Perimenopause is a natural second puberty stage in a woman’s life, and it often comes with confusion, questions, and sometimes uncomfortable symptoms. As your hormones begin to shift, you may notice changes in your cycles, mood, sleep, and overall well-being. Understanding what’s happening in your body can help you feel more in control—and knowing when to seek expert guidance makes all the difference. In this article, we’ll answer some of the most common questions about perimenopause and help you recognize whether it may be time to schedule a consultation.
What is Perimenopause?
Perimenopause is the natural transition leading up to menopause, when the ovaries gradually produce less estrogen and progesterone. It can begin in your late 30s to early 40s and last anywhere from 2 to 10 years. Menopause is officially reached when you have gone 12 consecutive months without a menstrual period.
What is the typical age for perimenopause?
Perimenopause often begins in a woman’s 40s, though some women notice changes in their mid-to-late 30s. It officially starts when your ovaries begin producing less estrogen and progesterone. This transition can vary widely—some women move through it quickly, while others notice gradual changes over many years.
How long does perimenopause last?
On average, perimenopause lasts about 4 to 8 years, but the experience is different for everyone. Some women notice irregular periods and symptoms for just a couple of years before menopause, while others experience a longer transition. Perimenopause ends when you’ve gone 12 consecutive months without a menstrual period, marking the official start of menopause. However, symptoms don’t always disappear overnight—some, like hot flashes or sleep changes, may persist for a while after menopause
Can I get pregnant during perimenopause?
Yes. Although fertility naturally declines, it is still possible to get pregnant during perimenopause if you’re having menstrual cycles, even if they’re irregular. If you are not planning a pregnancy, reliable contraception is still important until you’ve reached menopause.
How can you know or test when you’re in perimenopause?
The most reliable way is through a comprehensive evaluation with a physician. Unfortunately, there’s no test that can tell you when the transition will start or when you’re in perimenopause.