A New Sign of Perimenopause: 'Not Feeling Like Myself'

In a pivotal shift, healthcare professionals are recognizing a new indicator of perimenopause: the sentiment "not feeling like myself." Women in their late 30s and 40s frequently express this feeling, encompassing symptoms like irritability, sleep disruption, and anxiety.

A Broader Spectrum of Symptoms

Traditionally, menstrual irregularities were seen as the first sign of perimenopause. However, research shows that hormone fluctuation can induce symptoms such as fatigue, mood changes, and diminished coping ability even before changes in menstrual cycles. This broader symptom spectrum includes emotional and psychological shifts that don't necessarily correlate with well-known menopause symptoms like hot flashes.

Crowdsourcing Insights

Boston-area gynecologist Marcie Richardson, alongside Women Living Better, initiated a study involving over 1,300 women aged 35 to 55. Their findings revealed that two-thirds of the participants frequently felt "not like themselves," correlating more with fatigue and anxiety rather than traditional menopause symptoms like hot flashes.

The Underlying Issue of Dismissal

Alarmingly, many women report their concerns being trivialized or dismissed by healthcare providers, leading to misdiagnoses and improper treatments. This dismissal underscores the need for more informed and sensitive medical responses to women's health issues during this transitional stage.

What Can Women Do?

Women experiencing these symptoms should discuss them with their doctors, considering them as potential early signs of menopause. Lifestyle adjustments like better sleep, exercise, and reduced alcohol intake can alleviate symptoms. In some cases, medication, hormonal treatments, or cognitive behavioral therapy may be beneficial.

Educating and Empowering Women

The key to managing this life transition lies in awareness and education. Like puberty or pregnancy, women need to be informed about perimenopause ahead of time. This awareness, coupled with validation from healthcare providers and self-acceptance, is crucial in navigating this natural phase of life.