herbal remedies, or relaxation techniques like massage or aromatherapy.
Stay informed: Educate yourself about perimenopause and its associated symptoms. Understanding the changes happening in your body can help alleviate anxiety and empower you to make informed decisions about your health. Stay informed through reputable sources, books, websites, and discussions with healthcare providers.
Perimenopause is not just a collection of symptoms or a phase to ensure. It is a profound and transformative journey that invites women to embrace change, discover their true selves, and advocate for their wellbeing. By shifting the narrative surrounding perimenopause and viewing it as a rite of passage, women can embark on this journey with strength, resilience, and a sense of empowerment, embracing the next chapter of their lives with grace and self–compassion.
Zoe Papadatos is the founder and leading acupuncturist of Coastal Wellness Cottage. Coastal Wellness is a safe and nurturing space where women can access a range of services to support them through all stages of their lives.