Perimenopause

If you're in the thick of perimenopause, already postmenopausal, or just starting to notice changes you can't quite explain, you’re not imagining it. But here’s the truth: menopause can affect your sexual wellbeing, yes, but it doesn’t mean desire disappears, or that good sex becomes a thing of the past.

If you're in your 40s (or sometimes even late 30s) and finding it harder to concentrate, remember things, or express your thoughts clearly, you’re not imagining it. These mental shifts are common during perimenopause, and they’re often described as “brain fog”. It’s frustrating. It can feel isolating. But it’s also a recognised part of the hormonal changes your body is going through, and there are ways to manage it.

Perimenopause — the transition phase leading up to menopause — can feel unpredictable, confusing, and often overwhelming. This article outlines the most common symptoms, what to expect, and when it’s a good idea to speak to a healthcare professional.

Here’s what’s happening during perimenopause, why it matters, and what you can do to feel more in control during this transition.