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Perimenopause - what's it all about?

The peri-menopause can be one of the trickiest times for women to get their head around. One minute you’re 30, full of energy to do all the things you want in your life. Yes, there may be challenges but none of them seem unmanageable. Life – especially when you look back – seemed pretty great. All of a sudden it seems life and age have snuck up on you. You’re just not quite the same person you used to be. You notice you get tired more easily, some days you’re literally dragging yourself through the day, you’ve lost your get up and go for no reason, the weight you used to be able to lose in the run-up to an important event stays stubbornly in place no matter what you try, and you can’t seem to shift that foggy feeling in your brain. The overwhelm and anxiety are creeping in more and more, and you just don't seem to have the same resilience that you used to. But it can’t be the menopause, right? You’re too young…

The menopause actually refers to a time when you haven’t had a single period for at least a year. The run-up to it can last for years and it’s called the peri-menopause. Think of it as the menopause transition. Perimenopause can take eight to ten years (longer for some women, even). Women typically start to experience it in their 40s – though for some it can even start in their 30s.

In the peri-menopause, levels of one of the main female sex hormones, oestrogen, rises and falls unevenly. The length of time between periods may become longer or shorted, your flow may start getting lighter or heavier and with worse PMS than ever before. You may skip some periods, often before they come back with a vengeance. And many women start to feel that day 15 (ish) overwhelm creep in when hormones fall just after ovulation (if indeed we are ovulating, that is). Most of the early signs of perimenopause are more emotional and energy related, though you might also experience some of the symptoms traditionally associated with the menopause, like night sweats, hot flushes, sleep problems, mood swings, more UTIs like cystitis and vaginal dryness. Around this time, you might begin to notice that weight loss becomes trickier and your digestion gets a little shaky.

The way some talk about the perimenopause, especially in the media, you’d think it was a disease. There’s no actual need to go to your doctor to get an official diagnosis unless you want to, although it’s definitely worth booking and appointment if you notice any of these specific symptoms. They can point to other problems and it’s always better to get checked. Fibroids are something very common at this time. Things to look out for are:

  • spotting after your period

  • blood clots during your period

  • bleeding after sex

  • periods that are much longer or much shorter than normal

If you are really struggling with your energy levels, it’s also worth getting our thyroid checked, if it hasn’t already been because perimenopausal and menopausal women are at greater risk of thyroid dysfunction. Added to this, thyroid symptoms can mimic menopausal symptoms. The ovaries, uterus, adrenal glands and the brain require adequate thyroid hormones to function.

Whatever your specific symptoms are, a nutrition and lifestyle plan can really help...

I know you could Google (other search engines are available) ‘diet for perimenopause’, but the truth is – and I know this from working with many clients dealing with symptoms and also because from time to time I like to hang out in menopause online forums – the answer lies not in fixing yourself symptom by symptom. In the human body everything is connected in ways you might not imagine. Looking at the whole of you rather than individual complaints is the way forward. Think of then body as an interconnected web - We can put a plaster over one problem, but only to find others arise. We are looking at you, the whole person, and supporting your health and wellness from a holistic perspective - mind, body and soul!

I work with women who are done with dealing with feeling a shadow of the person they used to know and love. This month I am running my transformational 28-day Hormone Harmony Programme. In just 28 days you can start to feel like yourself again, just by making simple changes to your diet and lifestyle. Simple, and yet, going in it alone can feel an impossible task. You have the support of a small community of likeminded women, all striving to be the happiest and healthiest versions of themselves. And you have me, Registered Nutritional Therapist and Health Coach, cheerleading you on and supporting you 100% of the way. I can't promise I'll solve all your problems but what I can promise is that, after just 28 days, you'll start to feel like YOU again - remember that vibrant you, full of energy and optimism? She's still there! Let me help you find her.

But I want to give you something to help you get started right NOW. Maintaining a stable blood sugar level can help. To do this:

·       Eat three meals a day at regular intervals. 

·       Eat a palm-sized portion of protein at each meal (meat and poultry, fish and seafood, tofu, eggs, beans, lentils, chickpeas, nuts and seeds – ideally nothing in batter or breadcrumbs).

·       Don’t fear the healthy fats, like olive oil, avocados, nuts, seeds and oily fish. The calories in vs calories out myth has been debunked now for a good while now.

·       Eat a minimum of five portions (three heaped tablespoons) of non-starchy vegetables / salad per day. Always have vegetables / salad with lunch and dinner, breakfast, too, if you wish. There is no upper limit on how many vegetables you can eat. The ideal options are anything that grows above ground.

·       Eat two portions of low glycaemic fruit per day, with meals - bananas are high in sugar, however handy they are to transport so try to stick to berries of any kind, apples, pears, plums, tangerines or similar, lemon and lime, peaches and nectarines.

·       Ideally you should feel satisfied from your main meals and not require snacks though the day, however, should you feel hungry or if you are working out, you can have one snack per day – something like oatcakes with cream cheese, hummus, cottage cheese, ham and tomato, a small pot of natural yoghurt with berries, a handful of nuts and/or seeds, a matchbox-sized chunk of cheese with an apple, cut up apple and unsweetened nut butter. 


You would be amazed the difference a really good sleep can have on symptoms as it helps managing stress levels. On both counts, Epsom salt baths deliver amazing results. You’ll also want to put in place a proper sleep plan that limits screen time at least one hour before bed, has some wind-down time, involves a dark room (or eye mask) … I know you understand that on an intellectual level. But are you actually doing anything about it?

This is already a lot for you to think about for a work day morning so I will leave you with this. Choose to work on ONE thing only this week. It doesn’t really matter what it is. Don’t take on too much at once. Get really good at getting an early night, winding down with a book and enjoying the benefit of good sleep. Or focus on getting in more veg into your diet. Or eating a good breakfast using the guidelines above. Which will you choose?

And remember that help is right here

I've helped over sixty women to feel and look better over the last year. It's such a privilege to call this my work. I can absolutely help you. Take a look at my programme below, or book yourself a complimentary Health Review to discuss how one of my personalised 1-2-1 programmes might work for you this year.

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