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Understanding Perimenopause

What perimenopause is, when it starts, how to recognise it, and what to expect.

127 articles ยท Page 1 of 13

Woman holding her wrist in discomfort, representing joint pain and autoimmune symptoms in perimenopause

Autoimmune Flare-Ups in Perimenopause: When Your Body Turns on Itself

Conditions like rheumatoid arthritis, lupus, and psoriasis can flare or even first appear during perimenopause. Here is the immune-hormone link doctors often miss, and what to do about it.

Woman looking thoughtful, representing changes in desire and intimacy during perimenopause

Low Libido in Perimenopause: The Estrogen-Testosterone Link Explained

Falling desire in perimenopause is rarely about one hormone alone. Here is how oestrogen and testosterone interact to affect libido, and what genuinely helps before considering testosterone therapy.

Woman sitting with her head in her hands at a cluttered desk, representing overwhelm during perimenopause

Why Perimenopause Hits Women With ADHD Earlier and Harder

For women with ADHD, perimenopause often arrives as a sudden collapse of coping strategies that worked for decades. Here is the dopamine-oestrogen link behind it, and what actually helps.

Woman sitting thoughtfully, holding a pregnancy test with a contemplative expression

Miscarriage Risk and Perimenopause: What the Data Actually Shows

Miscarriage risk rises through perimenopause for reasons that go beyond simple age, and the experience of loss at this life stage carries its own particular weight. Here's what the numbers show and why it happens.

Woman researching hormone terms and reading about oestrogen and progesterone

Oestrogen Dominance: What the Term Actually Means, and Does It Hold Up?

"Oestrogen dominance" gets used constantly online to explain perimenopause symptoms. Here's what the term is actually describing, where the science is solid, and where it gets oversold.

Woman lying awake in bed in the early hours, eyes open in the dark

Why Does Everyone Wake Up at 3am in Perimenopause? The Science Behind It

So many perimenopausal women report waking at almost exactly the same time each night that it can't be a coincidence. Here's what's actually happening in the body at that hour, and why it isn't just stress.

A tired woman resting her head on her hand at a desk

Low Ferritin and Iron Deficiency: The Fatigue Cause Doctors Miss

Your haemoglobin came back normal, but you're still exhausted. Low ferritin, your body's iron storage marker, is a common and frequently overlooked cause of perimenopausal fatigue.

A woman looking out thoughtfully, reflecting on how she feels

Why Perimenopause Symptoms Come and Go: Good Months and Bad Months

One month you feel almost like yourself, the next it all comes back at once. Here's the hormonal reason perimenopause symptoms fluctuate instead of steadily worsening.

A woman checking a calendar and marking dates

Perimenopause With Regular Periods: Is That Possible?

Yes, you can be well into perimenopause while your periods still arrive on schedule. Here's why cycles can stay regular even as other symptoms start, and how doctors actually diagnose it.

Woman marking dates on a calendar, tracking her menstrual cycle

How Do You Know You've Had Your Last Period?

Menopause can only be confirmed looking backward, after 12 full months without a period. Here is how retrospective diagnosis actually works and why you can't know your last period was truly the last one until well after it happens.