As a healthcare professional specializing in women’s health, I have had the privilege of supporting many women through the transformative phases of perimenopause and menopause. These stages can be both empowering and challenging, filled with physical, emotional, and psychological changes that often leave women feeling overwhelmed and isolated. Today, I want to share key insights from my journey and professional experience to demystify some common myths and provide practical advice for women navigating this significant transition.
Understanding Perimenopause and Menopause
Perimenopause typically begins in a woman’s 40s, although it can start earlier for some. This phase can last anywhere from four to eight years and is characterized by fluctuating hormone levels, leading to a multitude of symptoms. Menopause, defined as going 12 consecutive months without a menstrual cycle, generally occurs around the age of 51. However, it is important to note that menopause is not just a moment; it is a transition into the next phase of life, which can span decades.
During perimenopause, symptoms like night sweats, hot flashes, heavy periods, brain fog, and even joint pain are common. Yet, many women do not associate these symptoms with hormonal changes, leading to confusion and, sometimes, unnecessary suffering. I did not fully understand my perimenopause journey until I was deep in it, facing unexplained night sweats and heavy periods that I initially thought were simply ‘life catching up with me’.
Myth-Busting: It Is Not Just Night Sweats
One of the biggest misconceptions about menopause is that it is all about hot flashes and night sweats. While these symptoms affect many women, they are far from the only signs of perimenopause or menopause. Symptoms like dizziness, tinnitus (ringing in the ears), frozen shoulder, and even skin changes are also common but less frequently discussed. As women, we need to track our symptoms and advocate for ourselves, recognizing that changes in our bodies during this time are not just “aging” but often tied to hormonal shifts.
Mental Health and Emotional Well-being
Menopause is as much an emotional journey as it is a physical one. Many women experience anxiety, mood swings, and even depression. During my transition, I found myself more irritable and less able to multitask—skills I had relied on for years in my personal and professional life. These emotional shifts can often be the hardest to manage, especially when accompanied by feelings of isolation.
What is important to remember is that you are not alone. Over 10 million women in Canada alone are navigating perimenopause and menopause at any given time. Surrounding yourself with a support system—whether it is your healthcare provider, family, or a close friend—can make a difference. Do not be afraid to reach out and have those difficult conversations and to find a healthcare provider who understands and listens to your concerns. Not all providers train in menopause care, so finding one knowledgable or certified by organizations like the North American Menopause Society (NAMS) can ensure you get the best advice and treatment options.
Empower Yourself Through Knowledge and Action
One of the most empowering things you can do during perimenopause and menopause is prioritize your health and take charge of your physical and emotional well-being. For years, I focused on caring for others—my family, my patients—but I did not make time for myself. It was not until my symptoms began to interfere with my work and daily life that I realized the importance of self-care.
It is not selfish to prioritize your health, ensuring that you can care for your loved ones and live a vibrant life. Start small—whether incorporating regular exercise, making nutritional changes, or simply taking time to rest and recharge.This is an essential time to prevent further health issues later in life and to focus on your needs.
You Do Not Have to Suffer
Menopause is a natural transition, but that does not mean you have to suffer through it. From menopause (hormone ) replacement therapy (MRT) to lifestyle changes, there are many options available to help manage symptoms and address other health risk factors. Consult with a healthcare professional to determine what works best for you, and if your concerns are not being addressed, seek a second opinion. Your health is worth it.
Menopause is not an ending—it is a new chapter. It is an opportunity to embrace this stage of life with confidence and clarity, knowing that you are supported with the knowledge and resources to thrive. Together, we can break the silence around menopause and create a world where women feel empowered to speak openly about their experiences and seek the care they deserve.
Guest Author:
~ Andrea Campbell
Nurse Practitioner , Menopause Society Certified Practitioner