For some women menopause is only a flutter in their biological rhythm but for most it may be an all-consuming passage causing tremendous upheaval in their lives. Women experience some discomfort around 3-4 years before menopause, (perimenopause), when there is a notable decline in hormone production. This proves to be the most difficult time for some women.
The discomfort may be mild, moderate or severe. Their periods may get delayed or come early. They may either get scanty or in some cases heavy. Some experience depression, mood swings, hot flashes and reduced sex drive. This may affect personal life and relationship with close friends. Others may experience no significant changes. These are the fortunate few who live their whole lives without any discomfort.