10 Most Googled Questions About Perimenopause - Answered by a GP

Dr Donald Grant, GP and Senior Clinical Advisor here at The Independent Pharmacy, answers the 10 most-searched perimenopause questions to provide the clarity and reassurance you need.

"Perimenopause affects every woman differently, yet too many still feel confused or unprepared," says Dr Grant. "The number of people searching for these questions shows just how important it is that women have access to clear, trustworthy information. With the right understanding and support, this transition can be managed with confidence."

Let's dive into the questions women are asking most.

1. What are the 34 symptoms of perimenopause? (21,000 searches/month)

“Perimenopause can cause a wide range of symptoms as oestrogen and progesterone levels fluctuate. While not every woman experiences all 34, the most common include hot flushes, night sweats, irregular periods, brain fog, mood swings, anxiety, fatigue, and joint pain. You may also notice changes in skin, weight, or libido.”

What you can do: Keep a symptom diary to identify patterns. This can be invaluable when speaking to your GP about finding the most effective treatment plan for you. Support your body with targeted supplements, such as glucosamine for joint pain and topical creams for dry skin.

2. What is perimenopause? (5,700 searches/month)

“Perimenopause is the transitional phase leading up to menopause, when your hormone levels start to change. Oestrogen and progesterone fluctuate irregularly, which can cause both physical and emotional symptoms. This stage can last several years before your periods stop completely.”

Why it matters: Understanding that these changes are hormonal, not 'just stress', helps women seek the right care sooner.

3. When does perimenopause start? (2,300 searches/month)

“Most women enter perimenopause between the ages of 40 and 45, though some notice changes as early as their 30s. The first signs can be subtle: your menstrual cycle might become shorter or longer, you may experience changes in sleep, mood, or concentration, or new symptoms like night sweats and brain fog.”

Keep in mind: Genetics, lifestyle, and health all play a role. If you suspect early changes, speak to your GP. Recognising the signs early means you can explore support such as lifestyle changes or Hormone Replacement Therapy (HRT) before symptoms begin to impact daily life.

Explore our guide to the signs of perimenopause and learn how to recognise the early symptoms.

4. How long does perimenopause last? (1,500 searches/month)

“Perimenopause can last anywhere from four to eight years. It officially ends when you've gone 12 months without a period—that's when you reach menopause. Some women experience mild symptoms for a short time, while others have longer, more intense phases.”

Remember: Don't hesitate to speak to your GP if symptoms are affecting your quality of life. There's no need to just 'put up with it'.

5. How to stop perimenopause itching? (1,000 searches/month)

“Itching during perimenopause can be incredibly uncomfortable, and for many women, it's one of the first signs of hormonal change. Falling oestrogen levels can make the skin and vaginal tissues drier and more sensitive, leading to persistent irritation or soreness.”

Tips for relief:

• Switch to mild, fragrance-free soaps and moisturisers
• Avoid long, hot baths
• Wear loose, breathable cotton underwear
• Use vaginal oestrogen creams, moisturisers, or lubricants for intimate dryness

If itching continues or becomes severe, speak to your GP. Effective treatments are available, and you are entitled to relief and support..

6. Is spotting during perimenopause normal? (1,000 searches/month)

“It's very common to notice light spotting or changes in your bleeding pattern during perimenopause. As oestrogen and progesterone levels fluctuate, the uterine lining can thicken and shed irregularly, leading to occasional light bleeding between periods.”

When to see your GP: If bleeding becomes heavier, lasts longer than usual, happens after sex, or returns after several months without a period, it's important to get checked. Most cases are harmless, but it's always best to rule out other causes, such as fibroids, polyps, or endometrial changes, for peace of mind.

7. Can you get pregnant during perimenopause? (900 searches/month)

Yes, pregnancy is still possible during perimenopause. Ovulation becomes less frequent as hormone levels fluctuate, but it doesn't stop completely until menopause. That means even if your periods are irregular, there's still a chance of releasing an egg and falling pregnant.

Dr Grant advises: "I always recommend using contraception until you've gone a full 12 months without a period to avoid unplanned pregnancy. And for those who do wish to conceive, it's worth speaking with your GP early, as fertility support and hormone testing can help you make informed choices.”

8. What does a hot flush feel like during perimenopause? (700 searches/month)

“Many women aren't sure if what they're experiencing is a hot flush. It can come on suddenly as a wave of heat spreading through your chest, neck, and face, sometimes followed by redness, sweating, or a rapid heartbeat. Some describe it as an 'internal heat surge' that seems to rise from nowhere.

Flushes can last from a few seconds to several minutes and may leave you feeling drained or chilled afterwards. If you're waking up sweating at night, or find these sensations happening regularly, it's a strong sign of hormonal fluctuation.”

How to manage hot flushes:

• Dress in layers
• Keep rooms cool
• Avoid alcohol and caffeine
• Practice stress management

For persistent or severe flushes, HRT treatments can provide real relief.

9. How to manage anxiety during perimenopause? (600 searches/month)

“Anxiety is one of the most common and distressing symptoms of perimenopause. Fluctuating oestrogen affects the brain chemicals responsible for mood regulation, especially serotonin, which can leave women feeling tense, restless, or overwhelmed for no clear reason.”

Strategies that help:

• Gentle daily exercise
• Deep breathing and mindfulness
• Reduce caffeine and alcohol intake

If symptoms are persistent, speak to your GP or contact a member of our UK-based clinical team. Options such as talking therapies, antidepressants, or HRT can all help stabilise mood and improve overall wellbeing.

10. What treatments help with perimenopause symptoms? (500 searches/month)

“There's no one-size-fits-all approach, but there are effective ways to manage symptoms. Hormone Replacement Therapy (HRT) remains the most evidence-based option for relieving hot flushes, night sweats, and mood changes by restoring oestrogen balance.

Some women prefer non-hormonal treatments such as herbal supplements, cognitive behavioural therapy (CBT), or lifestyle adjustments focusing on sleep, nutrition, and stress management.”

The most important step: Start the conversation with your GP or pharmacist. Together, you can create a tailored plan that fits your body and lifestyle.

You Don't Have to Navigate This Alone

"Perimenopause doesn't have to be a time of confusion or discomfort," says Dr Grant. "The right combination of lifestyle adjustments, diet, and medical support can make a huge difference. No woman should suffer in silence or feel embarrassed about seeking help. These symptoms are real, manageable, and entirely normal."

Ready to take the next step? Explore our menopause and perimenopause treatment options to find the support that's right for you.