
Embracing Your Changing Body During Perimenopause
Your jeans fit differently. Your hair is doing something new. Your skin has changed its mind about what products it likes. And no matter what you do, your body seems to be operating on its own agenda.
Perimenopause changes your body. Not subtly — sometimes dramatically. And in a culture that already has complicated feelings about women's bodies, especially Black women's bodies, these changes can bring up a lot.
What's Actually Happening
Weight and Body Composition
Declining estrogen shifts where your body stores fat — from hips and thighs to your midsection. This isn't about eating too much or exercising too little. It's hormonal.
For women of color, this can be particularly frustrating because:
- BMI standards weren't designed for our body types
- We may face more weight stigma in medical settings
- Cultural attitudes about body size can add pressure from multiple directions
Hair Changes
Perimenopause can cause:
- Thinning at the crown or temples
- Changes in curl pattern or texture
- Increased hair loss
- New hair growth in unwanted places (chin, upper lip)
For Black women, hair is deeply cultural. Changes to your hair during perimenopause can feel like losing part of your identity. That grief is valid.
Skin Changes
- Dryness and loss of elasticity (estrogen supports collagen production)
- Increased sensitivity
- Hyperpigmentation changes
- Slower healing
Other Physical Changes
- Joint stiffness, especially in the morning
- Breast tenderness or changes in breast density
- Changes in body odor
- Dry eyes
- Dental sensitivity
Moving Through It With Grace
Resist the urge to fight your body. Your body isn't broken. It's transitioning. Working with it — rather than against it — leads to better outcomes and better mental health.
Update your routines. Your skincare, haircare, and fitness routines from your 20s may not serve you now. That's not failure — it's evolution.
Strength training is your friend. Resistance exercise helps maintain muscle mass (which naturally declines), supports bone density, and can help with body composition changes. You don't need a gym — bodyweight exercises, resistance bands, or even carrying groceries count.
Nourish, don't restrict. Crash diets and extreme calorie restriction can actually worsen perimenopause symptoms and accelerate bone loss. Focus on nutrient-dense foods that support your hormonal health.
Get your levels checked. Thyroid issues, vitamin D deficiency, and iron deficiency can all mimic or worsen perimenopause symptoms. A comprehensive blood panel can help you understand what's going on.
The Bigger Picture
In many African and Caribbean cultures, aging women are revered — the matriarchs, the knowledge keepers, the ones whose wisdom guides the next generation. Perimenopause isn't the beginning of decline. It's a threshold. A becoming.
Your body has carried you through everything. It deserves your patience, your care, and your respect as it moves through this transition. And you deserve a space where these changes are understood, tracked, and honored — not dismissed.
That's what we're building with Ohemaa. A space where your body's story is valid, exactly as it is.
Photo by Vitaly Gariev on Unsplash
Track your perimenopause journey
Ohemaa helps you log symptoms, discover patterns, and connect with women who understand your experience.
Download Free

