Learn how perimenopause differs from menopause, which symptoms are expected, and when bleeding, mood, sleep, or hormone concerns need evaluation.

Bleeding changes are common in perimenopause, but pregnancy, fibroids, polyps, thyroid disease, hyperplasia, and cancer still require consideration.

Menopause care includes hot flashes, sleep, mood, vaginal and urinary symptoms, bone health, cardiovascular risk, and individualized hormonal or nonhormonal treatment.

Menopausal hormone therapy treats hot flashes and prevents bone loss, but route, progesterone need, age, timing, breast and clot risk, and patient goals matter.

GSM can cause vaginal dryness, painful intercourse, urgency, and recurrent UTIs. Compare moisturizers, vaginal estrogen, DHEA, ospemifene, and pelvic floor care.

Brain fog during perimenopause is common and often reflects sleep disruption, hot flashes, mood, medications, and hormonal transition. Learn what should be evaluated.

Perimenopause can worsen anxiety through hormonal variability, hot flashes, and disrupted sleep, but new symptoms still deserve evaluation for medical, medication, and mood-related causes.

Weight changes in women are rarely caused by one hormone. Learn how PCOS, pregnancy, perimenopause, thyroid disease, sleep, medications, and body composition are evaluated.