5 Things To Do in Perimenopause
Amy Shah MDPublished on May 5, 2025
Summary authored by editor@wellifi.com
TLDR Summary
Dr. Amy Shah outlines five essential steps to improve the perimenopausal experience, focusing on activating heat shock proteins, enhancing gut health, incorporating walking, improving circadian rhythms, and prioritizing nutrition and supplements. These strategies can help women navigate this challenging phase of life with more ease and confidence.
Key Points
- Perimenopause can start as early as late 30s and last into the 50s, often with various symptoms.
- Activating heat shock proteins through sauna use can reduce cardiovascular risks and boost growth hormone.
- Focusing on gut health is crucial; a diet rich in fiber and probiotics can enhance gut bacteria.
- Regular walking can help maintain metabolism and mental health during perimenopause.
- Improving circadian rhythms through light exposure and regular sleep can enhance mood and energy levels.
Five Steps to a Better Perimenopause
Welcome to Save Yourself with Dr. Amy Shah! I'm Dr. Amy Shah, a double board-certified MD and nutritionist, here to guide you through the often-misunderstood phase of perimenopause. In this blog post, we'll explore what perimenopause is, its symptoms, and five actionable steps you can take to improve your experience during this time.
Understanding Perimenopause
Perimenopause refers to the years leading up to menopause, typically starting in your late 30s and extending into your 50s. This phase can last for a considerable period, ranging from 10 to 20 years, and symptoms can vary widely. Many women experience fatigue, irregular periods, mood changes, and weight gain during this time. Unfortunately, there is limited discussion about nutrition and lifestyle adjustments that can alleviate these symptoms.
Five Steps to Improve Your Perimenopausal Experience
Step 1: Activate Heat Shock Proteins
Heat shock proteins are beneficial proteins released when your body temperature rises. Engaging in activities like sauna therapy can help promote these proteins, which in turn are linked to anti-inflammatory effects and increased growth hormone levels. Research indicates that regular sauna use can reduce cardiovascular disease risk significantly. Aim for 30 minutes in a sauna four to seven times a week, or consider alternatives like hot yoga or hot baths.
Step 2: Enhance Gut Bacteria
Your gut microbiome plays a crucial role in overall health, especially during perimenopause. As estrogen levels drop, gut bacteria can diminish, affecting mood, energy levels, and cravings. To improve gut health, focus on a diet rich in fiber from fruits, vegetables, and whole foods, and incorporate fermented foods like kimchi and yogurt. Aim for 30 grams of fiber daily and include probiotic-rich foods to support your gut bacteria.
Step 3: Incorporate Walking
Walking is a low-stress form of exercise that can help optimize metabolism and improve mental health. During perimenopause, many women become less active, which can contribute to weight gain. Aim for 10,000 steps a day or consider alternative low-stress activities like swimming or dancing. Additionally, try to walk outdoors for added benefits, including exposure to sunlight.
Step 4: Improve Circadian Rhythms
Maintaining healthy circadian rhythms is essential for mood and energy levels. Aim to get 20-30 minutes of natural light exposure daily and establish a regular sleep schedule. Practicing good sleep hygiene by minimizing blue light exposure in the evening can help improve sleep quality, which is crucial during perimenopause.
Step 5: Focus on Nutrition and Supplements
Nutrition is a powerful tool for managing perimenopause symptoms. Aim for at least 25-35 grams of fiber daily and an adequate protein intake of 0.8-1 gram per pound of ideal body weight. Include omega-3 fatty acids, magnesium, and vitamin D in your diet, and consider fermented foods for gut health. Spices like turmeric, ginger, and cinnamon can also provide additional health benefits.
Conclusion
Perimenopause can be a challenging time, but it can also be an opportunity for growth and self-care. By following these five steps, you can improve your experience and embrace this phase of life with confidence. Remember, you are not alone in this journey, and there is a community of women navigating the same path. Stay tuned for more tips and insights to help you save yourself during this transformative time.
