Perimenopause often lasts several years. Periods may become irregular or change in flow, while hot flushes, night sweats, lighter sleep, palpitations, fatigue, anxiety and mood changes may occur. Symptoms vary widely and can overlap with thyroid disease, anaemia, anxiety and other conditions.
TCM assessment considers the timing of heat and sweating, dryness, sleep, mood, digestion and the person’s overall pattern. The aim is to reduce symptom burden and support daily function. Regular sleep hours, less alcohol and late caffeine, appropriate exercise and a record of triggers may also help.
People whose symptoms substantially affect daily life can discuss hormonal and non-hormonal options with a doctor. Bleeding after menopause, chest pain, persistent palpitations, marked low mood or prolonged insomnia requires medical review.
Perimenopause may also cause vaginal dryness, painful sex, urgency or recurrent urinary symptoms. Hormonal and non-hormonal options vary by symptom, while bone health, cardiovascular risk and daily function also matter.
