Susan Proctor, now 62, describes a period in her mid-30s marked by intense emotional upheaval that she later identified as perimenopause, a transitional phase preceding menopause. During this time, Proctor experienced frequent, unprovoked anger outbursts, particularly toward family members, compounded by physical symptoms such as hot flashes, night sweats, brain fog, and weight gain. The episode left her feeling isolated and confused, as she was unaware these changes were related to hormonal shifts.

Perimenopause, distinct from menopause itself, involves fluctuating levels of estrogen and progesterone which affect brain neurotransmitters such as serotonin, dopamine, and GABA. These hormonal fluctuations can trigger significant mood changes. According to licensed naturopathic physician Michelle Sands, many women encounter emotional and neurological symptoms that are often misunderstood as mere moodiness or personal flaws, when in fact they are physiological reactions to hormone changes.

Proctor’s experience underscores the challenges faced by many women during this stage. Her irritability peaked in the two weeks before menstruation, which had become irregular. The emotional volatility strained her marriage and social interactions. “I was losing my entire sense of womanhood,” she said, referring to symptoms including vaginal dryness and reduced sexual desire, which further contributed to marital tension. Proctor noted that her husband’s lack of understanding worsened the situation, and the couple eventually divorced following his infidelity.

Despite seeking medical advice, Proctor found little support or clear guidance at a time when perimenopause was less understood and often dismissed. Sands notes that dismissal and misdiagnosis remain common for women experiencing these symptoms, with some being told their struggles are simply due to stress, aging, or anxiety.

Now a grandmother and personal trainer, Proctor is focused on educating and supporting women through similar transitions. After officially entering menopause at 58, she reports a renewed sense of wellbeing and urges others to seek help rather than endure symptoms in isolation. Her story highlights a broader issue: as awareness of perimenopause-related emotional and physical symptoms grows, so does the need for informed healthcare and social support to address this common, yet often hidden phase of women's reproductive health.