Perimenopause and Menopause: What to Expect and How to Thrive

If you’ve been wondering why your sleep is off, your mood’s unpredictable, or your periods have become irregular, you’re not alone—and you’re not imagining things. You might be entering perimenopause, the transitional phase before menopause. It can begin as early as your late 30s or early 40s and can bring real physical and emotional changes.

At Omega Ob-Gyn, we’re committed to helping you navigate every stage of womanhood with confidence and support—including this one.

What Is Perimenopause?

Perimenopause is the time when your hormone levels—especially estrogen and progesterone—start to shift. Your periods could become irregular, heavier or lighter, and you may begin to notice symptoms like:

  • Hot flashes and night sweats
  • Mood swings or irritability
  • Trouble sleeping
  • Vaginal dryness or discomfort during sex
  • Brain fog or forgetfulness
  • Weight gain, especially around the midsection

These symptoms are caused by hormonal fluctuations and can last anywhere from a few months to several years.

When Does Menopause Start?

Menopause is officially diagnosed when you haven’t had a menstrual period for 12 months in a row. The average age is 51, but it can vary. After menopause, your estrogen levels remain low, and some symptoms—like vaginal dryness or bone loss—may continue.

It’s important to know that menopause isn’t just about the end of your periods—it’s a full-body transition that can affect your heart, bones, metabolism, and mental health.

What You Can Do to Feel Better

You don’t have to suffer through this season in silence. At Omega Ob-Gyn, we offer personalized care plans to help manage perimenopausal and menopausal symptoms. Options include:

Lifestyle Changes

Simple shifts can make a big difference:

  • Prioritize sleep with a consistent bedtime routine
  • Stay active to support bone and heart health
  • Eat foods that are rich in calcium and vitamin D
  • Avoid triggers like alcohol or spicy food if they worsen hot flashes

Hormone Replacement Therapy (HRT)

HRT can be a highly effective treatment for hot flashes, mood changes, and vaginal dryness. We’ll help you weigh the benefits and risks to see if it’s right for you.

Non-Hormonal Options

If HRT isn’t a fit, there are still options—like antidepressants for mood support, vaginal estrogen creams, and lifestyle-based therapies. We’re here to tailor the plan to your unique needs.

When to Talk to Your Ob-Gyn

You should reach out if:

  • Your periods become extremely heavy or painful
  • You’re struggling with sleep, anxiety, or mood swings
  • You experience vaginal discomfort or pain during intimacy
  • You’re unsure whether your symptoms are “normal” or need treatment

We’re here to listen. These symptoms are real, and you don’t have to just power through them.

You Deserve Support—Every Step of the Way

At Omega Ob-Gyn, we care for women in Arlington, Grand Prairie, and Mansfield through every life stage—including the midlife transition. Whether you want symptom relief, help understanding your options, or just a place to feel heard, we’re here for you.

Let’s make this phase one of power, not just perseverance. Schedule your appointment online or give us a call at (817) 468-3255 to start the conversation. Learn more about our providers here.

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