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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Perimenopause

15 Signs of Perimenopause - and What to Expect

9. Breast tenderness

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