Question 1

I’m 42. Can perimenopause start this early?

Accepted Answer

Perimenopause (the transition leading up to the menopause) often starts in the mid to late 40s, though for some women it can begin earlier – sometimes even in the late 30s. So, if you are having symptoms at 42, perimenopause should be considered.

Question 2

Life is good. Why do I feel so low?

Accepted Answer

Low mood can have many causes, but hormones are an important consideration. Fluctuating hormones can affect mood, sleep and resilience, leaving you feeling low even when life seems good.

Question 3

I feel like an old woman – the gym is getting harder and I keep getting injured.

Accepted Answer

Declining oestrogen impacts muscle mass, tendon strength, and inflammation - exercise can feel harder, recovery is slower, and injuries become more common.

Question 4

My periods are all over the place – why?

Accepted Answer

Because ovulation is becoming irregular in perimenopause. Fluctuating hormones mean your cycle loses its usual rhythm - so periods can come earlier, later, heavier, lighter, or be missed altogether.

Question 5

Presenting at meetings has become daunting – it never used to be. Why now?

Accepted Answer

Hormonal changes may be affecting your confidence, focus and stress response.
Fluctuating oestrogen can also impact memory; word finding and increase anxiety.

Question 6

My sex drive is non-existent.

Accepted Answer

Low libido in perimenopause is multifactorial - hormonal changes (oestrogen, testosterone) plus sleep disruption, mood shifts, stress, and relationship factors all play a role. It’s rarely 'just hormones,' but they often set the stage that makes everything else more impactful.

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FAQs - unfiltered