The transitional period before menopause during which the ovaries gradually produce less estrogen and progesterone, typically beginning in a woman's 40s and lasting several years.
Perimenopause often begins 4-10 years before menopause with fluctuating hormone levels that cause irregular periods, hot flashes, sleep disturbances, mood swings, weight gain, and brain fog. Many women are told their labs are 'normal' because standard reference ranges do not account for suboptimal levels.
Women in their late 30s to early 50s experiencing irregular periods, new-onset hot flashes, sleep disruption, anxiety, or unexplained weight gain.
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