Cycles
Irregular Periods in Perimenopause: What Is Normal and What Is Not
Cycles that shorten, skip, or turn heavy are the earliest sign of perimenopause. Some patterns are expected. A few need evaluation.
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News
Insights on midlife wellness, hormonal health, and aging well.
Getting Started
Perimenopause or Menopause? How to Tell Where You Actually Are
Menopause is a single day on the calendar. Perimenopause is the decade that leads up to it, and it is where most...
Perimenopause
Why Sleep Breaks in Midlife, and What Actually Helps
Waking at 3am is not a personal failing. Here is the physiology behind midlife sleep loss and what the evidence supports.
Energy
Fatigue in Midlife: Why You Are Tired and What Is Worth Testing
Midlife fatigue is rarely one problem. It is usually three smaller ones stacked, and most of them are measurable.
Hormones
Hot Flashes and Night Sweats: What Is Happening and What Helps
Vasomotor symptoms affect up to eight in ten women and can last far longer than most expect. Here is the mechanism and...
Brain Health
Brain Fog in Midlife: Why It Happens and When to Worry
Word-finding trouble and slower recall are documented features of the menopause transition. For most women they are temporary.
Hormones
Joint Pain in Menopause: The Symptom Nobody Warned You About
Stiff hands in the morning and aching shoulders are far more common in the menopause transition than most women are told.
Heart Health
Heart Palpitations in Perimenopause: When Flutters Are Hormonal
Skipped beats and sudden pounding are common in the menopause transition. Knowing which ones need a cardiac workup matters.
Hormones
Mood, Anxiety, and Irritability in Perimenopause
Perimenopause carries a genuinely elevated risk of depression, and the symptoms are frequently attributed to circumstances instead.