We have seen before what the symptoms of perimenopause could be; and in addition to the biological factors that give rise to the symptoms there are other sociological factors that impact the incidence or severity of the symptoms.

In order to effectively manage Perimenopause symptoms, it is important to understand that several factors could be contributing:

  • It is likely that at the age when women undergo perimenopause, certain economic changes are also ongoing. Retirement could be something that weighs on the mind adding to anxiety and depression.
  • It is typically a time when life changing occurrences such as an aged parent passing away or taking care of an aged relative could be emotional and physically taxing.
  • The empty nest syndrome could be taking its toll; a woman could miss having her kids around and may find herself feeling less busy and useful and lonelier.
  • As grandchildren are born, one has to adjust to new nomenclatures and the fact of belonging to an older generation.
  • The knowledge that a woman’s fertile period of life has ended or is about to end may make her feel a sense of loss and disappointment.

In the event, a woman is required to fully understand the changes that are ongoing in her life and to fully educate herself about the biological and emotional upheavals of perimenopause and subsequent menopause.

Confusion and anxiety about the changes are normal; they need to be cleared by proper and clear information. How long the transition period is, how to cope with it, are things about which advice from a physician or an older friend or relative is important. To manage the symptoms, the following may be useful:

  • Melatonin, a naturally occurring compound found in animals, plants, and microbes is seen to be useful in managing symptoms such as depression. It is also seen to help in improving gonadotropin levels and thyroid function. It is also seen to restore menstruation and fertility.
  • Sometimes palliative medical therapies are found to be useful in easing the more severe symptoms of perimenopause.
  • Hormone Replacement Therapy is an option though it has come under fire in recent times for a number of reasons. The risks and benefits should be carefully considered, and weighed before deciding.
  • Antidepressants may be prescribed in the event that a woman is grappling with a lot of anxiety, depression and social withdrawal.