As China enters an aging society, more and more women around us are entering perimenopause or are about to enter perimenopause. How to deal with the various discomforts that occur during perimenopause and improve the quality of life is a topic that should concern both women in this period and professional gynecologists. Here we talk about this knowledge and about the Chinese medicine treatment in this area. I. What is perimenopausal syndrome? Perimenopause is the period before and after menopause, i.e. the period of transition from reproductive age to menopause. Perimenopausal syndrome is caused by the decline of ovarian function and the decrease of estrogen level in the body. What is the age and manifestation of perimenopausal syndrome? If a woman is over 40 years old and has a series of discomforts, but various examinations suggest no organic lesions, you should think of the possibility of perimenopausal syndrome, the main manifestations of perimenopausal syndrome are hot flashes, night sweats, depression, etc. According to the literature, there are more than 100 kinds of symptoms during perimenopause, many strange and bizarre symptoms such as inexplicable skin allergies, itching, restless legs syndrome, recurrent urinary frequency and urgency, etc. may be perimenopausal. Many strange symptoms such as inexplicable skin irritation, itching, restless leg syndrome, recurrent urinary frequency and urgency, etc. may be manifested by perimenopausal syndrome. How to deal with perimenopausal syndrome? Perimenopausal syndrome generally has two types of manifestations, one is menstrual scarcity or perimenopausal hematemesis, and the other is various discomforts other than menstrual changes, such as hot flashes, night sweats, sleep changes, mood swings, persistent urinary frequency and urgency, positive occult blood in urine, vaginal dryness, sexual difficulties, bone pain, chest tightness, palpitations, etc. For the former type, patients may feel self-conscious. For the former, patients will consciously seek medical consultation from obstetricians and gynecologists, while for the latter, they either indifferently dispose of them or go around from one department to another, doing all kinds of repeated tests, which not only wastes time, but also wastes a lot of energy and financial resources and increases the financial burden. Therefore, how to safely spend the perimenopause or make the quality of life in this period improve is the topic before modern gynecologists. Generally speaking, for patients with mild to moderate symptoms, we recommend appropriate supplementation of a certain dose of estrogen close to the physiological state under the assessment of a professional doctor, and after the symptoms are relieved, Chinese medicine will be given to regulate and adjust the balance of the body, then it should be a relatively easy task for most women to safely and smoothly pass through the perimenopause or to reach the menopausal state without realizing it. When it comes to the treatment of perimenopause in Chinese medicine, perimenopausal syndrome is known in Chinese medicine as “the evidence before and after menopause”. The treatment of these diseases has a history of more than a thousand years and has accumulated considerable experience, and still plays a strong advantage. For those who are afraid of “hormones” and turn pale when they hear “hormones”, the use of Chinese medicine is the ideal choice. In fact, the proper use of “estrogen” has been reported to be safe in various research structures, and Chinese medicine has also been found to be an effective and safe treatment for improving various perimenopausal symptoms in several studies. Our clinical experience is that, according to each patient’s specific situation, taking Chinese medicine at the early stage as much as possible, according to the principle of Chinese medicine’s combination of diagnosis and treatment, or “nourishing the liver and kidney, nurturing yin and concealing yang, or warming the kidney and supporting yang, strengthening the spleen and helping transportation, or relieving liver and depression, regulating qi and nurturing yin, or strengthening the spleen and benefiting qi, nourishing the heart and calming the mind, will alleviate the symptoms to a certain extent, so that they can pass through the perimenopause smoothly. Perimenopause. Patients who have undergone hysterectomy before menopause mostly have various symptoms similar to perimenopause, and they cannot adapt to the discomfort caused by hormonal fluctuations within a short period of time, and their quality of life is relatively low, and some even endanger the stability of their marriage. In fact, these patients are relatively easy to deal with. They also need to be properly supplemented with estrogen or given Chinese herbal medicine under the assessment of a professional doctor to bring the body into balance as soon as possible, so as to alleviate all kinds of symptoms and spend a considerable period of time after surgery peacefully. Finally, I would like to tell you that perimenopause is a natural process that everyone will encounter, so you should treat the arrival of perimenopause with a peaceful attitude and face it frankly, do not force menopause until after 50 years old, there are ways to slow down aging, but you should not ask too much, an optimistic and peaceful attitude is the best treasure for every woman to successfully pass perimenopause. Fourth, what can family members do? For family members and friends of women entering or about to enter perimenopause, you must believe that all the discomfort and worries she tells you are true! She is really uncomfortable, so must not be impatient, but should give her more love and care, suggest her to go to the doctor in a timely manner, reasonable examination is necessary, in the case of various tests do not suggest organic pathology to think about the possibility of perimenopause, which is also the key to the smooth passage of women through perimenopause.