Perimenopause, often referred to as the menopausal transition, typically begins in a woman's 40s or early 50s. During this phase, hormonal fluctuations occur as the ovaries start to produce fewer eggs, leading to changes in menstrual patterns and various other symptoms.

While menopause is officially defined by the absence of menstruation for 12 consecutive months, perimenopause is characterised by the gradual onset of symptoms that may precede this milestone by months or even years.

Recognising the first signs of perimenopause can be empowering, as it allows us to understand the changes our bodies are undergoing and seek appropriate support and guidance. Early intervention and advice can significantly mitigate the impact of perimenopause and menopause on our health, relationships, and work.

As we navigate the journey of perimenopause, it's essential to approach ourselves with gentleness and compassion. This is a time of transition, a period where we embrace the wisdom of our bodies as they gracefully prepare for the next chapter. Seeking support from loved ones, healthcare professionals, and holistic practitioners can provide invaluable guidance and comfort along the way.

Let's delve into some of the common signs and symptoms of perimenopause:

Irregular Periods

One of the earliest indicators of perimenopause is changes in menstrual patterns. Periods may become irregular—shorter, longer, heavier, or lighter than usual—as hormone levels fluctuate, signalling the transition ahead. According to Ayurvedic principles, irregular periods during perimenopause are often attributed to an imbalance in the doshas, particularly Pitta and Vata doshas. 

Mood Swings

Hormonal fluctuations during perimenopause can affect mood stability, leading to mood swings and emotional fluctuations. Heightened sensitivity, irritability, or melancholy may occur seemingly without cause. Herbs such as Tulsi and Brahmi may help support through this period.

Hot Flashes and Night Sweats

Oestrogen level fluctuations, particularly a decrease in oestrogen, can disturb the balance of Pitta dosha and trigger hot flashes—sudden waves of heat accompanied by sweating and flushing. These episodes can occur during the day (hot flashes) or disrupt sleep at night (night sweats). 

Sleep Disturbances

Changes in hormone levels can impact sleep quality, resulting in insomnia or disrupted sleep patterns. Difficulty falling asleep or staying asleep throughout the night may lead to fatigue and irritability during the day.

Vaginal Changes

Imbalances in Vata dosha can exacerbate vaginal dryness during perimenopause. Vata dominance can lead to dry, rough, and brittle qualities in the body, including the mucous membranes of the vagina. Factors such as stress, anxiety, poor diet, and erratic lifestyle habits can further aggravate Vata dosha and contribute to vaginal dryness.

Muscle Aches and Joint Pains

Some women may experience muscle aches and joint pains during perimenopause. These discomforts can be attributed to hormonal changes and fluctuations.

Headaches and Migraines

Pitta dosha governs metabolism, digestion, and heat regulation in the body. When Pitta becomes aggravated or imbalanced, it can lead to symptoms such as inflammation, sensitivity to light, and headaches. Hormonal fluctuations during perimenopause can exacerbate Pitta imbalance and increase the likelihood of experiencing headaches.

Memory Issues and Brain Fog

Perimenopause can bring about cognitive changes, including memory issues and brain fog. Difficulty concentrating, forgetfulness, and mental fog are common experiences during this phase.

It's important to note that these are just some of the signs and symptoms of perimenopause. Each woman's experience may vary, and additional symptoms may manifest. By understanding and acknowledging these signs and symptoms, we can navigate the journey of perimenopause with greater clarity and confidence and seek support when needed.


Always consult with a healthcare professional or Ayurvedic practitioner for personalised advice. This guide serves as an advisory resource, providing general recommendations under the assumption of typical menstrual cycles and absence of specific health or hormone-related conditions. If you are on any medication, make sure to consult with a healthcare practitioner.