Nobody Told Me About Perimenopause
- Maya Ellis

- 2 days ago
- 4 min read

For most of my life, I thought there was only one thing women needed to know about.
Menopause.
That was the word I heard growing up.
Menopause was something older women went through.
You stopped having periods, got a few hot flashes, and somehow made it through.
At least that's what I thought.
Nobody talked about perimenopause.
Nobody explained that years before menopause ever arrives, our bodies can begin changing in ways that can leave us wondering what is happening to us.
A few years ago, I started hearing more women talk about perimenopause online.
At first, I wasn't even sure what it was.
Then I started reading, listening, and paying attention.
The more I learned, the more things started making sense.
Maybe you've found yourself feeling the same way.
More tired than usual.
More emotional than usual.
Struggling to sleep.
Feeling anxious when nothing in your life has really changed.
Forgetting things.

Waking up at 3 a.m. staring at the ceiling.
Looking in the mirror and wondering why your body suddenly feels unfamiliar.
And maybe you've wondered if it's stress.
Maybe you've blamed yourself.
I know I have.
The truth is that perimenopause can begin years before menopause.
For some women, it starts in their late thirties.
For many, it begins during their forties.
It happens when hormone levels start fluctuating as the body gradually moves toward menopause.
Menopause itself is actually one specific point in time.
A woman reaches menopause when she has gone twelve consecutive months without a menstrual period.
Everything leading up to that point is called perimenopause.
Everything after that is post menopause.
It sounds simple when you explain it that way.
Living through it can feel anything but simple.
One of the things that surprised me most was how many symptoms can be connected to perimenopause.
Most of us know about hot flashes.

What many women don't realize is that symptoms can also include sleep problems, mood changes, anxiety, brain fog, memory issues, night sweats, headaches, weight gain around the midsection, lower energy levels, changes in libido, joint aches, and irregular periods.
Some women experience only a few symptoms.
Others feel like their entire body has changed overnight.
I think that's part of what makes it so confusing.
You can spend months trying to fix a problem without realizing what's causing it.
For me, one of the biggest lessons has been learning that my body isn't working against me.
It's changing.
There's a difference.
That realization softened something in me.
For a long time, I approached every struggle like it was a problem I needed to solve.
Push harder.
Try harder.
Do more.
Be more disciplined.
But there comes a point when pushing harder isn't the answer.
Sometimes listening is.
One thing that has genuinely helped me is walking.
Nothing fancy.
Nothing complicated.
Just walking.

I've tried exercise programs over the years.
I've bought workout equipment.
I've made plans and schedules.
I've started strong and quit more times than I care to admit.
Life would get busy.
I'd get tired.
I'd make excuses.
Then weeks or months would pass.
But walking feels different.
15 to 30 minutes a day feels manageable.
It doesn't require a gym membership.
It doesn't require me to be in perfect shape.
I can do it almost anywhere.
What surprised me is how much it helps both my body and my mind during this season.
Research shows that regular walking can help support heart health, improve mood, reduce stress, improve sleep quality, help maintain bone strength, and support healthy weight management.
For women going through perimenopause and menopause, those benefits matter.
A lot.
That doesn't mean walking fixes everything.
It doesn't.
But it has become one of the simplest ways I take care of myself without turning it into another impossible standard I have to meet.
There are other natural approaches that many women find helpful too.

Getting enough protein throughout the day can help support muscle health as hormone levels change.
Strength training can help protect bone density and muscle mass.
Limiting alcohol and excessive caffeine may help reduce hot flashes for some women.
Creating a consistent sleep routine can improve rest.
Managing stress through prayer, meditation, journaling, deep breathing, or spending time outside can also make a difference.
None of these are magic solutions.
But together, small choices can help support us through a season that often feels overwhelming.
And sometimes natural approaches aren't enough.
I think that's important to say.
There can be a lot of pressure on women to handle everything ourselves.
To push through.
To tough it out.
To figure it out alone.
But there are times when reaching out for help is exactly what we need.
If symptoms are interfering with your daily life, affecting your ability to work, sleep, function, or enjoy your life, it's worth having a conversation with your doctor.
If you're experiencing heavy bleeding, severe depression, significant anxiety, chest pain, unusual symptoms, or anything that concerns you, don't ignore it.
You don't have to earn support by suffering long enough.
You don't have to wait until you're completely overwhelmed.
You are allowed to ask questions.
You are allowed to seek answers.
You are allowed to get help.
What I've come to understand is that perimenopause and menopause aren't simply medical events.

They can touch every part of a woman's life.
Relationships.
Work.
Confidence.
Energy.
Identity.
For some women, it feels like a quiet transition.
For others, it feels like the ground shifted beneath their feet.
Neither experience is wrong.
Both are real.
If you're in this season right now and wondering why you suddenly feel different, please know you're not imagining it.
Your body is speaking.
And maybe the question isn't, "What's wrong with me?"
Maybe the question is, "What is my body trying to tell me?"
I think many of us spend years learning how to care for everyone else.
Perimenopause and menopause have a way of forcing us to pay attention to ourselves.
Menopause has forced me to accept that I can't keep treating my body the same way I did twenty years ago.
Some things that worked for me before don't work the same way now.
That doesn't mean I'm failing.
It means my body is changing and I need to change with it.
But it reminds me that taking care of myself doesn't have to be complicated to matter.
And maybe that's one of the hardest lessons for women to learn.
Our bodies were never meant to be ignored forever.
Eventually, they ask us to listen.
And maybe, for once, we should.
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