Perimenopause is the transition leading up to menopause, when your hormone levels start to shift and periods become less predictable.
It usually begins in your 40s, though for some it can start earlier, and it can bring on a wide mix of physical and emotional changes.
Are you in perimenopause? Take this quiz to find out
Which of these sound familiar?
0 of 6 signs selected. Take the quiz to see what they mean
Keep in mind: perimenopause periods often become shorter, longer, heavier or more irregular before they stop. Even without every symptom, your quiz results can still be useful to track.
StartThe bottom line
Perimenopause has no single diagnostic test. It’s identified from your pattern of symptoms and cycle changes over time. A short symptom check can help you recognise what’s going on and give you the words to bring to a healthcare provider, but it’s a starting point for conversation, not a diagnosis.
What are the symptoms of perimenopause?
- Irregular periods. Shorter, longer, heavier, lighter, or unpredictably timed.
- Hot flushes or night sweats.
- Trouble sleeping, even when tired.
- Mood changes, including irritability or low mood.
- Vaginal dryness or discomfort.
- Changes in libido.
- Brain fog or trouble concentrating.
- Weight changes, particularly around the abdomen.
Frequently asked questions
Is there a test for perimenopause?
There is no single diagnostic test. Perimenopause is identified from your pattern of symptoms and cycle changes over time, so it helps to bring those to a healthcare provider.
How do periods change in perimenopause?
Periods can become irregular: shorter, longer, heavier, lighter or unpredictably timed. These cycle changes are one of the common signs of perimenopause.
Can perimenopause cause brain fog?
Brain fog or trouble concentrating is one of the common symptoms of perimenopause, alongside others such as trouble sleeping, mood changes, and hot flushes or night sweats.
References
- ACOG. Perimenopause FAQs (2023).
- NAMS. The Menopause Transition. Menopause (2022).
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