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Here’s How Women Are Taking Perimenopause Head On & Thriving 

mbg editorial
Author:
June 27, 2025
mbg editorial
Written by
mbg editorial
The mindbodygreen editorial team worked together on the creation of this article, combining their deep expertise honed by years of reporting on health and well-being. It has been thoroughly researched, written, fact-checked, and reviewed by our editors.
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Image by Liliya Rodnikova / Stocksy
June 27, 2025

For too long, perimenopause has been whispered about in hushed tones, if it's discussed at all. Women have suffered in silence, attributing unexplained symptoms to stress, aging, or simply being told "it's all in your head." But now, women are stepping out of the shadows, demanding answers, support, and real solutions for this oh-so-natural yet complex transition.

The numbers tell a compelling story: According to the National Institute on Aging, the median age of natural menopause is 51 years in the United States, with millions of women currently navigating perimenopause—the transitional phase that can begin as early as the late 30s and last anywhere from four to 10 years1

Women are done accepting dismissive responses from healthcare providers. They're seeking education, advocating for themselves, and taking control of their health during a crucial biological turning point. It’s no longer about managing symptoms—it's about thriving.

The symptoms are real 

When most people think of menopause, hot flashes immediately come to mind. While vasomotor symptoms like hot flashes and night sweats affect about 75% of women during menopause, they're just the tip of the iceberg. Research from the Study of Women's Health Across the Nation (SWAN)—one of the largest longitudinal studies of menopause—has shown that perimenopause and menopause can impact virtually every system in your body.

Hormonal fluctuations begin years before periods become irregular and can manifest in surprising ways

Many women experience mood swings, increased anxiety, and depression as their first signs, not hot flashes. Joint pain, muscle aches, brain fog, and unexplained fatigue only add to the day-to-day struggle, with sleep disturbances, changes in libido, vaginal dryness, and urinary issues rounding out a constellation of symptoms that can significantly impact quality of life. What's particularly challenging is that these symptoms can be subtle, intermittent, and easily attributed to other causes, leading to years of confusion and inadequate care.

The healthcare system hasn't always served women well during this transition. According to a consensus opinion published by The North American Menopause Society2, many women seeking help for perimenopausal symptoms are misdiagnosed or offered treatments that don't address the root hormonal changes. Research published in the Society for Women's Health Research identifies significant unmet needs in clinical care and education for menopause management. Too often, women are prescribed antidepressants for mood changes or sleep aids for insomnia without anyone considering that declining estrogen and progesterone might be the underlying cause.

This diagnostic gap has left countless women feeling unheard and unsupported. But awareness is growing, and more healthcare providers are recognizing the need for specialized menopause care and education.

Women are flipping the script

If you are a woman, or know a woman (so, if you’re alive), you know women are not willing to take “you’re just getting older” for an answer.

We’ve seen countless bestselling books about menopause gracing shelves nationwide, menopause experts and OBGYNs popping up on our favorite podcasts, and casual conversations about hormonal changes happening everywhere from coffee shops to school pickup. 

Women are also leveraging technology and community to support each other. Online forums, social media groups, and digital health platforms dedicated to menopause have exploded in popularity, creating spaces where women can share experiences, ask questions, and find validation for their symptoms.

This collective awakening represents more than just seeking treatment—it's about reframing perimenopause and menopause as a chapter of life to work with, and not against.

Take a deeper dive

While awareness is growing, many women still lack access to comprehensive, science-based information about what to expect and how to optimize their health during this transition.

This is where specialized education becomes invaluable. Programs like mindbodygreen's peri/menopause+ online course offer women the opportunity to learn from leading experts in the field, providing an unprecedented depth of knowledge across every aspect of this life transition.

You get:

✔️Expert faculty lineup

Learn from leading clinicians who treat women every day and know exactly what you need at each stage. Experts include Jaime Seeman, M.D., Vonda Wright, M.D., Michelle Shapiro, R.D., Jila Senemar, M.D., and many others.

✔️Deep-dive video modules

15 hours of lessons covering every shift both physical, hormonal, mental and social so you’ll understand your body inside and out.

✔️Modern menopause roadmap

Clear guidance on HRT options, hormone testing, movement, and nutrition, covering everything to help you advocate for yourself, all in one place.

✔️Interactive quizzes & final exam

Pass module quizzes and score 80%+ on the final to earn your mindbodygreen peri/menopause+ certificate.

✔️Designed for women seeking clarity, confidence, and real answers

Feel empowered and make informed decisions throughout every stage from perimenopause through to post-menopause.

The program takes a 360-degree holistic view, covering everything from nutrition, mindset, and body composition to evidence-based guidance on hormone replacement therapy. You’ll walk away with a greater understanding of your body and how to get what you need from your healthcare providers.

The takeaway

Perimenopause and menopause are not medical problems to be solved—they're natural biological processes that deserve understanding, respect, and comprehensive support. The symptoms are real, varied, and can significantly impact quality of life, but they don't have to define this chapter of your life.

The most empowering thing you can do is educate yourself. Understand that this transition can begin earlier than you might expect, last longer than you might anticipate, and manifest in ways beyond the classic hot flash. Recognize that if you're experiencing unexplained symptoms—whether physical, cognitive, or emotional—hormonal changes could be at play, even if your periods are still regular.

Remember that you have options, and the key is finding what works best for your unique situation and needs. Most importantly, know that you're not alone. Millions of women are walking this path alongside you. The future of menopause care looks brighter than ever.

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