Perimenopause Age: First Signs at 35-45?

Perimenopause Age: First Signs at 35-45? |

Menopause being the official termination of women’s reproductive function involves a few stages that doctors differentiate to deal with each transitional state. They all combine their inherent symptoms and effect, and women should clearly recognize them to provide themselves with a healthy and qualitative life. The climax occurs in many women when they no longer have periods. Perimenopause is identified as a condition of “around menopause”. Thus, it is a kind of transitional phase that alerts you cannot give birth to children soon. Accordingly, the perimenopause age has its own frames. 

When Does Perimenopause Start?

The start of perimenopause occurs always before you hit a climax. So, it is like a preparation for many women. According to the studies, ladies face this stage approximately 8 to 10 years before the official diagnosed climax. So, it happens when you about to turn your 30’s or 40’s. Perhaps, some women may reach the perimenopause earlier or later, it will depend on different factors such as poor ecology or hereditary matters. 

The official causes that may greatly accelerate climax:

1. Your family, mother or grandmother reached a climax early;
2. You are a heavy smoker;
3. There is hysterectomy history;
4. You underwent some cancer treatment and procedures.

Perimenopause age hormone

Hormone Levels in 30, 35, 40, and 45 Years Old Women

Absolutely each and every woman has different hormone level scores during perimenopause. Some of them have common, some, depending on the health conditions, have reverse. To differentiate the changes, and help medical statistics, it is a popular practice to use infographics that involve FHL, Estradiol, Progesterone, and LH levels. Once FSH and LH levels are radically increased until a woman reaches the actual menopause, both Estradiol and Progesterone are receding into the background in terms of their functionality. Such changes lead to the cease of the menstrual cycle, reproductive system termination of the primary role, manifestations related to the health condition.

Note, smoking can accelerate such processes, so if you intend to bear children in your early 35 or 45, it is recommended to at least cut down the number of cigarettes smoked per day. Besides, bad environment, poor ecology, and surgical interventions can be a cause of perimenopause. Today, those who have been already diagnosed with perimenopause or its onset can affect the condition either by health supplements or efficient hormone therapy. 

Below, you find the information on the most common symptoms and perimenopause hormone levels in the female body. Please, acknowledge everything carefully in order to be aware of them before you reach this stage.

Perimenopause Age Hormones lvl

Hormone Levels at 30

The age of 30 can be considered an extremely early perimenopause age. Commonly, it does not occur at this time but only in situations when hereditary or surgical intervention events have an impact. If there are no signs of perimenopause, the same women start experiencing the first major change in hormone levels. FSH is estimated to increase for 2.2-4.1 ul/L, Estradiol is of approximately 143-148 Pg/ml, Progesterone is 1.5-1.7 Ng/ml, and LH is 6-8 mU/ml. Such results seem normal and indicate that ovaries can still function properly. Mostly, this age is truly the best time for having babies, the menstrual cycle is ready. However, if you cannot get pregnant, it is necessary to be registered with an endocrinologist who may prescribe treatment because the cause may lay in thyroid abnormality. 

One to two weeks after the menstruation, the estrogen positively affects the mood and energy before the ovulation ( stimulated by FSH and LH). But, in the second cycle, progesterone may be reflected in nervousness and emotional instability. As for this perimenopause symptoms age, a woman can experience decreased libido in case she takes contraception. Such preparations contain synthetic estrogen and block the production of testosterone. 

Hormone Level at 35

This is the popular perimenopause age in some women who followed a bad lifestyle or with poor health conditions. They experience more manifestations and notice more symptoms that sometimes can deteriorate their well-being. The perimenopause symptoms age is slight vaginal dryness decreased libido, and changes in body temperature. The FSH is increased up to 4.0-7.2ul/L, Estradiol is decreased to 123-128 Pg/ml, Progesterone is already 1.1-1.3 Ng/ml, and LH is lifted up to 9.0-12 mU/ml. Accordingly, both Estrogen and Progesterone are less produced by ovaries that primarily affect the menstruation cycle, and in particular, ovulation. Besides, women can start experiencing additional perimenopause symptoms age which is the lowered metabolic processes together with the hard to lose fat and mood swings. But, still, it is a suitable age for bearing children. Doctors recommend women who cannot get pregnant to pass the medical examination with an endocrinologist, nutritionist, and gynecologist for planning a pregnancy in advance and check health conditions or any problems that may deprive them of giving birth.

Hormone Levels at 40

This is the most common perimenopause age in US women. During this stage, intermenstrual intervals are minimized drastically and such changes are caused by an accelerated follicular activity. FSH, in turn, rises because of reduced inhibin secretion. As for estradiol, it shortens and irregular anovulatory cycles associated with hyperestrogenic character may lead to the formation of uterine polyps or endometrial hyperplasia. As per infographics, the FSH is increased up to 7.0-10.1 ul/L, Estradiol is decreased to 100-110 Pg/ml, Progesterone is already 1.0-0.7 Ng/ml, and LH is lifted up to 14-17 mU/ml. A woman may experience problems with sleep, vaginal dryness, and irritability. Again, the weight gain may start bothering more and more. At this stage, women should be obligatorily registered with gynecologists in case they are planning a pregnancy. The ovarian function becomes weaker, but one can still bear a child with no problem. 

Hormone Levels at 45

Finally, women in 45 are mostly all with a diagnosed perimenopause stage. Their follicular phase length is of 10 days which tends to decrease and shorten the menstrual cycle. She starts a slow transition to menopause until the menstruation is ceased, and ovaries stop functioning and bearing their primary role of reproduction. Some studies report that women more often experience mood swings, and also depression which may be dangerous. Other risks are associated with vasomotor symptoms and sleeping problems. According to the hormone levels, the FSH is increased up to 10.0-13.3 ul/L, Estradiol is decreased to 61-70 Pg/ml, Progesterone is already 0.6-0.4 Ng/ml, and LH is lifted up to 20.8-11.3 mU/ml. Besides, it is common when women experience dryness of skin and memory fluctuations. In fact, this is the first decade when she should think about restoring balance in her body. It means taking products that contain soy such as soy milk, tofu. Reduce artificial additives that may cause breast cancer which is quite often in women of this age. And, take vitamins prescribed by a doctor or therapy aimed to restore estrogen.

Note, all women hormones change can be accelerated not only with smoking but also with inflammation, high-intensity exercising activity, and stress. Especially, such negative events result in decreased progesterone that further shows its power on the happy and clear mind of women. It is highly recommended to abstain from extreme exercising and spend more time on meditations or yoga. Otherwise, doctors will have to prescribe designated medications or proceed with hormone replacement therapy only. 

Clinical Picture of Perimenopause Age

This stage is defined by a radical drop in estrogen that in turn is the key hormone produced by the ovaries. Otherwise, it tends also to go up during the normal 28-day cycle. As a result, a woman has irregular periods that may be combined with a few symptoms that often bear negative character. However, symptoms of perimenopause still give you the chance to get pregnant because there is no sudden termination of menstruation. This phase may last for a month or even years. So, as long as your gynecologist observes that your ovaries produce eggs, there should be an immediate approach to family planning if there is an intention to bear a child. 

Usually, ladies who turn 30’s should register with one gynecologist (if they have never been). Consultations help to identify the first signs faster, and further on to moderate the symptoms of perimenopause.

What Are the Signs of Perimenopause?

When it comes to reading about this natural process online, women scroll faster to the menopause symptoms. For instance, one of the most common negative consequences they experience is notorious hot flashes. Perhaps, they are not a true indicator, and they may be absent in perimenopause at 48 or in women who are older. if you do not have them, check the other conditions after which you should immediately report to your doctor.

  • Irregular periods. You can wait for them on the first of April but they come the fifth, or the whole month you do not have them. Take notes of all the fluctuations, even if there is a difference in one day only;
  • Abnormal periods. These perimenopausal symptoms are related to their quality and density. Poor bleeding or their excessive amount should alert you;
  • Weight gain. Unfortunately, together with a gain, women find harder to lose weight even if they visit the gym or go for other exercises. Especially, it affects the belly;
  • Hair changes. It becomes dull and thinning;
  • Reduced sexual desire. Decreased libido deteriorates sexual life and you both do not want your partner and do not do much from your side to satisfy him;
  • Headaches. They can occur regardless of the day time. You can wake up with it or come back from work and suffer from the pain;
  • Muscle pain or weakness. In women who reached the perimenopause at 35, the vaginal muscles are becoming weaker, so it is recommended to try Kegel exercises.

At last, some ladies may also experience concentration problems and forgetfulness.

Perimenopause Symptoms Age 43

Perimenopause at 43 is already characterized by more visible hot flashes. Also, there are night sweats that make sleeping impossible. In particular, this age is defined as the approximate one for facing depression, stress, anxiety, irritability. As far as this natural process is inevitable, it is only recommended to avoid noisy groups of people to avoid being too aggressive. Especially, it concerns the beloved ones who may be in the wrong place and at the wrong time. 

Perimenopause Symptoms Age 45

It will not differ much from the previous stage but a woman can experience additionally vaginal dryness that causes irritation and pain while walking. Insomnia, and frequent urination. For insomnia, you can spend much time outside or assign many tasks for a day to be then exhausted. And, for frequent urination, especially, if it is involuntary, Kegel exercises may again help you to yield the fruits. You will build or strengthen the muscles, so no embarrassing leakage will occur during perimenopause.

What About Treatment?

Various perimenopause age range requires different approaches to treat it. Your gynecologist may prescribe for your medications to moderate or relieve the symptoms of menopause. But, remember there is no full treatment because it is a natural stage in many women. Also, doctors assign their patients to undergo estrogen hormonal therapies. So, they work by stabilizing the estrogen level. As a result, a woman does not experience sudden hot flashes or drops that make her feel uncomfortable. In some cases, such therapy can affect osteoporosis. If a doctor offers you a choice for your perimenopausal symptoms, you can choose pills, creams, gels, and skin patches estrogen therapy. Moreover, for women convenience, most of the pharmaceutical products are dispensed without any prescription and sometimes even at bargain prices. 

Other options for slowing perimenopause will concern enhancing beauty or comfort. For instance, vaginal creams to get rid of dryness. Hair solutions to prevent its excessive loss. Antidepressants affect mood changes or depression and stress. 

5 Important Tips for you!

Perimenopause tips

At last, there are time-proven methods aimed to be a support for your wellbeing that are exercises and a healthy lifestyle. If possible, choose swimming, or ride a bicycle. Change your daily routine, minimize boring tasks that can provoke irritability. Reduce smoking at least, if you cannot quit it. And, drink less alcohol, however, a glass of red wine will not harm. Limit caffeine, and forget about it before you go to sleep. Finally, make sure you sleep enough, 8 hours are more than enough to revitalize your body and spirit. So, any perimenopause age can be welcomed with dignity and full readiness.


❓ What is the average age for perimenopause?

According to the NAMS, perimenopause can last for 3 to 8 years. Which makes the average age for perimenopause around your mid to late 35 – 40s.

🙋 How can you relieve perimenopause symptoms at age 48?

You need normalize estrogen level with hormone replacement therapy or no-hormonal herbal treatment. Estrogen therapy helps you relieve perimenopause symptoms age 48.

💃 Perimenopause age 35 years it is possible?

Yes, perimenopause age range 30-45 years. You can feel first perimenopause symptoms at 35.

🤷 What can I do if I have perimenopause symptoms age 40?

Change your lifestyle. You will need to quit smoking and alcohol. Start yoga and fitness at age 40. Going for a walk, your body receives more oxygen.

Leave us your review about this article!

Submit your review

Create your own review

Perimenopause Age: First Signs at 35-45?
Average rating:  
 1 reviews
by Monica on

Hello! Thanks for your advice. In my own experience, I can say that exercise helps with the relief of symptoms of perimenopause. Just 10 minutes a day will already have an effect on your body. These are great tips!


Emma J. Johnson

Menopause consultant and sex therapist, media personality, author, woman health expert.

You may be interested