How Long Does Perimenopause Last?

Discover how long perimenopause lasts, its symptoms, treatments, and tips for optimal health during this vital transition.
Beautiful hispanic woman in her 40s with brown hair and green shirt wondering how long perimenopause will last.
This post may contain affiliate links, which provide a small commission to us when you purchase, at no additional cost to you. Thank you for helping to support our efforts in providing you the best, most up-to-date information for GloWell.


Mood swings, irritability, brain fog… If you’re in your thirties or forties, you could be experiencing symptoms of perimenopause. Many women get into their forties without ever hearing about perimenopause, the period of time before menopause when changing hormones can leave you feeling like a stranger to yourself. As a result, you’re wildly unprepared for the physical, mental, and emotional toll perimenopause can bring and have no idea how to make it better.

Perimenopause can feel like riding a hormonal roller coaster without knowing when it will stop. How long will this wild ride last? What should you expect along the way? Find out what can you do to address the symptoms that come along with the ride.

How Long Does Perimenopause Last?

Table of Contents

Understanding Perimenopause

Perimenopause is a phase that signifies the transition from your reproductive years to menopause. It’s like your body saying, “I’m getting ready for a big change.”

This period can be confusing and sometimes uncomfortable because of the fluctuating hormone levels in your body. This is the interval when estrogen—the main female hormone—begins to subside.

Your periods might become irregular during this time, but you’re still fertile. (Yes, you can get pregnant during perimenopause.)

The Timeline: How Long Does Perimenopause Last?

Because of changing hormone levels, perimenopause can bring along some pretty intense symptoms that could definitely leave you screaming: “How long does perimenopause last?”

It’s tough to give a single response since each woman experiences it differently.

The average duration is about four years, according to the Cleveland Clinic. But some women start feeling symptoms up to 10 years before menopause.

Hormone Levels During Perimenopause

During perimenopause, your ovaries gradually decrease the production of estrogen and progesterone – two hormones critical for reproduction. This hormonal see-saw may trigger symptoms such as hot flashes or sleep disturbances, two of the more common symptoms of perimenopause.

  • Estrogen: Levels of this hormone can swing from low to high and back again, causing a variety of symptoms.
  • Progesterone: Production may drop dramatically in the years leading up to menopause. This can cause changes in your menstrual cycle.

The perimenopausal phase is a unique journey for every woman – it’s like every woman gets her own unique and individual roller coaster ride. Some might have an intense ride with steep drops (severe symptoms), while others enjoy a slower, more gentle ride (milder symptoms).

Remember, perimenopause is a natural part of aging and should be thought of as your body transitioning into another stage, just like it did when you were going through puberty. (Although with less angst and acne cream, we hope.)

Key Takeaway: 

Perimenopause is like the opening act for menopause—it’s unpredictable and varies from woman to woman. This phase can last about four years but sometimes kicks off a whole decade before menopause hits. With fluctuating estrogen and progesterone levels, you may face hot flashes or have trouble sleeping. But remember, this isn’t the end—just a part of the journey.


Symptoms of Perimenopause

Perimenopause, often known as the menopausal transition, can bring a mix of symptoms that can leave you feeling not like yourself. The most common signs include irregular periods and hot flashes or night sweats.

Irregular Periods

Your menstrual cycle might get unpredictable during perimenopause. You could experience longer cycles, shorter ones, or even skip some altogether. This is due to estrogen level fluctuations that become less predictable at this stage.

These hormonal changes can cause your period to be different lengths or come more frequently. Some women may experience their period coming every two weeks, while others may not have one for extended periods of time.

Hot Flashes and Night Sweats

The infamous hot flashes are another telltale sign of perimenopause. They’re sudden feelings of heat over the body, causing you to sweat profusely – it’s like summer has suddenly arrived indoors. Cold flashes can also occur during this time, bringing an opposite but equally severe temperature reaction to your body.

Night sweats are related to hot flashes and can really disrupt your sleep quality. To manage this symptom effectively, you need good sleep hygiene practices, such as keeping your bedroom cool and wearing breathable nightwear.

Mood Changes and Sleep Problems

If you find yourself swinging between moods faster than Tarzan on vines, don’t worry. Mood swings are common during perimenopause due to hormonal changes. Perimenopause can cause irritability, anxiety, and depression. It can also lead to forgetfulness and brain fog.

Add all of these together, and it can be a really tough transition for some.

Sleep disturbances may be caused by night sweats or heightened levels of anxiety. Insomnia and disturbed sleep are common in women undergoing perimenopause, often due to night sweats or heightened anxiety. Do whatever you can to prioritize your sleep: drop the temperature in your bedroom, swap out your bedding for more breathable materials, and avoid synthetic fabrics in sleepwear. Try blue-blocking glasses or avoid blue light from screens entirely in the hours before bed.

Vaginal and Bladder Problems

The decline in estrogen can lead to the thinning of the lining in your vagina, causing dryness and discomfort during sex. Alongside this, you may find yourself needing frequent bathroom breaks because low estrogen affects bladder control too.

Over-the-counter lubricants or vaginal moisturizers could help ease some of these symptoms of perimenopause.

Key Takeaway: 

Perimenopause can feel like a rollercoaster ride with symptoms such as irregular periods, hot flashes, and mood swings due to fluctuating estrogen levels. To manage these changes effectively: track your menstrual cycle, maintain good sleep hygiene for night sweats, handle mood swings patiently, and consult your doctor for any vaginal or bladder discomfort.


Diagnosing Perimenopause

Recognizing perimenopause symptoms can be a challenge since its symptoms may resemble those of other medical issues and differ from one woman to another.

Your doctor might ask about your menstrual history, do a physical exam, or run certain tests. The Follicle Stimulating Hormone (FSH) test is often used since FSH levels increase during perimenopause.

Blood Tests:

  • A Follicle-stimulating hormone (FSH) blood test checks the level of FSH in your body.
  • The Thyroid-stimulating hormone (TSH) test may also be done as thyroid problems can mimic menopausal symptoms.

Symptoms-Based Diagnosis

If you’re over 40 and experiencing irregular periods along with common perimenopausal symptoms like hot flashes, sleep disturbances, mood swings, vaginal dryness and changes in sexual desire – it could point towards perimenopause. But remember that these signs aren’t definitive proof; they merely suggest the possibility. Work with a licensed medical professional to confirm your suspicion.

Can Hormonal Testing Diagnose Perimenopause?

In some cases, doctors may use hormonal testing for confirmation if the diagnosis isn’t clear from clinical findings alone. Increased levels of follicle-stimulating hormones signal lower estrogen production – indicative of approaching menopause. However, many doctors caution that hormone testing isn’t a definitive answer, particularly because of the ways hormones can shift, ebbing and flowing during this time.

Treating Perimenopause

You don’t have to sit by and helplessly do nothing if your perimenopause symptoms feel more like a terrifying ride of extremes. While not every woman needs to actively address menopause symptoms, you do have options if you choose to.

Hormone Therapy

Hormone therapy, which involves taking medications containing estrogen and sometimes progesterone, is often used to balance fluctuating hormone levels during perimenopause in order to reduce hot flashes, night sweats, and other perimenopause symptoms. Hormone therapy involves replacing hormones with either synthetic or naturally derived (bioidentical) estrogen, progesterone, or testosterone. Hormone therapy may bring some risks of side effects and should be done under the supervision of a licensed medical professional.

Natural Remedies

If you prefer natural remedies, certain herbs and supplements might offer relief from some symptoms. For example, black cohosh has been found helpful in reducing hot flashes for some women, according to research published in The Journal of Obstetrics and Gynecology Research. Before taking any new supplement, it is best to consult your healthcare provider.

Lifestyle Changes

Making lifestyle changes can also make a significant difference when dealing with perimenopausal symptoms. Regular exercise not only boosts mood but could lessen the severity of hot flashes. Maintaining a healthy diet rich in fruits, vegetables, lean proteins, whole grains, and adequate hydration might also aid symptom management.

Jump start your efforts with one of the following free resources to regulating hormones during perimenopause from Dr. Michelle Sands, founder of Glow Natural Wellness: Hormone Harmony Over 35 book and 7 Day Me-NO-Pause Meal Plan

Prescription Medications

Certain non-hormonal prescription medications can help with perimenopausal symptoms. For instance, antidepressants in the SSRI class might decrease hot flashes, according to the National Institute on Aging. It’s crucial to discuss potential side effects and benefits with your healthcare provider.

Treating perimenopause isn’t one-size-fits-all. It takes a tailored approach based on individual needs and health history. Ensure you are candid with your physician concerning your symptoms so they can assist in selecting treatments tailored to suit you.

Lifestyle Changes During Perimenopause

Making some lifestyle adjustments during perimenopause can help ease the ride. Making some changes to your daily habits may not only reduce symptoms but also get your body ready for the changes ahead.

Regular Exercise

Physical activity is key during perimenopause. It helps control weight gain, improves sleep, and boosts mood. Try activities you enjoy—like walking or swimming—for at least 30 minutes most days of the week.

Mindful Eating Habits

Your metabolism slows down during perimenopause. So, adjusting eating habits can prevent unwanted weight gain during menopause. Include plenty of fruits and vegetables in your diet, along with lean proteins and whole grains. Avoid processed foods as they often contain hidden sugars and fats, and even hormone disruptors.

Hormone Regulation Strategies

Certain foods have properties that mimic estrogen-like compounds called phytoestrogens, which can provide relief from hot flashes, one of the common signs of perimenopause. These include soy products such as tofu or edamame beans.

Prioritize Good Sleep Hygiene

Sleep disturbances are frequent complaints among women going through this phase due to night sweats or insomnia. Keep a regular sleep schedule, make your bedroom cool and dark, and limit caffeine to improve sleep quality.

Stress Management

Managing stress is crucial during perimenopause. Try yoga or meditation, maintain a social network of friends for support, and consider talking with a professional if needed.

The changes you experience during this time can be challenging, but remember that they are a natural part of aging. Implementing these lifestyle modifications can help manage the symptoms more effectively. After all, life doesn’t stop at menopause—it just takes on new challenges.

Diet and Nutrition During Perimenopause

When it comes to managing perimenopause symptoms, your diet can play a starring role. Foods rich in specific nutrients can help ease some of the common discomforts.

If you ever needed a reason to pack more fruits and veggies onto your plate, this is it. These nutritional powerhouses are packed with vitamins, minerals, and fiber that aid in hormone regulation. Plus, they’re low in calories but high in satisfaction.

Foods Rich In Calcium And Vitamin D

As estrogen levels dip during perimenopause, bone health becomes a concern because this hormone helps keep bones strong. To counteract this risk, make sure to get enough calcium – found abundantly in dairy products like milk or yogurt – into your daily diet. Combine calcium-rich foods with vitamin D sources, like fatty fish and fortified cereals, for optimal absorption. Research shows this combination works wonders for bone health.

B-Vitamins And Iron-Rich Foods

Incorporating food rich in B vitamins into your meals might help combat fatigue often associated with perimenopause. Foods high in B Vitamins include salmon, eggs, beans, avocados, spinach, and other leafy greens. As periods become irregular yet sometimes heavier during this phase, iron supplementation may be needed, which can be sourced from red meat, beans, or spinach, among others.

Limited Intake Of Caffeine And Alcohol

Caffeine intake has been linked to increased hot flashes, while alcohol may worsen mood swings – two common symptoms of perimenopause. So, cutting back on your coffee and wine might be a wise choice during this time.

Remember that dietary approaches vary from person to person, as our bodies are all unique. What works for some may not work for others. But it’s worth exploring the potential benefits of these dietary changes in managing perimenopausal symptoms.

Post-Perimenopausal Health

Maintaining optimal health after menopause is a priority for every woman. The transition might be over, but your body still needs care and attention.

Regular Exercise Matters

Research shows that exercise can help to manage weight gain often associated with post-menopause. But it’s not just about the scales – staying active also boosts mood and energy levels.

Pick activities you enjoy, so you’ll stick with them. Walking, swimming, or yoga are great options to start.

A Balanced Diet is Key

Eating right plays a big part in managing post-perimenopausal health too. Your metabolism slows down during this time, making nutrient-rich foods even more important.

Fruits, vegetables, lean proteins, and whole grains should take center stage on your plate after menopause, according to the Mayo Clinic.

Bone Density Checks Are Essential

You need regular bone density tests as estrogen drop can lead to osteoporosis after menopause. It’s like checking the foundation of your house regularly – necessary for its stability.

Hormone Therapy Can Help Some Women

If symptoms like hot flashes continue causing trouble after perimenopause ends, you may want to consider hormone therapy. Harvard Health suggests it can offer relief.

Mental Well-being is Important Too

Lastly, don’t overlook your mental health. Hormonal changes during and after perimenopause can sometimes lead to anxiety or depression. If you’re feeling anxious, depressed, or experiencing other mental health symptoms, reach out to a professional for help.

It might feel like a tall order, but remember that knowing is half the battle. By staying clued in about your body’s changes and actively working to keep top-notch health after perimenopause, you’re setting yourself up for success.


How do you know when perimenopause is coming to an end?

You’ll notice your periods become irregular, then stop completely. Once you’ve stopped menstruating for 12 consecutive months, you are officially out of perimenopause and into menopause.

What is the average age for perimenopause?

The typical onset of perimenopause is in a woman’s mid-to-late 40s, although it can start earlier or later.

What are the stages of perimenopause?

Perimenopause is the first of three stages of menopause. It is followed by menopause and then post-menopause.

How Long Will You Experience Symptoms of Perimenopause?

You may experience perimenopause symptoms anywhere from 4 to ten years. To properly navigate this period of life, it’s important to understand when perimenopause typically starts, how long it can last, and its effects on your body.

Identifying those pesky symptoms of perimenopause helps you stay one step ahead. You may be able to ease some of the symptoms of perimenopause through lifestyle and dietary changes. For more severe symptoms, a licensed medical professional can support you with hormone therapy or prescription medications. Whether your individual ride through menopause is a gentle boat ride down a lazy river or a screaming high-speed roller coaster that leaves you white-knuckled and wide-eyed, you will get through it.

Editorial Staff
Our Editorial Staff at GloWell is fearlessly chasing the latest breakthroughs in natural health and wellness to help you reclaim your glow. Our editorial articles are ruthlessly researched, expertly edited, and fact-checked with a fine-tooth comb by our panel of experts.