What is normal in perimenopause
Perimenopause is the transition before your periods stop for good, often beginning in your mid-40s as your ovaries make less oestrogen. Because those levels rise and fall unevenly, symptoms come and go, and while they can be a nuisance they are rarely a sign of anything sinister.
What is worth getting checked
A few symptoms are not typical of perimenopause and are worth raising with a GP or specialist so the cause can be confirmed. Please be seen for bleeding after sex, bleeding between periods, very heavy bleeding, or any bleeding after your periods have stopped, and for new severe headaches or overwhelming low mood. If you ever feel unable to keep yourself safe, contact your GP urgently, call 111, or in an emergency call 999.
How a consultation can help
You do not usually need a blood test if you are over 45, as your symptoms and cycle history tell the story. Treatments range from lifestyle changes to HRT, which replaces the oestrogen your body makes less of, though HRT is not right for everyone. Your appointment is with Dr Hina Parvez, a private GP with a particular interest in women's health, including menopause, perimenopause and hormonal care, and we can usually see you the same or the following week.
Common questions
At what age does perimenopause start? +
Most often in the mid-40s, but it can start in your late 30s or early 50s.
Do I need a blood test? +
Usually not if you are over 45, as your symptoms and cycle history are normally enough.
Is HRT right for everyone? +
No, it is not suitable for everyone, so it is discussed individually based on your symptoms and history.
