Perimenopause is often seen as a late-life transition, but it can begin in the 30s. This phase, which leads up to menopause, brings a spectrum of unexpected experiences. For Thai women, understanding these changes helps interpret health signals accurately and seek appropriate care.
Many Thai readers associate menopause with a sudden stop in periods in the 50s. Yet new insights show perimenopause can start before 40 and last several years. An obstetrician-gynecologist specializing in reproductive endocrinology notes that irregular cycles, hot flashes, and mood swings are common but frequently overlooked signs.
Healthcare professionals describe “menopause flooding”—unpredictable, heavy bleeding tied to irregular ovulation during perimenopause. While unsettling, recognizing these signs as part of aging aids timely medical assessment. This awareness is especially important in Thailand, where cultural beliefs about menopause may delay care.
Beyond the well-known symptoms, there are lesser-recognized effects. Joint discomfort can resemble a “frozen shoulder” as estrogen levels fall and lubrication in joints changes. Some women report tinnitus, itchy ears, or burning sensations in the mouth. These experiences can be misattributed to other conditions, underscoring the need for professional evaluation.
A common Thai sentiment links unexplained aches to aging, echoing the saying that pain signals growing old. Reframing this view to include hormonal changes encourages women to seek medical advice rather than endure discomfort in silence.
Perimenopause also brings psychological shifts. Mood changes and sleep disturbances can disrupt daily life. Reduced estrogen influences both physical well-being and mental health, an area that has historically faced stigma in Thai society.
Cultural norms often discourage seeking medical help. Phrases such as “don’t see a doctor unless you’re very old” can deter timely care. Recognizing that perimenopause can start early may motivate women to pursue proactive health checks.
Looking forward, Thailand’s healthcare system can bolster education about perimenopause. Providing clear resources helps normalize these conversations and empower women to seek care. Integrating discussions about perimenopause into routine health visits supports a proactive approach to women’s health.
Practical guidance for Thai women includes staying on track with regular health assessments and adopting lifestyle adjustments such as balanced nutrition and regular exercise, which may ease symptoms. Raising awareness through social and traditional media is key to reducing stigma and encouraging open dialogue.
In short, perimenopause is a meaningful phase marked by diverse symptoms. Open conversations and accessible healthcare resources are essential to support Thai women through this transition, improving quality of life and long-term health outcomes.