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Perimenopause is the transition before menopause and can begin years before periods stop. Hormonal shifts during this time may cause irregular cycles, mood changes, poor sleep, and skin or hair changes. Understanding what’s happening in your body is the first step toward feeling like yourself again.

Many midlife women symptoms are dismissed as “just stress,” but they’re often signs of deeper hormonal, metabolic, or emotional changes. In this guide, learn what’s normal, what’s not, and how to understand the shifts happening in your body so you can feel like yourself again.