Early Warning Signs of Perimenopause You Shouldn't Ignore
- Dr. Anne Devereux, DACM, L.Ac.
- Nov 9, 2025
- 5 min read
Perimenopause can sneak up on you before you even realize what’s happening. One day your cycle seems almost regular, and then suddenly, things begin to shift. Your sleep isn’t as solid. You’re more irritable than usual. Your body just feels different. This transitional phase, which can begin several years before menopause, often brings subtle signs that may be easy to push aside or write off as daily stress or aging.
But those early signs matter. Paying attention to them can help you manage the changes more effectively and feel more in control of what your body is going through. It’s not about bracing for the worst. It’s about taking small steps early to feel better, prevent discomfort, and stay grounded. Understanding what perimenopause is and how it might show up in your life is a good place to start.
Understanding Perimenopause
Perimenopause marks the time when a woman’s body slowly begins its natural shift toward menopause. It usually starts during your 40s, though it can happen earlier or later depending on your body. During this time, your hormone levels, particularly estrogen and progesterone, start changing. These shifts can occur gradually or sometimes in more noticeable waves.
This stage can be confusing because the signs don’t always show up clearly at first. It’s not just about missing periods. Instead, it may begin with small changes like losing your usual energy, struggling to sleep, or reacting differently to stress. Because hormones touch so many parts of the body, the experience can vary a lot from person to person.
Think of perimenopause like a twisting road and not a straight line. Some women might notice headaches or mood shifts. Others may see their periods come at new times or feel different in flow. These are all normal experiences. The challenge is that many women don’t realize these changes are part of perimenopause. So they just push through, unaware that real support and treatment are available.
Taking note of what your body is doing, spotting patterns, and being honest with how you feel can make a difference in how this phase impacts your life. The earlier you connect the dots, the earlier you can take steps that help you feel more like yourself again.
Common Early Warning Signs
Since hormone levels are shifting, you might notice changes in several parts of your health. Some signs are physical, others emotional, and many affect your everyday routine. Here are some things to look out for:
1. Irregular periods: Your cycle might get shorter or longer, or the amount of bleeding can change.
2. Hot flashes and night sweats: Sudden warmth during the day or drenching sweat at night can appear unexpectedly.
3. Mood changes: Feeling more irritable, anxious, or low without a clear reason may point to hormone changes.
4. Sleep troubles: You might find it harder to fall asleep or stay asleep, even when you feel tired.
5. Physical changes: You could notice weight gain, drier skin, or differences in how your hair feels or behaves.
A common story we hear is someone waking up in the early morning and not being able to get back to sleep. They might blame stress or caffeine, but hormones likely play a bigger role than most realize.
At first, it's tempting to think these things are random or just part of getting older. But if they keep happening or get in the way of your daily life, it could be your body's way of saying it's entering perimenopause. Paying attention to these clues can be the first step to feeling more balanced.
Importance of Early Detection
Recognizing the early signs of perimenopause gives you more choices. When you know what’s happening, you’re in a better position to support your body instead of just reacting to the changes. Many women wait until their symptoms feel out of control before asking for help. But doing small things earlier can keep the discomfort from growing.
If you catch changes early, it can make symptoms like sleep problems or mood swings more manageable. Ignoring these shifts for months can create a cycle of exhaustion, emotional lows, or more stress in your body. What may start as scattered restless nights or grumpy mornings can build into something that affects how sharp you feel at work or how connected you feel with your loved ones.
Knowing what to watch for gives you the space to act before things get heavy. Whether that means trying new movement habits, calming your routines, or talking to a supportive provider, early steps help you feel steadier.
Treatment for Perimenopause: What Can Help
Since every woman’s experience is different, the best support is one that matches what you’re going through. Here are a few things many people find helpful when facing perimenopause changes:
1. Movement: Activities like walking or gentle yoga can improve mood and help you rest more deeply at night.
2. Diet: Eating a variety of fresh, whole foods can help keep your blood sugar stable and support hormone health.
3. Hydration: Making sure you're getting enough water can ease signs like headaches, fatigue, or temperature swings.
4. Stress care: Practices like meditation, deep breathing, or calming hobbies can settle your nervous system.
5. Sleep habits: Creating a bedtime routine that helps you slow down can teach your body how to sleep better again.
When you combine those basics with support like acupuncture and herbal medicine, it can lead to even better results. These treatments focus on restoring balance and helping the body respond more smoothly to hormonal shifts. They may ease symptoms like low energy, mood swings, and night sweats. The best part is that care can be shaped around exactly what you're feeling and how your signs are showing up.
Working with a provider who listens and understands the full picture—your emotions, your body, your routine—can make a big difference in how supported and confident you feel.
Finding Balance and Support During Perimenopause
You don’t have to go through this shift alone. Building a support system can make a big difference in how you feel. Some women find comfort in talking with close friends who’ve already experienced all this. Others may start journaling or using a notes app to jot down how they’re doing each week to start spotting patterns.
Part of your support might simply be making time to slow down. Maybe you take short morning walks or clear space in your evenings to unwind. Listening to what your body needs now, even if it’s different from what worked five years ago, is a great act of care.
Talking openly with a trusted healthcare provider is key too. Maybe it starts with one or two small symptoms, but reviewing those regularly can really help in figuring out the next step. You can also ask about shifts in appetite, tougher periods, or changes in mood. Having someone connect those dots with you can bring much-needed clarity.
And don’t underestimate the comfort of women’s groups, wellness spaces, or even short comments with someone you trust. Feeling seen and heard, especially during this phase, can lessen the stress and bring a better sense of steadiness.
Embracing Change with Confidence
Perimenopause can change the way you feel in your skin, your rhythm, and even your mood. But those changes don’t have to catch you off guard or steal your comfort. By learning what the signs are, listening to your body, and taking even small steps to be more in tune with these shifts, you support yourself in ways that last.
There’s value in staying curious and responsive. From small health tweaks to exploring treatment for perimenopause, this phase doesn’t have to be overwhelming. It can be a time of learning and strengthening, with care that respects the whole of you.
Mulberry Acupuncture & Wellness is here to support your experience with thoughtful, individualized care at every step.
Navigating the changes of perimenopause can feel daunting, but you don't have to figure it out alone. Mulberry Acupuncture & Wellness takes a thoughtful and supportive approach to this phase of life. If you’re interested in natural ways to manage symptoms and feel more balanced, take a closer look at how treatment for perimenopause can support your body’s needs during this transition.




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