Coping with Perimenopause

Perimenopause is the time in a woman’s life when her body gets ready to stop having periods. The process usually begins in a woman’s 40s. For some it may start in the 30s. Here are some ideas for coping:

• Mood changes. What helps? Talk with friends. Make time to relax every day. Tell your doctor if you have sadness that won’t go away. If you have depression, treatment can help.

• Hot flashes. Changes in hormone levels can cause these. What helps? Avoid spicy food, alcohol, and caffeine. Dress in layers that you can remove. Add soy to your diet, such as soy milk and soybeans.

• Vaginal dryness. Hormone changes can also reduce moisture in the vagina. This can make sex hurt. What helps? Try using an over-the-counter vaginal lubricant. You can buy this at a pharmacy.

• Sleep changes and night sweats. It’s common to wake up at night soaking from sweat and then feel cold. You may also have trouble sleeping. What helps? Wear light pajamas. Drink fewer liquids with caffeine. Do relaxation exercises.

Eating a healthy diet and exercising will help you feel better. Drinking less alcohol and caffeine can help your body feel better too.