Myths About Perimenopause

Perimenopause is one of the most misunderstood stages of a woman’s life. It’s the time leading up to menopause when hormone levels begin to shift — often starting in the early 40s (and sometimes late 30s). Despite being a normal, natural transition, it’s surrounded by myths that can leave women confused or even dismissed when they seek care.

Let’s clear up some of the most common myths:

Myth #1: Perimenopause starts at menopause.

Fact: Perimenopause begins years before your final period. It can last anywhere from 2 to 10 years, as estrogen and progesterone levels gradually fluctuate. Menopause is confirmed after 12 months without a period.

Myth #2: Hot flashes are the only symptom.

Fact: Hot flashes are common, but not the only sign. Perimenopause can bring mood changes, sleep disruption, brain fog, anxiety, irregular periods, and weight gain — all due to hormonal shifts that affect multiple systems in the body.

Myth #3: You can’t get pregnant during perimenopause.

Fact: Ovulation may become irregular, but it doesn’t stop completely until menopause. Fertility declines, but pregnancy is still possible — which is why contraception is recommended until you’ve gone a full year without a period.

Myth #4: You just have to “tough it out.”

Fact: You don’t have to suffer. Hormone therapy, lifestyle changes, and non-hormonal treatments can all help. The right plan depends on your symptoms, health history, and preferences. You deserve options and support — not dismissal.

Myth #5: It’s all in your head.

Fact: The changes of perimenopause are very real and rooted in physiology. Fluctuating estrogen affects the brain, metabolism, and even temperature regulation. If you’re noticing changes in mood, focus, or energy, you’re not imagining it.

At femcare.org, we believe women deserve accurate information and compassionate care through every stage of life — including perimenopause.

If you’re in your 40s (or late 30s) and wondering whether your symptoms could be hormonal, you’re not alone. Let’s start the conversation. 💗

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