If you suddenly feel like a more anxious, irritated, exhausted, or forgetful version of yourself, it may not be “just stress.” Perimenopause is the transition leading up to menopause. It can start years before the final menstrual period and often brings changes in hormones, sleep, mood, focus, energy, body composition, menstrual cycles, urinary health, and sexual health.¹ ² Hot flashes get most of the attention, but perimenopause rarely follows a predictable script. For some
