What is perimenopause?
Perimenopause is the transition before menopause, often starting in your 40s. Estrogen and progesterone levels rise and fall unevenly, which can last several years.
Common early signs
Shorter or irregular cycles
Hot flashes and night sweats
Trouble sleeping or mood changes
What can help
Regular exercise, steady sleep habits and limiting alcohol may ease symptoms. Hormone therapy and non-hormonal options are available, so talk to your clinician about what fits you.
When to see a clinician
Book a visit if you have very heavy bleeding, bleeding between periods or symptoms that affect daily life.