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The Transition Phase
Perimenopause is the phase lasting 4-10 years before a women’s final menstrual period. It usually starts in a woman’s 40s, but can occur earlier.
During this phase, progesterone starts to drop, and estrogen levels fluctuate and eventually decrease, leading to symptoms such as heavier or irregular periods, sleep disturbances, fatigue, night sweats, hot flashes and mood and memory changes.