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Navigating Perimenopause and Your Period: What to Expect and How to Manage

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Perimenopause is typically a bit confusing especially when it starts to impact your period. Whether you're already in the throes of perimenopause or just starting to notice some changes, understanding how this transition phase can affect your menstrual cycle is key to staying informed and empowered.

Irregularity: The New Normal

One of the hallmark signs of perimenopause is irregular periods. Say goodbye to your once-predictable cycle and hello to a rollercoaster of flow patterns, cycle lengths, and symptoms. Don't be surprised if your period shows up early, late, or not at all—it's all part of the perimenopausal package.

Heavier or Lighter Flow

Along with irregularity, you may notice changes in the heaviness of your flow. Some women experience heavier periods during perimenopause, while others find that their flow becomes lighter. Either way, it's essential to listen to your body and adjust your period products accordingly.

PMS on Steroids

Ah, PMS—the gift that keeps on giving. As if perimenopause wasn't enough to deal with, you may find that your premenstrual symptoms ramp up to a whole new level during this time. Mood swings, bloating, breast tenderness, and fatigue are just a few of the delightful side effects you may experience. Don't worry, though—I've got some tips to help you manage these pesky symptoms.

Shorter or Longer Cycles

Prepare to bid farewell to your 28-day cycle and embrace the unpredictability of perimenopause. Your cycles may shorten, lengthen, or vary in duration from month to month, making it challenging to track ovulation and plan accordingly. Luckily, there are plenty of period-tracking apps out there to help you stay on top of things.

Menstrual Migraines

If you're prone to migraines, you may find that your headaches become more frequent or severe during perimenopause. Fluctuating hormone levels, coupled with changes in your menstrual cycle, can trigger these debilitating headaches. Be sure to stay hydrated, get plenty of rest, and consider talking to your healthcare provider about potential treatment options.

While this transition phase can be challenging to navigate, remember that you're not alone. Reach out if you have any concerns or questions, and lean on your support system for love, understanding, and a healthy dose of humor. Together, we'll weather the storm and emerge stronger and more resilient on the other side. Period.



About Michelle

Michelle is a Doctor of Physical Therapy at Webb Physical Therapy, located in Lawrence, Kansas.  She's worked in PT for close to 10 years, and believes each patient should be treated with a holistic, whole person approach to healing.

She is devoted to helping her patients develop individualized treatment plans to help them achieve their specific goals.

Call (785) 813-1338 for a free 15 minute phone consultation, or email

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