Life stages
What is perimenopause?
Perimenopause is the stretch before menopause when your periods start to change and become irregular. Menopause itself is when you have gone 12 months without a period, usually between 45 and 55. Symptoms often last 7 to 9 years, and you can still get pregnant during this time.

What is perimenopause?
Menopause itself is when you haven’t had a period for 12 months (without hormonal contraception). It usually happens between 45 and 55, but it can be earlier.
What are the symptoms of perimenopause?
- Periods becoming irregular.
- Hot flushes and night sweats.
- Trouble sleeping.
- Mood changes, poor memory or brain fog.
- Vaginal dryness, and more urine infections.
- Headaches, joint aches, palpitations, and a lower sex drive.
Symptoms often last 7 to 9 years, sometimes longer. There’s no routine test; a doctor usually goes by your age and symptoms.
Can I still get pregnant during perimenopause?
The NHS advises keeping up contraception for 2 years after your last period if you’re 40 to 49, and for 1 year if you’re 50 or over.
When should I talk to a doctor about perimenopause?
Talk to a doctor about your options if symptoms bother you. Get checked if you start bleeding more rather than less, or if you bleed at all after 12 months without a period.
Frequently asked questions
At what age does perimenopause start?
Menopause usually happens between 45 and 55, and perimenopause comes before it. It can be earlier.
Is there a test for perimenopause?
There’s no routine test. A doctor usually goes by your age and symptoms.
How long should I keep using contraception?
The NHS advises keeping up contraception for 2 years after your last period if you’re 40 to 49, and for 1 year if you’re 50 or over.
Sources
Seventh is a free period and cycle tracker for iPhone and iPad, by doogud. This article is general information, not medical advice. If something feels wrong, see a doctor.


