Understanding Perimenopause
Perimenopause looks different for everyone.
Your experience is valid. Learn how tracking can help you connect the dots and find what works for you.

Where Perimenopause Fits In
Menopause doesn’t happen overnight. It’s a process that unfolds in phases—starting with perimenopause. Understanding where you are in the transition can help you make sense of your symptoms and get the right support.
Premenopause
Regular cycles.
Hormones are stable.
Most people feel like themselves.
Perimenopause
Hormone levels begin to fluctuate.
Periods may become irregular.
Symptoms like hot flashes, brain fog, and sleep changes may begin.
Can last 4—10 years.
Menopause
12 consecutive months without a period.
Estrogen drops significantly.
Some symptoms may peak.
Postmenopause
Symptoms may evolve or fade.
Increased risk of heart disease, bone loss, and cognitive changes.
Common Symptoms
Everyone's experience is different, but these symptoms are among the most reported.
Sleep Changes
Trouble falling or staying asleep. Daytime fatigue.
Hot Flashes
Sudden feeling of intense warmth, often starting in the upper body.
Night Sweats
Episodes of mild to intense sweating at night.
Mood Swings
Sudden changes in mood and emotions. Depression & anxiety.
Joint Pain
Aching pain or stiffness in various joints, including the spine, often without an obvious cause.
Menstrual Changes
Longer or shorter cycles. Heavier, lighter, or unpredictable periods.
Not sure what something means?
Our menopause glossary breaks down symptoms and treatments in plain language.
Why Tracking Matters
Symptoms can be inconsistent and hard to describe, but tracking them can reveal meaningful patterns. When done in relation to your menstrual cycle, it can uncover hormone-linked trends, giving you and your provider clearer direction on which treatments might be most effective.
Amissa simplifies tracking with passive Apple Watch data and quick check-ins designed for real life.

Patient FAQs
Yes… and no. The symptoms you’re experiencing are common, but that doesn’t mean you have to put up with them.
Want support through the transition?
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