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Perimenopause, explained

The symptoms, explained.

The changes women actually search for, at 3am, written by a naturopath in it herself. What is happening, why, and the honest basics that help. Educational, never a diagnosis.

The 3am wake
The 3am wake

The 3am wake in perimenopause

You fall asleep fine, then wake at 3am, wide awake, heart going. It is one of the earliest and most reliable signs of the transition, and it has a mechanism.

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Sudden dryness
Sudden dryness

Skin that turned dry in perimenopause

Skin that behaved for years turns dry, tight and duller, seemingly overnight. Estrogen falls, and the skin barrier falls with it.

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Brain fog
Brain fog

Brain fog in perimenopause

The word goes missing mid-sentence. You walk into a room and forget why. It is one of the most frightening symptoms, because of what women fear it means, and it is a documented part of the transition.

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Running warm
Running warm

Hot flushes and running warm

It starts as warm nights, then becomes a flush that arrives without warning, day or night. The thermostat that held for decades has narrowed.

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Newly reactive
Newly reactive

Skin that started reacting to everything

The retinol you used for years now stings. A cleanser leaves you red. Skin that tolerated everything has started to react, and the barrier is the reason.

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New anxiety
New anxiety

Mood changes and new anxiety in perimenopause

A new edginess. Anxiety in a way that is unfamiliar, often worst in the days before a period. For many women it is the symptom that is hardest to attribute to the transition.

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The new itch
The new itch

Itchy skin in perimenopause and menopause

Skin that itches at night, arms, shins, back, often with nothing visible on it. Some women feel crawling, like a hair that is not there. It is one of the least discussed symptoms of the transition, and one of the most common.

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Rashes and redness
Rashes and redness

Skin rashes in menopause and perimenopause

Hives that arrive from nowhere. Red, blotchy patches after a shower. Old products, old jewellery, old washing powder, suddenly leaving marks. Rashes get more common in the transition, and there is a reason.

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The face in the mirror
The face in the mirror

How menopause changes your face

It seems to happen inside eighteen months: the face in the mirror softens at the jaw, hollows at the cheek, dulls in the light. You are not imagining the speed. The transition is when the scaffolding changes.

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New facial hair
New facial hair

Facial hair in menopause

A wiry hair at the chin where there was down. Another at the jaw. New facial hair is one of the most common and least discussed arrivals of the transition, and the mechanism is a ratio, not a malfunction.

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Adult breakouts
Adult breakouts

Breakouts and rosacea in perimenopause

Breakouts along the jaw in the same month your cheeks have never been drier. Skin that is somehow oily and parched at once. Adult breakouts in the transition are real, common, and they do not answer to teenage products.

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Not sure where you are

Nine questions, two minutes, an honest answer.

Educational only. Always speak to your healthcare provider about your symptoms.

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