Perimenopause

    Perimenopause is the multi-year transition before menopause itself, and it is when most of the symptoms women associate with 'menopause' actually happen. Hormones do not decline in a straight line here, estrogen and progesterone fluctuate, sometimes sharply, for years before periods stop for good. That instability is why perimenopause can feel harder to pin down than menopause: the same week can bring a heavy period, a hot flash, and a wave of anxiety with no obvious trigger. These articles focus specifically on the perimenopause-era mechanisms, timing, and the questions women ask most often when they suspect this transition has already started.