Background: Perimenopause is a transitional phase marked by irregular cycles and various biopsychosocial challenges. While psychological and social aspects are well studied, biological symptoms and their perception by peers and families remain underexplored. Methodology: A 3-month qualitative interview study was conducted with 13 perimenopausal women (aged 45–55 years) and 13 peers/family members, selected via convenience sampling from the community and Sri Venkateshwara College of Physiotherapy. Face-to-face interviews were conducted in a comfortable setting. Results: The mean age of participants was 49.53 ± 2.875 years. Key symptoms reported were musculoskeletal pain (90%), sleep disturbances (70%), fatigue (50%), muscle weakness (50%), and weight gain (20%). Musculoskeletal pain was widely recognized; however, fatigue, muscle weakness, and weight gain were often unnoticed by peers and family. Discussion: Daughters were most aware of the women’s symptoms, while spouses showed the least awareness. Most women consulted family physicians, with low awareness of physiotherapy. Symptoms were more severe in widowed, separated, or unmarried women. Those in nuclear families and with financial independence coped better through nutrition, exercise, and self-care. Conclusion: Biological issues are central to the perimenopausal experience and often manifest as emotional distress. Greater awareness, family support, and physiotherapy are vital. Integrated care involving peers, families, and healthcare providers is essential to support women through this transition.
Jeyanthi et al. (Wed,) studied this question.