Perimenopause symptoms can be confusing and unpredictable. Learn why they vary so much and discover practical, specialist-approved strategies to feel more in control.
Why Perimenopause Symptoms Vary So Much — And What You Can Do About It
Perimenopause is different for every woman and if your symptoms feel unpredictable, you're not alone. Some experience sudden anxiety, others struggle with sleep, while many notice brain fog, low mood or heavy, erratic periods. The truth is: there is no “typical” perimenopause. And that’s why so many women feel lost.
At Bristol Menopause Clinic, we see this every day and we want you to feel informed and supported, not overwhelmed.
Why Symptoms Vary So Much
Perimenopause isn’t caused by low hormones it’s caused by fluctuating hormones. Oestrogen can rise one week and crash the next, leaving your brain, mood, and body struggling to keep up.
This can lead to:
Weeks of high anxiety followed by weeks of low energy
Periods that alternate between heavy, light or absent
Sleep that feels fine one month and terrible the next
Increasing sensitivity to stress and blood sugar dips
It’s not you. It’s your hormones and it is treatable.
Practical Ways to Feel Better
1. Track your symptoms weekly A weekly diary identifies patterns and helps your clinician tailor your treatment.
2. Stabilise your blood sugar Eat protein at each meal and prioritise complex carbs later in the day.
3. Move daily A 30-minute brisk walk can improve mood, energy and reduce hot flushes.
4. Don’t wait for symptoms to worsen Specialist support early on can prevent years of unnecessary suffering.
When to Seek Help
If symptoms are affecting your daily life, relationships, work, sleep, confidence it’s time for a specialist review. You deserve to understand what’s happening and regain control.
Ready to take back control of your perimenopause? Book your personalised consultation at Bristol Menopause Clinic today.