<meta name="debug" content="174928"/><meta name="debug" content="174928"/><meta name="debug" content="174928"/><meta name="debug" content="174928"/>{"id":174928,"date":"2022-12-02T12:30:44","date_gmt":"2022-12-02T18:30:44","guid":{"rendered":"https:\/\/centromedicoabc.com\/uncategorized\/identifica-cuando-este-por-iniciar-tu-menopausia\/"},"modified":"2026-08-13T01:11:20","modified_gmt":"2026-08-13T06:11:20","slug":"identify-when-you-are-about-to-start-your-menopause","status":"publish","type":"post","link":"https:\/\/centromedicoabc.com\/en\/digital-magazine\/identify-when-you-are-about-to-start-your-menopause\/","title":{"rendered":"Perimenopause: Symptoms, Age, and What to Expect"},"content":{"rendered":"<p>[vc_row][vc_column][vc_video link=&#8221;https:\/\/youtu.be\/ZbPjQDEMxcM&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<p>Perimenopause is a transition phase leading up to menopause, during which a woman&#8217;s body begins to experience significant hormonal shifts that signal the end of her reproductive years.<\/p>\n<p>Every woman will eventually go through the climacteric stage, triggering these hormonal changes, notes Dr. Claudio G\u00f3ngora Lastra, a gynecological endocrinologist specializing in climacteric care at Centro M\u00e9dico ABC.<\/p>\n<p>Menopause is officially your very last menstrual period, whereas the climacteric encompasses this entire process of transition before, during, and after menopause. The age at which menopause occurs can vary significantly from woman to woman.<\/p>\n<p>The underlying causes of the climacteric are due to declining levels of sex hormones: estrogen, testosterone, and progesterone. As these hormone levels drop, a woman&#8217;s body begins to undergo noticeable changes.<\/p>\n<h2>What Is Perimenopause?<\/h2>\n<p>During perimenopause, which occurs toward the end of a woman&#8217;s reproductive stage, the body experiences various biological and hormonal fluctuations.<\/p>\n<p>Hormonally, the ovaries begin producing lower amounts of estrogen and progesterone\u2014the hormones responsible for regulating the menstrual cycle and fertility.<\/p>\n<p>This process is not the same for every woman and can vary considerably in both duration and intensity.<\/p>\n<p>Physiologically, a woman&#8217;s body adapts to these shifting hormone levels, which often manifests as less predictable menstrual cycles, complete with changes in flow volume and duration.<\/p>\n<p>Perimenopause is a natural and expected phase of life, and seeking guidance from medical professionals is important to manage these changes as effectively as possible.<\/p>\n<h2>Perimenopause Symptoms<\/h2>\n<p>From the time a woman enters the climacteric stage, she may notice a variety of changes associated with menopause.<\/p>\n<p><strong>Perimenopause Symptoms Include:<\/strong><\/p>\n<ul>\n<li>Irregular periods<\/li>\n<li>Hot flashes<\/li>\n<li>Night sweats<\/li>\n<li>Mood swings<\/li>\n<li>Sleep disturbances<\/li>\n<li>Vaginal dryness<\/li>\n<li>Decreased libido<\/li>\n<li>Changes in skin and hair<\/li>\n<li>Fatigue<\/li>\n<li>Brain fog and cognitive difficulties<\/li>\n<\/ul>\n<p><strong>During Menopause, Symptoms May Include:<\/strong><\/p>\n<ul>\n<li>Complete cessation of menstruation<\/li>\n<li>Changes in bone density (which can lead to osteoporosis)<\/li>\n<li>Changes in the skin (reduced elasticity and moisture)<\/li>\n<\/ul>\n<p><strong>During Postmenopause, Women May Experience Symptoms Such As:<\/strong><\/p>\n<ul>\n<li>Visual disturbances<\/li>\n<li>Weight gain<\/li>\n<li>Hair thinning or loss<\/li>\n<li>Dizziness<\/li>\n<li>Dry skin<\/li>\n<li>Fluid retention<\/li>\n<li>Incontinence or other urinary changes<\/li>\n<\/ul>\n<p>It is worth noting that hot flashes, vaginal dryness, night sweats, low libido, mood swings, and sleep issues can occur across all three stages.<\/p>\n<p>Among all symptoms, hot flashes are the most common. They are felt as a sudden rush of heat caused by a dysfunction in the brain&#8217;s temperature regulation. Estrogen, testosterone, and progesterone normally help maintain this balance; as levels drop, the brain struggles to regulate body temperature, resulting in uncomfortable hot flashes.<\/p>\n<h2>At What Age Does Menopause Begin?<\/h2>\n<p>As previously mentioned, these changes can present very differently from one woman to another. Generally, however, perimenopause begins between the ages of 40 and 50. The term menopause applies officially once a woman has gone 12 consecutive months without a period. Therefore, a woman who had her last period at age 40 is considered to have reached menopause at age 41.<\/p>\n<p>Postmenopause is recognized once another full year has passed without menstruation, and it continues for the rest of a woman&#8217;s life.<\/p>\n<p>The entire climacteric phase can span from five years before menopause to up to 15 years after\u2014meaning it can last for up to two decades. Because of this, seeking timely medical care is of great importance.<\/p>\n<p>As a woman, you should pay attention to your periods and notice any changes, such as alterations in color, duration, or flow. Perceiving one or more of these changes may indicate that you are approaching the start of your climacteric stage.<\/p>\n<p>If you have the slightest suspicion that you are entering the climacteric phase or menopause, it is important to consult a doctor to identify your symptoms and determine whether they are related. If so, your physician will offer recommendations, prescribe specialized treatment if needed, or refer you to another specialist.<\/p>\n<p>Dr. G\u00f3ngora emphasizes that every case is unique, and consequently, your treatment plan will be tailored specifically to you. Starting in your 40s, new health conditions such as diabetes or hypertension may arise; when combined with menopausal or climacteric symptoms, these conditions can worsen. For this reason, keeping up with regular health checkups without fail is essential.<\/p>\n<p>An important point to keep in mind is that the climacteric stage and menopause are completely natural phases of life. The first steps in navigating them successfully are maintaining a positive attitude, eating well, getting adequate rest, exercising, and keeping up with your medical appointments.<\/p>\n<p>At the Women&#8217;s Center at Centro M\u00e9dico ABC, we provide specialized care. Contact us today!<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<p>[vc_row][vc_column]\n                <div class=\"row no-gutters banner-todo-necesitas pb-3 174928\" id=\"faqs\">\n                    <div class=\"col-12\">\n                        <div class=\"row no-gutters\">\n                            <div class=\"col-12\">\n                                <div id=\"accordion\" class=\"pt-3 mt-0 mb-2\">\n                                    <div class=\"card\">\n                                        <div class=\"card-header\" id=\"heading6a84b3e164a04\">\n                                            <h3 class=\"mb-0 text-left\">\n                                                <button class=\"w-100 btn btn-link d-flex justify-content-between align-items-center collapsed\" data-toggle=\"collapse\" data-target=\"#collapse6a84b3e164a04\" aria-expanded=\"true\" aria-controls=\"collapse6a84b3e164a04\">\n                                                    1- What is perimenopause, and how is it different from menopause? <i class=\"fas fa-minus\"><\/i> <i class=\"fas fa-plus\"><\/i>\n                                                <\/button>\n                                            <\/h3>\n                                        <\/div>\n\t\t\t\t\t\t\t\t\t\t<style>\n\t\t\t\t\t\t\t\t\t\t\t#accordion .card-header h3 button {\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-top: 13px;\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-bottom: 13px;\n\t\t\t\t\t\t\t\t\t\t\t\tline-height: 28px;\n\t\t\t\t\t\t\t\t\t\t\t\twhite-space: normal;\n\t\t\t\t\t\t\t\t\t\t\t\ttext-align: left;\n\t\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t\t\t#accordion .card-header h3 button img {\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-bottom: 5px;\n\t\t\t\t\t\t\t\t\t\t\t\tmargin-right: 12px;\n\t\t\t\t\t\t\t\t\t\t\t}\n                                            #accordion .card-header .btn.collapsed .icon-minus-svg {\n                                                display: none;\n                                            }\n                                            #accordion .card-header .btn.collapsed .icon-plus-svg,\n                                            #accordion .card-header .btn .icon-minus-svg {\n                                                display: inline-block;\n                                            }\n                                            #accordion .card-header .btn .icon-plus-svg {\n                                                display: none;\n                                            }\n\t\t\t\t\t\t\t\t\t\t<\/style>\t\t\t\t\t\t\t\t\t\t\n\n                                        <div id=\"collapse6a84b3e164a04\" class=\"collapse\" aria-labelledby=\"heading6a84b3e164a04\" data-parent=\"#accordion\">\n                                            <div class=\"card-body\">\n                                                <p class=\"text-left\">\n                                                    Perimenopause is the transition phase before menopause, when the ovaries begin producing less estrogen and progesterone, leading to menstrual changes and symptoms such as hot flashes. Menopause is officially confirmed after 12 consecutive months without a period. Perimenopause is the variable period leading up to that point.\n                                                <\/p>\n                                            <\/div>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"card\">\n                                        <div class=\"card-header\" id=\"heading6a84b3e164a12\">\n                                            <h3 class=\"mb-0 text-left\">\n                                                <button class=\"w-100 btn btn-link d-flex justify-content-between align-items-center collapsed\" data-toggle=\"collapse\" data-target=\"#collapse6a84b3e164a12\" aria-expanded=\"true\" aria-controls=\"collapse6a84b3e164a12\">\n                                                    2- At what age does perimenopause usually begin? <i class=\"fas fa-minus\"><\/i> <i class=\"fas fa-plus\"><\/i>\n                                                <\/button>\n                                            <\/h3>\n                                        <\/div>\n\t\t\t\t\t\t\t\t\t\t<style>\n\t\t\t\t\t\t\t\t\t\t\t#accordion .card-header h3 button {\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-top: 13px;\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-bottom: 13px;\n\t\t\t\t\t\t\t\t\t\t\t\tline-height: 28px;\n\t\t\t\t\t\t\t\t\t\t\t\twhite-space: normal;\n\t\t\t\t\t\t\t\t\t\t\t\ttext-align: left;\n\t\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t\t\t#accordion .card-header h3 button img {\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-bottom: 5px;\n\t\t\t\t\t\t\t\t\t\t\t\tmargin-right: 12px;\n\t\t\t\t\t\t\t\t\t\t\t}\n                                            #accordion .card-header .btn.collapsed .icon-minus-svg {\n                                                display: none;\n                                            }\n                                            #accordion .card-header .btn.collapsed .icon-plus-svg,\n                                            #accordion .card-header .btn .icon-minus-svg {\n                                                display: inline-block;\n                                            }\n                                            #accordion .card-header .btn .icon-plus-svg {\n                                                display: none;\n                                            }\n\t\t\t\t\t\t\t\t\t\t<\/style>\t\t\t\t\t\t\t\t\t\t\n\n                                        <div id=\"collapse6a84b3e164a12\" class=\"collapse\" aria-labelledby=\"heading6a84b3e164a12\" data-parent=\"#accordion\">\n                                            <div class=\"card-body\">\n                                                <p class=\"text-left\">\n                                                    Perimenopause generally begins between ages 40 and 50, although it can vary. The climacteric transition may start earlier or later depending on genetics, overall health, and personal history. If you notice changes in your periods or symptoms such as hot flashes, talk with your doctor to see whether you may be entering perimenopause.\n                                                <\/p>\n                                            <\/div>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"card\">\n                                        <div class=\"card-header\" id=\"heading6a84b3e164a17\">\n                                            <h3 class=\"mb-0 text-left\">\n                                                <button class=\"w-100 btn btn-link d-flex justify-content-between align-items-center collapsed\" data-toggle=\"collapse\" data-target=\"#collapse6a84b3e164a17\" aria-expanded=\"true\" aria-controls=\"collapse6a84b3e164a17\">\n                                                    3- What are the most common symptoms of perimenopause? <i class=\"fas fa-minus\"><\/i> <i class=\"fas fa-plus\"><\/i>\n                                                <\/button>\n                                            <\/h3>\n                                        <\/div>\n\t\t\t\t\t\t\t\t\t\t<style>\n\t\t\t\t\t\t\t\t\t\t\t#accordion .card-header h3 button {\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-top: 13px;\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-bottom: 13px;\n\t\t\t\t\t\t\t\t\t\t\t\tline-height: 28px;\n\t\t\t\t\t\t\t\t\t\t\t\twhite-space: normal;\n\t\t\t\t\t\t\t\t\t\t\t\ttext-align: left;\n\t\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t\t\t#accordion .card-header h3 button img {\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-bottom: 5px;\n\t\t\t\t\t\t\t\t\t\t\t\tmargin-right: 12px;\n\t\t\t\t\t\t\t\t\t\t\t}\n                                            #accordion .card-header .btn.collapsed .icon-minus-svg {\n                                                display: none;\n                                            }\n                                            #accordion .card-header .btn.collapsed .icon-plus-svg,\n                                            #accordion .card-header .btn .icon-minus-svg {\n                                                display: inline-block;\n                                            }\n                                            #accordion .card-header .btn .icon-plus-svg {\n                                                display: none;\n                                            }\n\t\t\t\t\t\t\t\t\t\t<\/style>\t\t\t\t\t\t\t\t\t\t\n\n                                        <div id=\"collapse6a84b3e164a17\" class=\"collapse\" aria-labelledby=\"heading6a84b3e164a17\" data-parent=\"#accordion\">\n                                            <div class=\"card-body\">\n                                                <p class=\"text-left\">\n                                                    Common symptoms include irregular periods, hot flashes, night sweats, mood changes, sleep problems, vaginal dryness, decreased libido, fatigue, and changes in the skin and hair. The severity and duration vary widely. Some women have only mild symptoms, while others experience more disruptive changes.\n                                                <\/p>\n                                            <\/div>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"card\">\n                                        <div class=\"card-header\" id=\"heading6a84b3e164a1d\">\n                                            <h3 class=\"mb-0 text-left\">\n                                                <button class=\"w-100 btn btn-link d-flex justify-content-between align-items-center collapsed\" data-toggle=\"collapse\" data-target=\"#collapse6a84b3e164a1d\" aria-expanded=\"true\" aria-controls=\"collapse6a84b3e164a1d\">\n                                                    4- How is perimenopause treated, and when is hormone therapy recommended? <i class=\"fas fa-minus\"><\/i> <i class=\"fas fa-plus\"><\/i>\n                                                <\/button>\n                                            <\/h3>\n                                        <\/div>\n\t\t\t\t\t\t\t\t\t\t<style>\n\t\t\t\t\t\t\t\t\t\t\t#accordion .card-header h3 button {\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-top: 13px;\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-bottom: 13px;\n\t\t\t\t\t\t\t\t\t\t\t\tline-height: 28px;\n\t\t\t\t\t\t\t\t\t\t\t\twhite-space: normal;\n\t\t\t\t\t\t\t\t\t\t\t\ttext-align: left;\n\t\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t\t\t#accordion .card-header h3 button img {\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-bottom: 5px;\n\t\t\t\t\t\t\t\t\t\t\t\tmargin-right: 12px;\n\t\t\t\t\t\t\t\t\t\t\t}\n                                            #accordion .card-header .btn.collapsed .icon-minus-svg {\n                                                display: none;\n                                            }\n                                            #accordion .card-header .btn.collapsed .icon-plus-svg,\n                                            #accordion .card-header .btn .icon-minus-svg {\n                                                display: inline-block;\n                                            }\n                                            #accordion .card-header .btn .icon-plus-svg {\n                                                display: none;\n                                            }\n\t\t\t\t\t\t\t\t\t\t<\/style>\t\t\t\t\t\t\t\t\t\t\n\n                                        <div id=\"collapse6a84b3e164a1d\" class=\"collapse\" aria-labelledby=\"heading6a84b3e164a1d\" data-parent=\"#accordion\">\n                                            <div class=\"card-body\">\n                                                <p class=\"text-left\">\n                                                    Management may include lifestyle changes such as diet, exercise, and improved sleep, as well as symptom-based treatment for hot flashes and vaginal dryness. In some cases, individualized hormone therapy may be recommended. The decision depends on symptoms, age, risk factors, and contraindications, and it should always be made and monitored by a gynecologist or menopause specialist.\n                                                <\/p>\n                                            <\/div>\n                                        <\/div>\n                                    <\/div>\n                                    <div class=\"card\">\n                                        <div class=\"card-header\" id=\"heading6a84b3e164a22\">\n                                            <h3 class=\"mb-0 text-left\">\n                                                <button class=\"w-100 btn btn-link d-flex justify-content-between align-items-center collapsed\" data-toggle=\"collapse\" data-target=\"#collapse6a84b3e164a22\" aria-expanded=\"true\" aria-controls=\"collapse6a84b3e164a22\">\n                                                    5- When should I see a doctor for perimenopause or climacteric symptoms? <i class=\"fas fa-minus\"><\/i> <i class=\"fas fa-plus\"><\/i>\n                                                <\/button>\n                                            <\/h3>\n                                        <\/div>\n\t\t\t\t\t\t\t\t\t\t<style>\n\t\t\t\t\t\t\t\t\t\t\t#accordion .card-header h3 button {\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-top: 13px;\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-bottom: 13px;\n\t\t\t\t\t\t\t\t\t\t\t\tline-height: 28px;\n\t\t\t\t\t\t\t\t\t\t\t\twhite-space: normal;\n\t\t\t\t\t\t\t\t\t\t\t\ttext-align: left;\n\t\t\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t\t\t\t\t\t#accordion .card-header h3 button img {\n\t\t\t\t\t\t\t\t\t\t\t\tpadding-bottom: 5px;\n\t\t\t\t\t\t\t\t\t\t\t\tmargin-right: 12px;\n\t\t\t\t\t\t\t\t\t\t\t}\n                                            #accordion .card-header .btn.collapsed .icon-minus-svg {\n                                                display: none;\n                                            }\n                                            #accordion .card-header .btn.collapsed .icon-plus-svg,\n                                            #accordion .card-header .btn .icon-minus-svg {\n                                                display: inline-block;\n                                            }\n                                            #accordion .card-header .btn .icon-plus-svg {\n                                                display: none;\n                                            }\n\t\t\t\t\t\t\t\t\t\t<\/style>\t\t\t\t\t\t\t\t\t\t\n\n                                        <div id=\"collapse6a84b3e164a22\" class=\"collapse\" aria-labelledby=\"heading6a84b3e164a22\" data-parent=\"#accordion\">\n                                            <div class=\"card-body\">\n                                                <p class=\"text-left\">\n                                                    You should seek medical care if symptoms significantly affect your quality of life, such as intense hot flashes, insomnia, or severe emotional changes, or if you have unusual or heavy bleeding or chronic conditions such as diabetes or high blood pressure. A specialist can confirm whether you are in perimenopause and recommend the right treatment and follow-up.\n                                                <\/p>\n                                            <\/div>\n                                        <\/div>\n                                    <\/div>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                <\/div>\n        [\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_video link=&#8221;https:\/\/youtu.be\/ZbPjQDEMxcM&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text] Perimenopause is a transition phase leading up to menopause, during which a woman&#8217;s body begins to experience significant hormonal shifts that signal the end of her reproductive years. Every woman will eventually go through the climacteric stage, triggering these hormonal changes, notes Dr. Claudio G\u00f3ngora Lastra, a gynecological endocrinologist specializing in climacteric care [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/centromedicoabc.com\/en\/digital-magazine\/identify-when-you-are-about-to-start-your-menopause\/\">Read More&#8230;<span class=\"screen-reader-text\"> from Perimenopause: Symptoms, Age, and What to Expect<\/span><\/a><\/p>\n","protected":false},"author":25,"featured_media":125772,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_joinchat":[],"footnotes":""},"categories":[947,992],"tags":[3065,3285,3498],"class_list":["post-174928","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-digital-magazine","category-womens-health","tag-gynecology","tag-enfermedades-de-la-mujer","tag-womens-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Perimenopause: Physical Symptoms | Centro M\u00e9dico ABC<\/title>\n<meta name=\"description\" content=\"Learn what perimenopause is, the symptoms it can cause, such as hot flashes, irregular periods, and vaginal dryness, and when it\u2019s time to see a doctor. 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