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"Perimenopause – Understanding the Transition Before Menopause Perimenopause is the natural transitional phase leading up to menopause, usually occurring in women in their 40s, though it can start earlier or later. During this time, hormone levels fluctuate, leading to symptoms like irregular periods, hot flashes, mood swings, sleep disturbances, and changes in energy levels. In this video, we explain what perimenopause is, why it happens, and how it affects both physical and emotional health. This video also covers tips to manage perimenopausal symptoms, including lifestyle changes, diet, exercise, stress management, and when to seek medical guidance. You will learn how early awareness and self-care can make this transition smoother and healthier. This video is helpful for women, caregivers, and anyone seeking to understand this important stage of life. Like, share, and subscribe for more women’s health and awareness videos." _______________________________________________________________________________ Apollo Hospitals is the leading multi-specialty hospitals group in India. It is also present in several countries in the Asia-pacific region. Over 8000 doctors provide best in class treatment at the groups 70+ hospitals in 27 cities. It specializes in - Cardiology, Orthopaedics, Spine, Neurology & Neurosurgery, Gastroenterology, Gynaecology, Oncology, Transplants, ICU, Emergency, Preventive Medicine, Robotics, Bariatric Surgery, Nephrology & Urology and Colorectal Surgery. Follow Apollo Hospitals on Social Media for Regular Updates: Facebook - / theapollohospitals Twitter - / hospitalsapollo Instagram - / theapollohospitals Linkedin - / apollo-hospitals Namaste, I'm Dr. ShIiva Singh Shekawa. I'm a senior consultant, obstetrician and gynecologist at Apollo Women's Hospital, Chennai. Let's talk about perimenopause and the management strategy dealing with it today. So perimenopause is a transition period which happens before menopause and it can range from one to two years to five to seven years in individual women. Some people may feel a lot of mood swings result into the hormonal changes. There can be hot flushes which might be coming and going. There can be urinary infections in women. There can be uh associated uh hormonal disorders, newly diagnosed thyroid problems. And weight gain is another concern which many people come up at this time with. A lot or a whole section of the problems can be dealt with by good lifestyle modifications. So by lifestyle modifications, I mean definitely the first thing is diet. So uh eating a balanced, nutritious, healthy diet is important. And even more important is not eating certain stuff like processed food, uh or food which is too oily, uh too spicy. uh The food which has a lot of preservatives in it. So we include a lot of freshly cooked food, a lot of vegetables and fruits in our diet. So I'd advise to eat fruits, at least one whole fruit a day. which can be local seasonal. We can include a lot of seeds, nuts, which will provide essential fatty acids as well as phytoestrogens. Whole grains, legumes are also good sources of phytoestrogens and they help also reducing the sugar, reducing the salt content. Very important is the time of eating. So please eat your food or meal on time, especially the dinners. If you have early dinners, it's amazing. Late night dinners are the biggest culprit, believe me. The second thing which I like oh everybody to look into is the physical activity, the exercise part of it. One, on average to be very active physically daily in a routine part is one thing. And second, to include some form of exercise in your daily routine. So exercise again can include cardio, part of it, stretch and flexibility, which includes things like yoga and pilates and strength training. Lifting those little weights in the gym do help a lot, ah especially in perimenopause and menopause. Help in maintaining your muscle mass helps in maintaining your bone mineral density. And the third part is following a good routine, sleeping on time, giving yourself six to eight hours of good night's sleep and not just napping during daytime. Along with this, if we can include management strategies to reduce the risk of stress from our diet, from our life, then that will be great. Stress is like perpetually present everywhere nowadays, but stress can be managed with giving some me time to yourselves, managing your time better and probably little yoga, meditation. That really works. So whenever you are feeling any kind of disturbance in your mood, in your health, feeling low, feeling uh lethargic, and you're feeling that you're not up, not yourselves. That's the time when you probably look into your routine, your diet, your exercise. And if all these are not working, and you're asleep,