Early Perimenopause at age 35—is this normal?

Perimenopause is the transitional phase before menopause, marked by hormonal fluctuations as the ovaries gradually reduce estrogen production. Perimenopause is divided into two stages: early perimenopause and late perimenopause:

Early Perimenopause (typically starting in your mid-30s to early 40s): This phase is characterized by very subtle hormonal changes. You might notice slight irregularities in your menstrual cycle, mild mood swings and anxiety. Hormonal changes can also affect the mood, causing anxiety, irritability, or depression. Anxiety can sometimes manifest with physical symptoms, like dizziness or feeling lightheaded.. Early perimenopause can last for several years as estrogen levels begin to decline gradually.

Late Perimenopause (usually in your late 40s to early 50s): This phase is marked by more pronounced symptoms, such as skipped periods, intense hot flashes, and significant changes in mood and sleep patterns. Late perimenopause often comes with a range of neurological symptoms, including:

– Brain Fog. Many women report difficulty concentrating, forgetfulness, and mental confusion. This can be due to fluctuating hormone levels, particularly estrogen, which affects cognitive function.

– Memory Problems. Short-term memory can be impacted, making it harder to recall names, details, or tasks. This is often referred to as “memory fog” and is commonly experienced during perimenopause.

-Headaches. Hormonal fluctuations can trigger more frequent or intense headaches and migraines. These are often worse during late perimenopause as estrogen levels drop.

– Sleep Disturbances. Hormonal fluctuations can interfere with sleep patterns, leading to insomnia, night sweats, and disturbed rest, all of which can contribute to fatigue and cognitive issues.

– Tingling, Numbness or skin crawling sensation. The skin is also full of estrogen receptors and undergoes changes once oestrogen levels start to decline.Some women experience a sensation of tingling or numbness, often described as “pins and needles.” Menopause can cause the feeling of insects crawling on your skin. This can be due to changes in nerve function or circulation, which are influenced by hormone levels.

– Dizziness or Vertigo. Dizziness or a feeling of lightheadedness is another symptom that may occur due to hormonal changes during late perimenopause. This may also be linked to changes in blood pressure or inner ear function.

– Allergies. Some women experience the onset of allergies, such as hay fever, eczema, or asthma, for the first time in their early 40s, often linked to perimenopause. Several factors contribute to this, including a decline in the skin’s barrier function. Additionally, oestrogen plays a role in modulating the immune system, helping to reduce inflammatory responses. Research indicates that one-third of women report worsening asthma symptoms around their period, when oestrogen levels are at their lowest.

These Early Perimenopause symptoms are often caused by the changes in estrogen, progesterone, and other hormones that affect the nervous system, mood regulation, and overall body functions. If these symptoms are severe or disruptive, it is essential to consult with a healthcare provider to rule out other underlying conditions and discuss potential treatment options.

Recognizing where you are in this transition can help you better address and manage your Early Perimenopause with the right lifestyle changes and medical support.

Can I Predict My Menopause Age?

From a scientific perspective, the beginning of perimenopause depends on several factors, including genetics, lifestyle, and underlying health conditions. Researchers have found that:

Genetics Play a Key Role: If your mother or close female relatives experienced early perimenopause, you may be more likely to follow a similar timeline.

Lifestyle Factors: Smoking, high levels of stress, or a history of eating disorders can contribute to earlier hormonal changes.

Health Conditions: Conditions such as autoimmune disorders, thyroid issues, or endometriosis may also influence early perimenopause.

Signs of Early Perimenopause at 35

The symptoms of perimenopause can vary widely but often include:

• Mood changes: Irritability, anxiety, and depression can increase during this time.
• Slightly Irregular periods: Cycles may become shorter, longer, lighter or heavier and overall more unpredictable.
• Changes in libido or vaginal dryness: Hormonal shifts can affect sexual health.
• Sleep disturbances: Many women experience difficulty falling or staying asleep.

If you’re experiencing these symptoms at 35, consulting a healthcare provider can help determine whether they’re linked to perimenopause or another health issue.

Is Early Perimenopause Cause for Concern?

While early perimenopause can be a natural variation, it may also signal underlying health concerns. For instance, premature ovarian insufficiency (POI), which occurs when the ovaries stop functioning before age 40, may mimic perimenopause symptoms. Early hormonal changes can also increase the risk of conditions like osteoporosis or cardiovascular disease if not managed effectively.

Seeking medical advice ensures you get an accurate diagnosis and appropriate care. Hormonal blood tests can measure levels of follicle-stimulating hormone (FSH) and estrogen to confirm perimenopause.

Real Stories: Women Navigating Perimenopause at 35

Sarah’s Journey: Finding Answers at 34

Sarah, a 34-year-old marketing professional, began noticing unusual changes in her cycle—spotting between periods, increased PMS, and sudden bouts of anxiety. “I thought it was just stress from work,” she shared. But when her symptoms persisted, Sarah decided to visit her doctor.

“After a series of tests, I learned I was entering early perimenopause. At first, it felt isolating—none of my friends could relate,” Sarah explained. She found comfort in learning more about her body and connecting with support groups. “Now, I’m proactive about my health. I’ve changed my diet, started exercising regularly, and work with a therapist to manage the emotional side of things.”

Laura’s Realization: The Role of Family History

For Laura, 35, irregular periods and insomnia prompted her to seek answers. Her mother had also experienced early menopause at 39. “It turns out genetics played a huge role in my timeline,” she said.

Laura’s doctor recommended hormone replacement therapy (HRT) to manage symptoms and protect her bone health. “I’ve also become a strong advocate for tracking your symptoms and asking questions. Early knowledge is power.”

After a series of tests, I learned I was entering early perimenopause. At first, it felt isolating—none of my friends could relate,”

Sarah

A Community Perspective

Many women who experience perimenopause in their 30s feel unprepared, as society often frames menopause as an issue for women in their 50s. Online forums and communities have become invaluable spaces for sharing experiences and advice. “Hearing other women’s stories made me feel less alone,” Sarah shared. “It’s not something we’re taught to expect so early, but it’s a reality for many of us.”

Managing Perimenopause Symptoms

Whether perimenopause begins at 35 or 45, symptom management is key to maintaining quality of life. Here are some tips:

While starting perimenopause at 35 might not be what you expected, it’s important to remember that every woman’s journey is unique. Early awareness and proactive care can help you navigate this phase with confidence and clarity. If you’re experiencing symptoms, don’t hesitate to reach out for support—you’re not alone in this journey.

Nutrition: A balanced diet rich in calcium, vitamin D, and phytoestrogens (like soy) can support bone health and hormone balance.

Exercise: Regular physical activity, including weight-bearing exercises, improves mood, energy, and bone strength.

Stress Management: Practices like mindfulness, yoga, or meditation can help regulate mood and reduce anxiety.

Medical Support: Talk to your doctor about options like hormonal therapy, non-hormonal treatments, or supplements to ease symptoms.

Community Connection: Sharing your journey with others can reduce the stigma and isolation often associated with early perimenopause.

Have you experienced perimenopause in your 30s or late perimenopause symptoms in your 40s? Share your story with us at howmenopause.com or join the conversation on our social channels. Together, we can break the silence and support each other!