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The First Signs of Perimenopause: How to Recognize Changes Early

Fern Carbonell | APR 17, 2025

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Perimenopause—the years leading up to menopause—is a time of active hormonal shifts, but it often sneaks up quietly. One day, you feel like yourself, and the next, you’re wondering why your mood swings rival a teenager’s, your sleep is suddenly elusive, and your body is doing things it never did before.

For many women, the first signs of perimenopause can be confusing because they often mimic symptoms of stress, aging, or even just “life.” But recognizing these changes early can help you adapt with greater ease, supporting your body and mind through the transition. Remember, every woman's experience will be different.

The Early Signs of Perimenopause

1. Changes in Your Menstrual Cycle

One of the first and most noticeable signs is an irregular period. You might experience:

  • Shorter or longer cycles
  • Heavier or lighter bleeding
  • Missed periods or spotting between cycles

Even if you’ve had clockwork cycles your whole life, perimenopause can throw in some surprises.

2. Hot Flashes and Night Sweats

Suddenly feeling like you’re standing in front of an open oven? Hot flashes and night sweats can start subtly—maybe just a warm sensation here and there—but can become more frequent over time. They’re triggered by fluctuating estrogen levels and can disrupt sleep, making you feel exhausted the next day.

3. Sleep Disruptions

Speaking of sleep, many women find themselves waking up at 3 AM for no reason at all or struggling to fall asleep even when they’re tired. This can be due to hormonal fluctuations, stress, or night sweats. If your once-solid sleep patterns are shifting, perimenopause could be the reason.

4. Mood Swings, Anxiety, and Irritability

Hormones play a huge role in emotional regulation, and as estrogen and progesterone fluctuate, you might find yourself more irritable, anxious, or prone to unexpected mood swings. Some women even experience increased feelings of sadness or depression during this time. If you’re feeling "off" emotionally, it’s worth considering hormonal changes as a factor.

5. Brain Fog and Forgetfulness

Ever walk into a room and forget why you’re there? Or struggle to recall a word that’s just on the tip of your tongue? Brain fog is a common early sign of perimenopause. Estrogen affects cognitive function, so when levels start to dip, memory and focus can take a hit.

6. Changes in Skin and Hair

You might notice drier skin, more fine lines, or even acne reminiscent of your teenage years. Hair thinning or shedding can also begin in perimenopause due to changing hormone levels. Hydration, nutrition, and stress management can help keep your skin and hair as healthy as possible.

7. Weight Shifts and Metabolism Changes

If your usual diet and exercise routine suddenly aren’t cutting it anymore, blame perimenopause. Estrogen fluctuations can lead to increased belly fat, changes in metabolism, and difficulty maintaining muscle mass. Strength training, balanced nutrition, and mindful movement become even more important during this phase.

8. Vaginal Dryness and Changes in Libido

Another sign that often goes undiscussed is vaginal dryness or discomfort during intimacy. Declining estrogen can cause thinning of the vaginal tissues, leading to increased sensitivity and even irritation. Some women also notice changes in libido—either an increase or a decrease.

9. Increased Sensitivity to Stress

That little thing that never used to bother you? Now it makes you want to scream. Perimenopause can heighten stress responses, making everyday irritations feel overwhelming. Managing stress through yoga, meditation, and mindful breathing can help keep things in perspective.

What You Can Do

If you recognize yourself in these symptoms, you’re not alone—and you’re not powerless. Here are a few steps to help navigate perimenopause with more ease:

  • Track your symptoms. Keeping a journal of your cycle, mood, and energy levels can help you notice patterns and discuss them with a healthcare provider.
  • Support your body with movement. Yoga, walking, and strength training can help regulate hormones, boost mood, and improve sleep.
  • Nourish wisely. Focus on protein, healthy fats, fiber, and hydration to support your body through this transition.
  • Prioritize sleep. Create a calming bedtime routine, limit screen time, and consider herbal teas or supplements like magnesium to support restful sleep.
  • Manage stress. Breathwork, meditation, and time in nature can help regulate your nervous system and reduce the intensity of symptoms.
  • Seek support. Whether it’s talking to a doctor, joining a community of women going through the same experience, or exploring natural remedies, you don’t have to do this alone.

Embracing the Change

Perimenopause is not an ending—it’s a transition. Your body is shifting, recalibrating, and preparing for a new phase of life. By tuning into these early signs and supporting yourself holistically, you can move through this time with more ease and confidence.

If you’ve noticed any of these changes, how have you been supporting yourself? Let’s keep the conversation open—perimenopause is a shared experience, and together, we can navigate it with more understanding and grace.

Book a class to ease some of the symptoms and reconnect with your body.

Fern Carbonell | APR 17, 2025

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