Why Perimenopause Feels So Confusing and What You Can Do About It
Are your periods suddenly unpredictable? Mood swings or brain fog creeping in? You’re not imagining it—and you’re not alone. Perimenopause is a hormonal rollercoaster, with fluctuating cycles, sleep issues, anxiety, fatigue, and weight changes—yet a single blood test often misses the bigger picture. At Sirona Health, we use the Mira hormone monitor to track estrogen, LH, FSH, and progesterone levels over time. That way, we can decode how your hormones relate to your symptoms and tailor personalised advice—so you stop guessing and start understanding what’s happening in your body.
Contraception Choices During Perimenopause
Navigating contraception during perimenopause can be complex, as fertility can persist even with irregular periods. It's essential to continue using reliable contraception until you've been without a period for 12 consecutive months, marking the onset of menopause. Options like hormonal contraceptives—such as combined oral contraceptives, the mini-pill, or hormonal intrauterine devices (IUDs)—not only prevent pregnancy but can also alleviate perimenopausal symptoms like hot flashes and menstrual irregularities. However, considerations regarding age, health history, and potential risks are crucial. Consulting with a healthcare provider ensures the chosen method aligns with your individual health needs and lifestyle.
Diagnosing the perimenopause
Diagnosing perimenopause can be complex due to the absence of a definitive test. According to the British Menopause Society, perimenopause is characterized by changes in menstrual cycle patterns, such as infrequent periods and cycles becoming slightly longer, e.g., 6–7 weeks apart. Common symptoms include hot flushes, night sweats, cognitive changes, mood swings, sleep disturbances, and urogenital symptoms like vaginal dryness. In some cases, a trial of hormone replacement therapy (HRT) may be used to assess symptom improvement. It's essential to consult with a healthcare provider to evaluate symptoms and consider appropriate treatment options.