Perimenopause
Explore careful guidance on early signs, changing periods, hormones, tests, fertility and preparing for healthcare appointments.

Get more from your perimenopause appointment: what to track beforehand, what to bring, questions to ask, what to say if you feel dismissed, plus a checklist.

No single test confirms perimenopause. Learn when FSH, AMH and home tests help, why results mislead, and which tests can rule out other causes of your symptoms.

In perimenopause, estrogen swings before it falls, progesterone drops as ovulation slows and FSH rises. Learn what each hormone does and how it causes symptoms.

Yes, pregnancy is still possible in perimenopause. Learn how fertility changes in your 40s, when to stop contraception, which methods suit you and HRT facts.

Thyroid problems, iron deficiency, depression and sleep apnea can mimic perimenopause. Learn the clues that point elsewhere and which tests may help.

The first sign of perimenopause is usually a change in your periods, but sleep, mood and PMS changes can come first. Learn the early signs and when to get help.

Perimenopause lasts about four years on average but can run from months to a decade. See the full timeline, how long symptoms last and signs it is ending.

Perimenopause usually starts in the mid-to-late 40s. Learn the typical age range, what makes it start earlier, whether you can predict it and when to get help.

Perimenopause is the transition to menopause, usually starting in your mid-40s. Learn the signs, stages, how long it lasts, diagnosis and when to get help.