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Perimenopause

PERIMENOPAUSE
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PERIMENOPAUSE - THE WINDOW OF OPPORTUNITY YOU SHOULDN´T MISS

"Menopause begins much earlier than most people think – and prevention often starts before the final menstrual period."

For many years, menopause was primarily defined as the end of menstruation. Today, we know that the most important changes often begin long before the last period, during a phase called perimenopause.

Perimenopause is the transition leading up to menopause. During this time, the production and regulation of female hormones become increasingly irregular. These hormonal fluctuations can trigger a wide range of symptoms, including sleep disturbances, brain fog, concentration difficulties, mood changes, anxiety, joint pain, and cycle irregularities.

However, perimenopause is about much more than symptoms alone. We now understand that hormonal changes can already affect many systems in the body years before menopause. The brain, cardiovascular system, bones, muscles, and metabolism are all influenced by changing hormone levels long before menopause is officially reached.

Particularly concerning is the impact on the brain, where declining estrogen levels can affect nerve cell energy production, neurotransmitter function, inflammation control, and communication between brain cells. Many women notice these changes as forgetfulness, difficulty concentrating, or reduced mental clarity.

Bone health is also significantly affected. The fastest phase of bone loss often occurs during the years surrounding menopause. Depending on individual risk factors, women may lose up to 20% of their bone mass during this period. The same applies to the cardiovascular system, which may already show early signs of change while menstrual cycles remain regular.

That is why many experts now recognize perimenopause as a unique window of opportunity to identify and address changes early, rather than waiting until menopause has officially occurred. The good news: there is much women can do during this stage to support their long-term health. Targeted exercise, adequate protein intake, quality sleep, stress management, and evidence-based treatment strategies can help. For some women, an individualized hormone therapy approach may also be beneficial.

Our goal at HOME OF HEALTH is to support women early on in this phase, to take symptoms seriously, and to develop joint strategies to maintain long-term health, performance, and quality of life.

Wipplingerstrasse 32/21 . 1010 Wien    T +43 1 532 45 00    home@homeofhealth.at

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