It is a time in every woman's life when her menstrual period is permanently ceased and she can no longer get pregnant. When a woman have 12 consecutive months without menstrual periods this means that she has hit menopause.

Before menopause there comes a transition period known as perimenopause that generally begins at the age of approximate 40 years and sometimes in 30's also which may last up until menopause.This period begins several years before menopause.

It is a time when less hormones are produced by ovaries that regulates monthly periods therefore a woman undergo so many physical and emotional changes. Symptoms that are associated with perimenopause may differ from woman to woman. A woman may feel the following symptoms:

• Irregular periods
• Vaginal bleeding
• Hot flashes
• Night sweat
• Weight gain
• Mood swings
• Depression and anxiety
• Vaginal pain
• Pain with sexual intercourse
• Breast tenderness
• Nausea
• Decreased fertility
• Loss of bone density leading to osteoporosis
• Alteration of blood cholesterol
• Less sex drive
• Bladder problems
• Fatigue

This transition period passes away very easily in some women where as to ease the symptoms some women need a gynecologist.

Healthy lifestyle can help to feel better. Yoga, meditation, weight management, healthy diet that also works on LDL and HDL (reduce LDL and gain HDL), multivitamin, calcium rich diet, food with low glycemic index will surely help in your fitness.

Minimise or quit triggers of hot flushes like alcohol, smoking, sugary snacks and caffeine.

Engage in physical activity and enhance social support that will make you happy and you will easily cope up with the condition.