Navigating the perimenopause

Navigating the perimenopause effectively involves understanding the profound shifts in hormones like oestrogen, progesterone, and thyroid hormones, which influence mood, energy, sleep, and weight. As we enter the perimenopause, these hormones fluctuate, impacting various body systems and making weight management particularly challenging.

Oestrogen, for instance, plays a key role in how the body uses insulin, which regulates blood sugar. When oestrogen levels decrease, insulin sensitivity can also decline, leading to unstable blood sugar, heightened sugar cravings, and potential weight gain, especially around the abdomen. Keeping oestrogen levels stable can improve insulin’s effectiveness, reducing cravings and promoting more consistent energy levels.

Progesterone, often overlooked, is another hormone that declines during perimenopause. Known as the “calming hormone,” progesterone supports relaxation and better sleep, helping to balance stress hormones. Quality sleep is essential in weight management, as sleep disruptions can raise cortisol levels—a stress hormone linked to increased abdominal fat storage. By supporting progesterone levels, through lifestyle and/or hormonal support, we can improve sleep quality, reducing cortisol and making weight management easier.

Thyroid health is also crucial during this time. Thyroid dysfunction, particularly in women approaching menopause, is far more common than generally recognised. Thyroid hormones  directly affect metabolism and energy levels, and undiagnosed thyroid issues can make weight loss more difficult, regardless of diet and exercise. Therefore, a comprehensive approach to hormone health should include monitoring thyroid function and addressing any imbalances.

Achieving balanced hormones requires a holistic approach that considers lifestyle factors, nutrition, stress management, and, in some cases, targeted hormone replacement therapy (HRT). By working with an experienced healthcare practitioner , it’s possible to create a tailored plan that addresses each individual’s unique needs. With support and guidance, the perimenopause can be navigated effectively, supporting both weight management and overall well-being. This holistic approach can empower women to maintain stable energy, mood, and health through this life stage.

Through small, manageable steps and expert support, the perimenopause doesn’t have to be such a struggle—rather, it can be a time to reconnect with one’s health in a meaningful, balanced way.