Perimenopause Guides

Clear, evidence-first guides to the years before menopause β€” staging, symptoms, testing and treatment.

15Guides
Can You Get Pregnant During Perimenopause? Odds, Contraception and HRTPerimenopause Guides

Can You Get Pregnant During Perimenopause? Odds, Contraception and HRT

25 min read Β· 6 Oct 2026

15 Guides

Can You Get Pregnant During Perimenopause? Odds, Contraception and HRTPerimenopause

Can You Get Pregnant During Perimenopause? Odds, Contraception and HRT

Yes. The UK says 2 years after your last period under 50 and 1 year at 50 or over; the US says 1 year at any age. HRT is not contraception.

25 min read
Is It Perimenopause or Something Else? Conditions That Can Look Like ItPerimenopause

Is It Perimenopause or Something Else? Conditions That Can Look Like It

Pregnancy, thyroid disease, anaemia and depression all overlap with perimenopause. A table of thirteen look alikes: what differs, and what settles each one.

23 min read
Perimenopause Periods: What Changes, What's Normal, and When to Get CheckedPerimenopause

Perimenopause Periods: What Changes, What's Normal, and When to Get Checked

Cycles usually shorten first, then start skipping. What's normal month to month, which bleeding changes need checking, and which never wait.

26 min read
The Stages of Perimenopause: Early, Late, and How to Tell Which You're InPerimenopause

The Stages of Perimenopause: Early, Late, and How to Tell Which You're In

Perimenopause has two clinical stages, early and late, set by cycles rather than age. Where the "4 stages" lists come from, and how to place yourself.

21 min read
Perimenopause Weight Gain β€” and Why the Scale MisleadsPerimenopause

Perimenopause Weight Gain β€” and Why the Scale Misleads

Total weight gain doesn't accelerate in perimenopause. What changes is composition, where the fat sits, and what the trials show actually reduces it.

25 min read
How to Know If You're in Perimenopause β€” and What a Test Can't Tell YouPerimenopause

How to Know If You're in Perimenopause β€” and What a Test Can't Tell You

At 45 and over, no blood test confirms perimenopause. What to record instead, how it maps to the thresholds, and how to check on the pill or a coil.

26 min read
Perimenopause Treatment: What Works Best, and What's ChangedPerimenopause

Perimenopause Treatment: What Works Best, and What's Changed

Hormone therapy, non hormonal options with their evidence grades, and what the FDA's 2025 26 label change and NICE's 2026 appraisals actually say.

29 min read
Perimenopause Diet: What to Eat, What to Limit, and What the Evidence SaysPerimenopause

Perimenopause Diet: What to Eat, What to Limit, and What the Evidence Says

No health body publishes a list of foods to avoid in perimenopause, and the two that address the question disagree. Here is what each actually says, and where eating changes something measurable.

28 min read
Perimenopause Vitamins and Supplements: What Holds Up (and the "Top 3" Question)Perimenopause

Perimenopause Vitamins and Supplements: What Holds Up (and the "Top 3" Question)

There is no evidence based "top 3" for symptoms. The two nutrients guidelines name in this window are about bone β€” and the UK and US intakes don't match.

30 min read
Perimenopause ICD-10 Code: N95.1 and What It ExcludesPerimenopause

Perimenopause ICD-10 Code: N95.1 and What It Excludes

No ICD 10 CM code is named perimenopause. N95.1, "Menopausal and female climacteric states," is the code used β€” plus the Excludes1 rules that govern it.

13 min read
Perimenopause vs Menopause vs Postmenopause β€” and What Premenopausal MeansPerimenopause

Perimenopause vs Menopause vs Postmenopause β€” and What Premenopausal Means

Premenopause, perimenopause, menopause, postmenopause β€” what each word means, where they overlap, and why menopause is a single day rather than a phase.

15 min read
How Long Perimenopause Lasts β€” and What Changes When It EndsPerimenopause

How Long Perimenopause Lasts β€” and What Changes When It Ends

The transition averages about four years. Frequent hot flashes run a median of 7.4. What eases once it ends, what doesn't, and where the sources split.

26 min read

About Perimenopause

Readers here learn to place themselves against a real staging framework rather than a symptom list, to read a lab result for what it can establish, and to arrive at a clinical conversation with better questions. Begin with the pillar guide below, then follow the links to your specific question.

Perimenopause is a defined clinical stage, not a vague label for feeling unwell in midlife. These guides start from the published staging criteria and work outward: the typical age range, how long the transition lasts, and how it differs from menopause itself β€” a distinction that everyday language blurs and that matters for what you do next.