Actor Namitha Vankawala, 44, on perimenopause struggles: ‘I suffered a lot’

Tamil actor Namitha Vankawala, 44, recently discussed her struggles with perimenopause in an interview. She explained that perimenopause is the body's natural preparation for menopause, occurring between the ages of 38-48. During this time, hormone levels fluctuate dramatically, leading to various symptoms such as hot flashes, sleep disturbances, mood changes, and irritability. Namitha shared that she experienced significant challenges during this phase of her life.

Dr Nikita Kulkarni, an obstetrician and gynaecologist, clarified that perimenopause is a gradual transition characterized by irregular menstrual cycles and potential physical or emotional symptoms. While ovulation can still occur, pregnancy remains a possibility, and contraception should still be used.

Symptoms of perimenopause can vary greatly among women, but common signs include changes in menstrual patterns, hot flushes, night sweats, disturbed sleep, mood swings, anxiety, difficulty concentrating, and vaginal dryness. Joint discomfort, headaches, reduced sexual desire, weight changes, and energy level fluctuations may also occur. However, these symptoms can have other causes, so women should not assume they are solely due to perimenopause.

The hormonal fluctuations during perimenopause can impact temperature regulation, sleep quality, and emotional well-being. Hot flushes and night sweats, for instance, can disrupt sleep, leading to daytime fatigue, irritability, and concentration issues. Emotional or physical difficulties during this transition should not be considered a normal part of aging, as individual experiences may differ significantly.

Management of perimenopausal symptoms is possible through various approaches. Regular exercise, a balanced diet, sufficient sleep, and stress management can support overall health. While lifestyle changes may not entirely alleviate severe hot flushes, treatment options such as menopausal hormone therapy, non-hormonal medications, or menopause-specific cognitive behavioral therapy may be considered based on individual symptoms and medical history.

Women experiencing symptoms that affect their well-being or daily activities should consult a gynaecologist for appropriate evaluation and guidance. Conditions like heavy or prolonged periods, bleeding between periods, bleeding after intercourse, or bleeding after menopause require medical attention. By understanding the perimenopause transition and seeking timely advice, women can better manage this phase of life with greater confidence.