A couple of years before the actual menopause, perimenopause starts. A woman’s ovary begins to slowly make less estrogen during this time. Women in their 40s usually experience perimenopause. But, it could start as early as 30s.  

Perimenopause will keep on affecting your life until menopause. This is where your ovaries stop releasing eggs. The drop in estrogen production speeds up in the last several years of perimenopause. This is where you typically experience signs of menopause.  

Fortunately, there are a couple of hormone replacement therapy options that can help.  

Signs of Perimenopause 

You might experience a couple of mild and subtle body changes during perimenopause. This includes: 

  • Vaginal and Bladder Issues 

The tissues of the vagina may lose lubrication and elasticity when the levels of estrogen drop. This can make intercourse excruciating. In addition to that, having low estrogen can leave you more prone to urinary and vaginal infections. Also, you might experience urinary incontinence due to the loss of tissue tone. 

  • Hot Flashes and Sleep Issues 

During perimenopause, hot flashes are a common sign. The frequency, intensity, and length can differ. Also, you might have sleep issues due to hot flashes and night sweats. However, you can have issues sleeping even without these signs. 

  • Mood Changes 

During perimenopause, an increased depression risk, mood swings, and irritability can happen. Sleep disruption associated with hot flashes can be the cause of signs such as these. Also, mood changes may be due to factors not relevant to perimenopause-related hormonal changes.  

  • Irregular Periods 

The time length between your periods can become longer or shorter as ovulation begins getting more random. This means your flow may be light or heavy or you may skip periods. Possibilities are you could be in early perimenopause if there is a constant change in the length of your period for more than 7 days. However, it can mean that you are in late perimenopause if you experience a 2-month space between your periods.  

HRT Options 

There are a lot of hormone replacement therapy options that could help with the signs of perimenopause. This includes: 

  • Laser Vaginal Rejuvenation 

This is a form of non-surgical treatment for tightening the vagina. It restores and restructures effectively the destroyed tissue without any numbing, pain, or anesthetic cream. A certified medical professional will conduct the treatment to guarantee optimal and safe outcomes.  

A couple of women also have reported it lowers urinary incontinence.  

  • Platelet-Rich Plasma Shot or O-Shot 

The orgasm shot, commonly known as O-shot, is a revolutionary, all-natural, and non-surgical process where PRP (Platelet-rich Plasma) is utilized for rejuvenating and revitalizing vaginal and clitoral function. This treatment is the ideal option for women experiencing perimenopause who’ve got lowered estrogen and loss of sexual interest due to vaginal dryness.  

  • Other Hormone Replacement Therapy Options 

For a short period, many women take low-dose birth control pills. They report finding relief from hot flashes. Other options that can help control hot flashes are progesterone injections, skin patch, and birth control vaginal ring. Another option women have is birth control hormones.