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Premenopause information

For practically their entire adult lives, women hear about menopause and its symptoms as something in the distant future. However, the menopause process can sometimes start a lot sooner than most people think. The first stage of the menopause process sometimes referred to as premenopause, the beginning of women's reproductive lives.

In the following sections, women will find detailed information about what premenopause really means for their lives, as well as the causes, symptoms, and possible treatments while in premenopause.

About Premenopause

Premenopause is the first of the four stages in the menopause process. It starts when a woman enters her reproductive years and finishes with the first signs of menopause.

The beginning of premenopause can be identified by the first menstrual cycle. In contrast, the end is not as clear, as it manifests variably in the 40s with the first discomforts of menopause, such as hot flashes and mood swings.

Differences: Premenopause and menopause

Confusion might arise with these terms, and having a clear notion of both is vital to thoroughly understand what happens over the course of a woman's reproductive life. The difference is as follows:

  • Premenopause. This is the stage preceding the process, the time in which a woman is fully fertile and menopause symptoms haven't manifested yet.
  • Menopause. This is marked by the total cessation of the menstrual cycle for 12 months or more.

Bear in mind that not all women go through the menopause process at the same age. Fortunately, tests have been developed to help women identify if they remain in premenopause or have already moved on to the next stage.

For more information on premenopause, click on the following link about premenopause, or keep reading to find out about the causes of premenopause.

FAQs: What You Don't Know about Premenopause

Premenopause marks the fertile years, and so covers a large proportion of a woman's life. Because experiences of premenopause can be so variable, there is often some confusion surrounding this time in a woman's life. This article answers some of the frequently asked questions about premenopause.

Understanding Premenopause: Hormonal Changes

Premenopause is an often misunderstood time in a woman's life. Many women know that they experience changes during various times of the month, but are unaware of the reasons why. This article provides more detail about premenopause and the role of hormones during the premenopausal period.

Premenopause Causes

Hormones are at the very heart of the causes of premenopause symptoms. Natural hormones like estrogen and progesterone begin to fluctuate during premenopause, leading to the premenstrual symptoms that so many women report.

  • Hormonal causes. Occurring gradually in harmony with the rhythm of a woman's body, these are natural fluctuations in hormones that accompany the menstrual cycle and can lead to unpleasant symptoms.
  • External causes. These include prolonged physical or emotional stress, diets rich in refined carbohydrates, and unhealthy habits like smoking.

Click on the following link to learn more about premenopause causes or continue reading below to discover the symptoms of premenopause.

Premenopause Symptoms

Premenopause symptoms

Since hormone levels are relatively stable during premenopause compared to menopause, the symptoms women experience are not usually as disruptive.

At most, there could be some issues during the menstrual cycle. These are also referred as premenstrual syndrome (PMS).

For more information about the manifestations of premenopause, click on symptoms of premenopause. Alternatively, continue reading to discover how women can treat the unpleasant signs and symptoms of premenopause.

Are There Premenopause Symptoms?

Premenopause is defined as the time between when a woman starts her period and when she begins to transition into menopause. There are many symptoms associated with this phase that are generally caused by hormonal fluctuations before and during menstruation. These symptoms should not interfere with quality of life, and if so, women should speak with their doctors.

Premenopause Treatments

The treatments for premenopause symptoms vary widely, but each treatment falls under one of three following categories. These categories, divided by intensity, are as follows.

Lifestyle changes

These can involve something as simple as eating fewer processed foods or as demanding as sticking to an exercise regimen.

Lifestyle changes treatment

When women present any discomfort, experts first recommend to take a look at habits. Usually, some simple lifestyle changes can have a great impact on overall well-being. A healthy diet, as well as reducing smoking and alcohol consumption, could be some of the measures to take.

Alternative medicine

Preemenopause- alternitave medicine

While massage and aromatherapy are some of the alternative possibilities, herbal supplements lead the alternative remedies. They can be classified into two groups: phytoestrogenic supplements, which add plant-derived estrogen to the body, and hormone-regulating herbal supplements, which stimulate natural hormone production.


Prescribed medication, like birth control pills, is the most popular form of treatment for premenopause symptoms in the United States. However, in recent years, discussion of hormonal treatments has focused on the risks of side effects they may pose.

Each of these different treatment levels has its own merits and drawbacks. It is often recommended that women first test the waters with the mildest option, lifestyle changes, and gradually move on to more intense treatments if necessary. Please click on the following link to learn more about the different options for premenopause treatments.

  • BMJ Group. "Menopause: What is it?" Patient Leaflet. 2007.
  • Hopkins, Virginia. Lee, John R. M.D. What Your Doctor May Not Tell You About Menopause. New York: Warner Books Inc., 1996.
  • Love, Susan M.D. Menopause and Hormone Book. New York: Three Rivers Press, 2003.

General articles

Updated on Jan 19, 2015
Irregular Periods during Premenopause: Are They Normal?
Premenopause is characterized by the menstrual cycle, but some women can worry when they begin to experience irregularities. This article looks at how normal irregular periods really are, why they typically occur, and if you should be worried. Several factors can impact the menstrual cycle and how often bleeding occurs.