The Perimenopause Paradox

One of the most confusing phenomena as we approach menopause is that the premenstrual symptoms we've dealt with for many years can actually worsen.

Perimenopause is the phase leading up to menopause when women’s hormones begin to change. Menopause marks the cessation of menstruation. While the idea of no longer having periods might seem appealing, menopause entails numerous physiological changes. It involves adapting to functioning without hormones we've relied on throughout our lives.

Perimenopause is characterized by simultaneous physiological changes, often exacerbating PMS symptoms and increasing the incidence of PMDD (Premenstrual Dysphoric Disorder) as we age. These changes affect various aspects of our physiology, as outlined below.

Our hormones impact every system in our body, and vice versa. The more our body changes during perimenopause—hormonally, metabolically, and otherwise—the more likely we are to experience disruptions and symptoms with our menstrual cycle.

How Perimenopause/Menopause affects PMS and PMDD

Energy

Hormonal changes require significant energy. If we're already expending energy managing daily activities, we may lack the energy needed to navigate these hormonal shifts effectively. This can exacerbate PMS and PMDD symptoms.

Metabolic Changes

Estrogen and progesterone influence blood sugar regulation. Dysregulation in blood sugar, inflammation, and stress hormones can worsen PMS and PMDD symptoms.

Stress Hormones

During periods of intense stress or burnout, our bodies struggle to manage reproductive changes. If stress hormones prioritize fight-or-flight responses over hormonal adjustments, it can intensify peri-menopausal symptoms and increase PMDD symptoms.

Nervous System

Estrogen and progesterone have calming effects on the nervous system. As these hormones fluctuate, it becomes more challenging for the nervous system to maintain a sense of calm, potentially worsening mood swings and anxiety associated with PMS and PMDD.

A Final Word

It's crucial to understand that hormonal shifts during perimenopause affect the entire body. PMDD is particularly sensitive to disruptions that hinder our body's ability to function properly, a situation exacerbated during the perimenopausal transition.

If you would like to learn more about how Naturopathic Medicine can help support you as you go through this important phase, you can book a consultation with me!