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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.

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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.

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Premenopause

Regular cycles.

Hormones are stable.

Most people feel like themselves.

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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.

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Menopause

12 consecutive months without a period.

Estrogen drops significantly.

Some symptoms may peak.

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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.

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Notice what lifestyle changes improve or worsen symptoms
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Identify trends over time (not just day to day)
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Share clearer information with your provider
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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?

Sign up for early access to Amissa and stay informed as we grow.