Weight Gain in Perimenopause
Weight gain — particularly around the abdomen — is a common complaint during perimenopause. Hormonal changes affect metabolism, fat distribution, and insulin sensitivity.
Medical disclaimer
This content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Dawn Phase is not a medical device. Always consult a qualified healthcare professional with questions about your health.
What causes it
Declining estrogen shifts fat storage from the hips and thighs to the abdomen. Progesterone decline can cause water retention. Reduced muscle mass with age lowers metabolic rate. Cortisol reactivity and sleep disruption also contribute.
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Track energy, sleep quality, stress, and exercise alongside weight or measurements. Hormonal patterns often explain fluctuations — water retention before your period, for example, is different from actual fat gain.
When to see a doctor
See a doctor if weight gain is rapid, unexplained, or accompanied by other symptoms like fatigue, cold intolerance, or hair loss — thyroid dysfunction can mimic perimenopause and cause weight gain.
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