Perimenopause Is Not A Medical Condition Or A Pathology

what happens in perimenopause

Something I get asked a LOT is “am I in perimenopause”

If you’re a woman older than 35, then yes, you are.

“But doesn’t perimenopause mean I’d be having some of these awful symptoms everyone is talking about these days?”


‘Perimenopause’ is NOT a medical ‘condition’, it’s NOT a set of symptoms, it is NOT a pathology – it’s a natural phase in a woman’s life, just like puberty and menopause are. 

Physiologically, a woman’s body starts to move into the perimenopause phase from around age 35, whether she has symptoms or not.

Let’s say for example she’s 39, then she’s in perimenopause, symptoms or not. 

If a woman is in post-menopause (e.g.,she’s in her 50s and she’s gone a full 12 months without a period), we don’t say that she isn’t post menopause just because she has no menopause symptoms, we say she IS in menopause based on the fact that she has stopped having periods for a year or more AND she’s in the age range for menopause to occur (natural menopause, not surgically induced). Symptoms or not, she is menopausal, and it’s the same with perimenopause. It’s a phase you are in post 35!

Being in perimenopause is not a bad or unwanted thing.

IT’S A NATURAL PHASE! What the media, supplement companies and some so-called ‘experts’ will have you believe though is that perimenopause IS a set symptoms, a pathology, or a condition. Nope. 

Symptoms CAN (and usually do, especially in our modern, high stress world) manifest at 35, 36, 37, OR not until 45, 46, 47. Or NOT AT ALL (you could be lucky).

It will be DIFFERENT for EVERY woman

Symptoms are more likely to manifest if, for example:

  • Stress is high or chronic
  • Your life is always go, go, go
  • Food/diet isn’t supportive of good blood sugar balance
  • You have insulin resistance
  • You’re sleep deprived
  • You drink a lot of alcohol
  • Exercise is always intense, long duration, only cardio-based
  • You have a history of hormonal imbalances / conditions related to hormonal imbalance
  • You have existing autoimmunity going on / autoimmune condition
  • Your digestion isn’t optimal / gut health is compromised 

Symptoms are related to cycles, periods, PMS, mood, cognition, sleep, weight + body composition, skin, immunity, joints, body temperature regulation, and more.

Do you have symptoms?

With love,

Francesca xx

PS. If you think you might like 1-2-1 support from me you can see my 1-2-1 offerings here.

Or, if you’d like to work through a self study course on how to thrive through perimenopause OR do this with live support from me by way of a weekly Zoom group support call for 12 weeks, you can join my Thrive Through Perimenopause programme here.

Hi, I'm Francesca

I’m a Registered Nutritional Therapist who helps womens in their 40s find vibrant health and vitality, and thrive through perimenopause and beyond.

With nearly 10 years of experience working with hundreds of people, I empower and support women to support their bodies and hormones for a smooth and happy ride in their 4os.

Through our work together, clients have improved their energy, their periods and cycles, their mood, sleep, brain fog and digestion, and learned how to better manage their weight.

I am here to help you get back to YOU so you can have a fantastic time in your 40s.

My signature nutrition and lifestyle coaching approach to supporting women with their health and wellbeing is refreshing, down-to-earth and realistic.

Download the Free Guide

A FREE, no-nonsense PDF guide to Mastering Perimenopause and learn how to master your hormones in your 40s for more energy, better sleep, balanced mood, easier periods and so much more.


Learn more about my signature course – Thrive Through Perimenopause – to start taking care of your hormone health once and for all, for a MUCH smoother ride in your 40s and beyond!

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