{"id":16317,"date":"2025-10-24T15:47:35","date_gmt":"2025-10-24T12:47:35","guid":{"rendered":"https:\/\/ppsathas.com\/?p=16317"},"modified":"2025-10-24T15:47:35","modified_gmt":"2025-10-24T12:47:35","slug":"menopause-and-perimenopause-what-really-happens-in-a","status":"publish","type":"post","link":"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/","title":{"rendered":"Menopause and Perimenopause: What really happens in a woman&#8217;s body"},"content":{"rendered":"<p>Menopause is a natural transition in every woman&#8217;s life. It is not a disease, but a shift into a new biological phase-much like puberty. However, many women begin to feel that &#8220;something isn&#8217;t quite right&#8221; even before their period stops completely. This stage is known as perimenopause-the transitional period before menopause, when hormone levels start to fluctuate.<\/p>\n<p><strong>What is Perimenopause?<\/strong><\/p>\n<p>Perimenopause usually begins in the mid to late 40s (sometimes earlier) and lasts for several years. During this time, estrogen-the main female hormone-gradually declines.<\/p>\n<p>The most common symptoms include:<\/p>\n<ul>\n<li>Hot flashes or night sweats<\/li>\n<li>Sleep disturbances<\/li>\n<li>Mood swings or irritability<\/li>\n<li>Vaginal dryness<\/li>\n<li>Decreased libido<\/li>\n<li>Weight gain, bloating, or irregular periods<\/li>\n<\/ul>\n<p>Once 12 consecutive months have passed without a period, a woman is considered to have reached menopause. The average age is around 50, though it can occur earlier or later.<\/p>\n<p><strong>What Causes These Symptoms?<\/strong><\/p>\n<p>Estrogen and progesterone influence many systems of the body-the brain, skin, bones, heart, and even mood regulation. When their levels drop, the body attempts to adapt, and this adjustment period is what causes most menopausal symptoms.<\/p>\n<p><strong>How Your Gynecologist Can Help<\/strong><\/p>\n<p>Your gynecologist is the most qualified professional to guide you through this transition.<\/p>\n<p><strong>Treatment may include:<\/strong><\/p>\n<ul>\n<li>Lifestyle modifications<\/li>\n<li>Maintain a consistent sleep schedule<\/li>\n<li>Eat a balanced diet rich in fruits, vegetables, protein, calcium, and vitamin D<\/li>\n<li>Exercise regularly (ideally a mix of walking, Pilates, yoga, or resistance training)<\/li>\n<li>Manage stress effectively<\/li>\n<li>Hormone Replacement Therapy (HRT)<\/li>\n<\/ul>\n<p>For women with intense symptoms, hormone therapy can offer significant relief. Today&#8217;s treatments are safer and more personalized than ever before. HRT may be prescribed in the form of pills, patches, gels, or sprays.<\/p>\n<p>If you have a uterus, progesterone is combined with estrogen to protect the endometrium. If you don&#8217;t, estrogen alone is sufficient.<\/p>\n<p>Studies show that for most healthy women under 60-or within 10 years of menopause-the benefits of HRT outweigh the risks, as long as it is monitored by a doctor.<\/p>\n<ul>\n<li>\u00a0Local Therapy for Vaginal Dryness (GSM)<\/li>\n<\/ul>\n<p>If vaginal dryness, pain during intercourse, or recurrent urinary infections are your main concerns, topical estrogen treatments (creams, rings, or tablets) can provide targeted relief and are considered very safe.<\/p>\n<p>Even women with a history of breast cancer may be able to use them after medical evaluation.<\/p>\n<ul>\n<li>Non-Hormonal Options for Hot Flashes<\/li>\n<li>Brain-targeting medications (SSRIs\/SNRIs such as venlafaxine, paroxetine)<\/li>\n<li>Gabapentin for night sweats<\/li>\n<\/ul>\n<p>New-generation treatments such as Fezolinetant-the first non-hormonal medication specifically approved by the FDA and EMA for hot flashes.<\/p>\n<p><strong>How Long Does Menopause Last?<\/strong><\/p>\n<p>Symptoms may last from a few months to several years, with the most intense phase typically occurring during the first 1-2 years after the last period. Both duration and intensity vary widely among women.<\/p>\n<p><strong>Bone and Heart Health<\/strong><\/p>\n<p>Estrogen naturally protects the heart and bones. When levels drop, the risk of osteoporosis and cardiovascular disease increases.<\/p>\n<p>A healthy diet, regular exercise, sufficient vitamin D, and-when appropriate-hormone therapy can all help maintain long-term well-being.<\/p>\n<p><strong>In Conclusion<\/strong><\/p>\n<p>Menopause is a natural life stage-arguably the longest one-and it symbolizes continuity, not an ending. With proper knowledge, medical guidance, and self-care, it can become a period of true renewal, where you redefine your sense of self with optimism, strength, and confidence.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Menopause is a natural transition in every woman&#8217;s life. It is not a disease, but a shift into a new<\/p>\n","protected":false},"author":12,"featured_media":16316,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[208],"tags":[261,262],"class_list":["post-16317","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gynaikologiki-ygeia-en","tag-menopause","tag-perimenopause"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Menopause and Perimenopause: What really happens in a woman&#039;s body - Dr Psathas<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Menopause and Perimenopause: What really happens in a woman&#039;s body - Dr Psathas\" \/>\n<meta property=\"og:description\" content=\"Menopause is a natural transition in every woman&#8217;s life. It is not a disease, but a shift into a new\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr Psathas\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/PanayiotisPsathas\" \/>\n<meta property=\"article:published_time\" content=\"2025-10-24T12:47:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ppsathas.com\/wp-content\/uploads\/2025\/10\/portrait-beautiful-young-woman-indoors-scaled-e1761309684722.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1707\" \/>\n\t<meta property=\"og:image:height\" content=\"2560\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Psathas Team\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Psathas Team\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/\",\"url\":\"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/\",\"name\":\"Menopause and Perimenopause: What really happens in a woman's body - Dr Psathas\",\"isPartOf\":{\"@id\":\"https:\/\/ppsathas.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ppsathas.com\/wp-content\/uploads\/2025\/10\/portrait-beautiful-young-woman-indoors-scaled-e1761309684722.jpg\",\"datePublished\":\"2025-10-24T12:47:35+00:00\",\"author\":{\"@id\":\"https:\/\/ppsathas.com\/#\/schema\/person\/92634c69659c2fc6e0484b10f37d61da\"},\"breadcrumb\":{\"@id\":\"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/#primaryimage\",\"url\":\"https:\/\/ppsathas.com\/wp-content\/uploads\/2025\/10\/portrait-beautiful-young-woman-indoors-scaled-e1761309684722.jpg\",\"contentUrl\":\"https:\/\/ppsathas.com\/wp-content\/uploads\/2025\/10\/portrait-beautiful-young-woman-indoors-scaled-e1761309684722.jpg\",\"width\":1707,\"height\":2560},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/ppsathas.com\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Menopause and Perimenopause: What really happens in a woman&#8217;s body\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ppsathas.com\/#website\",\"url\":\"https:\/\/ppsathas.com\/\",\"name\":\"Dr Psathas\",\"description\":\"\u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ppsathas.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/ppsathas.com\/#\/schema\/person\/92634c69659c2fc6e0484b10f37d61da\",\"name\":\"Psathas Team\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/ppsathas.com\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/63ce5e6a50f12594edeb54ec8aa23eae?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/63ce5e6a50f12594edeb54ec8aa23eae?s=96&d=mm&r=g\",\"caption\":\"Psathas Team\"},\"url\":\"https:\/\/ppsathas.com\/en\/author\/lazaratou\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Menopause and Perimenopause: What really happens in a woman's body - Dr Psathas","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/","og_locale":"en_US","og_type":"article","og_title":"Menopause and Perimenopause: What really happens in a woman's body - Dr Psathas","og_description":"Menopause is a natural transition in every woman&#8217;s life. It is not a disease, but a shift into a new","og_url":"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/","og_site_name":"Dr Psathas","article_publisher":"https:\/\/www.facebook.com\/PanayiotisPsathas","article_published_time":"2025-10-24T12:47:35+00:00","og_image":[{"width":1707,"height":2560,"url":"https:\/\/ppsathas.com\/wp-content\/uploads\/2025\/10\/portrait-beautiful-young-woman-indoors-scaled-e1761309684722.jpg","type":"image\/jpeg"}],"author":"Psathas Team","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Psathas Team","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/","url":"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/","name":"Menopause and Perimenopause: What really happens in a woman's body - Dr Psathas","isPartOf":{"@id":"https:\/\/ppsathas.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/#primaryimage"},"image":{"@id":"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/#primaryimage"},"thumbnailUrl":"https:\/\/ppsathas.com\/wp-content\/uploads\/2025\/10\/portrait-beautiful-young-woman-indoors-scaled-e1761309684722.jpg","datePublished":"2025-10-24T12:47:35+00:00","author":{"@id":"https:\/\/ppsathas.com\/#\/schema\/person\/92634c69659c2fc6e0484b10f37d61da"},"breadcrumb":{"@id":"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/#primaryimage","url":"https:\/\/ppsathas.com\/wp-content\/uploads\/2025\/10\/portrait-beautiful-young-woman-indoors-scaled-e1761309684722.jpg","contentUrl":"https:\/\/ppsathas.com\/wp-content\/uploads\/2025\/10\/portrait-beautiful-young-woman-indoors-scaled-e1761309684722.jpg","width":1707,"height":2560},{"@type":"BreadcrumbList","@id":"https:\/\/ppsathas.com\/en\/menopause-and-perimenopause-what-really-happens-in-a\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/ppsathas.com\/en\/"},{"@type":"ListItem","position":2,"name":"Menopause and Perimenopause: What really happens in a woman&#8217;s body"}]},{"@type":"WebSite","@id":"https:\/\/ppsathas.com\/#website","url":"https:\/\/ppsathas.com\/","name":"Dr Psathas","description":"\u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ppsathas.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/ppsathas.com\/#\/schema\/person\/92634c69659c2fc6e0484b10f37d61da","name":"Psathas Team","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/ppsathas.com\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/63ce5e6a50f12594edeb54ec8aa23eae?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/63ce5e6a50f12594edeb54ec8aa23eae?s=96&d=mm&r=g","caption":"Psathas Team"},"url":"https:\/\/ppsathas.com\/en\/author\/lazaratou\/"}]}},"_links":{"self":[{"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/posts\/16317","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/comments?post=16317"}],"version-history":[{"count":1,"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/posts\/16317\/revisions"}],"predecessor-version":[{"id":16318,"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/posts\/16317\/revisions\/16318"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/media\/16316"}],"wp:attachment":[{"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/media?parent=16317"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/categories?post=16317"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ppsathas.com\/en\/wp-json\/wp\/v2\/tags?post=16317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}