Perimenopause

● Perimenopause is a transitional phase in the female reproductive cycle that comes on average 4 to 5 years before menopause. During this period, the ovaries produce less of the female hormone estrogen. It causes an increase in FSH levels (follicle stimulating hormones responsible for egg growth and development) and the menstrual cycle shortens.
● It typically starts around the age of 40 but can also come sooner. It is accompanied by several unpleasant symptoms such as depression, anxiety, aggressiveness, excessively strong menstruation, hot flashes, insomnia, fatigue, forgetfulness, or migraines.