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Menopause signifies a natural transition marking the end of a person’s reproductive years, characterized by a decrease in estrogen levels and the cessation of ovulation. Consequently, this leads to the end of periods and fertility.
Typically, menopause occurs between the ages of 40 and 50, though there is significant variability among individuals. Prior to reaching menopause, individuals experience a phase known as perimenopause, during which estrogen levels begin to decline, resulting in irregular menstrual cycles and various physical and emotional changes.
Despite being a widespread topic, menopause is frequently surrounded by stigma and often remains a taboo subject, which contributes to a lack of awareness about what to expect during the perimenopausal stage.
In light of this, many on platforms like TikTok are sharing their personal experiences with symptoms of perimenopause. For instance, TikToker Chrissy Allen has gained significant attention for discussing her perimenopause journey, particularly a video in which she highlights the unusual symptom of itchy ears.
This symptom appears to resonate with many viewers, as evidenced by numerous comments from others experiencing similar sensations:
Additional odd sensations reported include the feeling of bugs crawling on the skin and unexpected smells, such as the scent of cigarettes where none are present:
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Disruptions in sleep patterns also appear to be a common concern during this transitional phase:
Many are unaware of the vast array of symptoms associated with perimenopause:
Thankfully, platforms like TikTok are fostering community discussions to enhance understanding about these experiences:
In an interview with BuzzFeed, Dr. Louise Fitzgerald noted that menopausal symptoms affect around 75–80% of individuals. While perimenopause affects fewer, it is estimated that approximately 1.1 billion women globally may currently be undergoing this stage.
It is crucial to recognize that perimenopause is one of the three distinct phases of menopausal transition, alongside menopause and postmenopause. Typically, this transitional period lasts around seven years, though it can extend up to 14 years in some cases.
Fitzgerald highlighted that hot flashes are among the most frequently reported symptoms associated with perimenopause and menopause. She explained, “A hot flush or flash occurs due to hormonal fluctuations, particularly involving estrogen levels. During perimenopause, these fluctuations can provoke temperature dysregulation and result in hot flashes. After menopause, while a notable decline in estrogen levels persists, hot flashes may remain but typically lessen in frequency over time.”
Irregular periods and night sweats are other common symptoms associated with perimenopause. Fitzgerald elaborated that “Hot flushes are classified as vasomotor symptoms. Other symptoms can include mental fog, increased anxiety, feelings of being overwhelmed, joint and muscle pain, dry eyes or hair, tinnitus, vaginal dryness, diminished libido, weight gain, and reduced energy levels.” Individuals may experience a combination or none of these symptoms.
Alongside the symptoms commonly discussed, individuals may also experience lesser-known issues such as burning mouth syndrome, nipple discharge, and hormonal acne. Fitzgerald pointed out that Hormone Replacement Therapy (HRT) can be an effective approach to manage hormonal fluctuations and alleviate symptoms like hot flashes. However, she emphasized the importance of consulting a physician to determine the most suitable options for each individual.
For those interested in further information, Fitzgerald offers various resources for education:
Women’s Health Concern Fact Sheet
Her Women’s Health Podcast (particularly this episode and this episode.)
Naomi Watts has also emerged as a prominent advocate for menopause education. In 2023, she participated in a segment titled “Own Your Health” on Today with Hoda & Jenna, where she openly discussed her experience discovering she was entering early menopause in her 30s.
Watts expressed her confusion and distress during this time, particularly as it coincided with her desire to start a family. She stated, “I didn’t know what was happening… The term perimenopause wasn’t even in common use. My doctor just gave me a blood test because I wasn’t getting pregnant, and the results indicated early menopause was on the horizon. There’s a significant need for clarity and information regarding these issues.”
To catch more of her insights, you can view the segment here. Additionally, Naomi has authored a book detailing her journey titled Dare I Say It: Everything I Wish I’d Known About Menopause.
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