Discover 10 common signs of perimenopause including irregular periods, hot flashes, and sleep problems. Learn what to expect in your 40s.

American College of Obstetricians and Gynecologists  

Obstetrics and Gynecology Clinics of North America 

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Perimenopause, or menopausal transition, is the beginning of a woman's transition into menopause. It begins a few years before menopause when the ovaries start to decrease in their estrogen production. This means that a woman will begin to experience irregular menstrual cycles in addition to other menopausal symptoms which include: hot flashes, breast tenderness, lowered libido, fatigue, vaginal dryness, mood swings, and urinary leakage.

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The age at which perimenopause occurs differs greatly from woman to woman. It usually starts in a woman's 40s, but it can occur even earlier, in her 30s. The average perimenopause phase lasts four years, but it can last up to 10 years.

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Perimenopause ends when a woman has stopped ovulating completely and has not gotten a period for 12 months. She then enters the phase known as menopause.

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Medical conditions are classified by specific symptoms and signs. While each person's experiences can vary, there are consistent signs and symptoms that doctors will look for when diagnosing their patients. We always recommend that people seek a professional diagnosis. Afterward, supplement medical advice and opinion with accurate and easy to read information.

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