Signs You Might Be in Perimenopause Perimenopause typically starts in your 40s (sometimes late 30s) and can last 4-10 years before your final period. Common Symptoms: Irregular periods (longer, shorter, heavier, or skipping) Hot flashes and night sweats Sleep disturbances Mood changes, irritability, or anxiety Brain fog or memory issues Vaginal dryness Decreased libido Weight changes, especially around the midsection How to Confirm It: Talk to your doctor - they can: Review your symptoms and cycle history Order FSH (follicle-stimulating hormone) blood tests Check estrogen levels Helpful Products & Services to Consider: Midi Health - telehealth platform specializing in menopause/perimenopause care Alloy - online menopause specialist service Clue or Flo apps - track cycle irregularities to share with your doctor Mira hormone tracker - at-home hormone testing device Good Reading: The Menopause Brain by Dr. Lisa Mosconi The Menopause Society website (menopause.org) Would you like recommendations for managing specific symptoms?
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