How Will I Know If I'm in Peri-Menopause?
- Dr. Rochelle Bernstein

- Apr 17, 2023
- 3 min read
Peri-menopause is the time leading up to your last period. It usually starts for women in their mid-40s and lasts, on average, four years, but 8-10 years is not uncommon. One year after a women's final period, she is considered to be menopausal. During peri-menopause, sex hormone (estrogen and progesterone) levels change erratically, resulting in hot flashes, brain fog, trouble sleeping, mood changes, and vaginal dryness and pain. Periods become irregular because ovulation does not happen every month. Because hormone levels are fluctuating instead of following a predictable course, periods may be heavier or lighter, shorter or longer, and happen more frequently or less frequently.
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