Navigating perimenopause can be a challenging experience for women with polycystic ovary syndrome (PCOS). While many might believe that the symptoms of PCOS will disappear with the onset of perimenopause, the reality can be quite different. According to PCOS dietician Jodie Relf, perimenopause can actually exacerbate existing PCOS symptoms, making it a confusing and overwhelming time for those managing both conditions simultaneously.
Founder of MyOva, Leila Martyn, shares her personal experience of struggling to differentiate between perimenopause and PCOS symptoms. The overlapping nature of irregular periods, mood swings, and weight changes in both conditions can make it difficult to pinpoint where one begins and the other ends. As hormonal fluctuations blur the lines between PCOS and perimenopause, women like Leila may find themselves caught in a cycle of uncertainty and confusion.
Recognizing the Signs of Perimenopause with PCOS
Identifying the onset of perimenopause can be particularly tricky for women with PCOS, as the symptoms may closely mirror those they have been managing for years. It was only when Leila noticed distinct shifts in her fatigue levels, menstrual irregularity, mood swings, and sleep patterns that she realized she was entering perimenopause. These changes, while subtle, marked a new phase in her reproductive health journey and highlighted the importance of understanding the nuances of each condition.
PCOS and hormone expert Hannah Alderson emphasizes the need to distinguish between PCOS and menopause, emphasizing that while there may be symptom overlap, they are fundamentally different. PCOS is defined by specific diagnostic criteria that do not align with the metabolic shift of menopause driven by hormonal changes.
Jodie offers valuable advice for women with PCOS navigating perimenopause, focusing on strategies to support overall health and well-being during this transitional period. She highlights the importance of incorporating adequate protein, fiber, carbohydrates, and essential fats in the diet to improve insulin sensitivity, manage blood glucose levels, and reduce inflammation. Additionally, engaging in weight-bearing exercises and prioritizing muscle mass preservation can help mitigate the physical effects of menopause on the body.
Maintaining mental health is also crucial during perimenopause, especially for women with PCOS who may already be dealing with anxiety and depression. Regular exercise, omega-3 supplements, and inositol can all contribute to improved insulin sensitivity, reduced cravings, and better weight management. Seeking support from others who are also managing PCOS during menopause can provide much-needed emotional and psychological support during this challenging time.
One of the key challenges for women with PCOS during perimenopause is the delayed onset of menopause, which can mask early signs and make it harder to recognize the transition. Additionally, the increased health risks associated with PCOS, such as type 2 diabetes, hypertension, and cardiovascular disease, can compound the challenges of managing perimenopause.
Mental health concerns, including anxiety and depression, may intensify during menopause, further adding to the emotional burden faced by women with PCOS. By implementing a holistic approach to health that incorporates nutrition, exercise, and emotional support, women can navigate perimenopause with greater resilience and confidence.
Managing PCOS during perimenopause requires a comprehensive understanding of the complexities of both conditions and the willingness to adapt to changing needs. By prioritizing self-care, seeking support, and staying informed, women can empower themselves to navigate this unique health journey with strength and resilience.