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How do I know if I am in perimenopause?

ClaudediscoveryCollected Jun 17, 2026, 13:09 UTC

Verbatim response from Claude

Signs You May Be in Perimenopause

Perimenopause typically begins in your 40s (sometimes late 30s) and can last 4-10 years before menopause. Here are key signs:

Most Common Symptoms:

  • Irregular periods (longer, shorter, heavier, or lighter)
  • Hot flashes and night sweats
  • Sleep disturbances
  • Mood changes, irritability, or anxiety
  • Brain fog or difficulty concentrating

Other Signs:

  • Vaginal dryness
  • Decreased sex drive
  • Weight gain (especially around the midsection)
  • Hair thinning
  • Joint aches

How to Get Confirmed

Talk to your doctor — they can run a FSH (follicle-stimulating hormone) blood test, though hormone levels fluctuate, so it's not always definitive.


Helpful Resources & Services

  • Midi Health (joinmidi.com) — telehealth specifically for perimenopause/menopause care
  • Alloy (myalloy.com) — online menopause specialist consultations
  • Gennev — another telehealth option focused on menopause
  • The Menopause Society (menopause.org) — find a certified menopause specialist near you

Getting a proper evaluation is worth it, as many symptoms overlap with thyroid issues or other conditions.

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