Reviewed by Dr. Scott Maymon, ND, NPH, and Dr. Sarah Stone, ND.

Reading time: three minutes

Perimenopause is the transition phase before menopause when hormone levels begin to fluctuate, leading to menopausal symptoms such as hot flashes, night sweats, mood swings, and irregular periods.

This stage can last for several years and typically begins in the 40s, though some women experience it earlier. Recognizing the symptoms of perimenopause is the first step in managing this natural transition and maintaining a good quality of life.


We offer hormone testing and optimization for men and women at our wellness clinic in Tempe, AZ.


Common Symptoms of Perimenopause

If you have noticed changes in your menstrual cycle, sleep patterns, mood, or overall well-being, you might be in perimenopause. Some common signs include:

  • Irregular menstrual periods
  • Hot flashes and night sweats
  • Mood swings and increased anxiety
  • Poor sleep or insomnia
  • Unexplained joint pain or body aches
  • Changes in digestive issues such as bloating, constipation and diarrhea
  • Decreased libido
  • Difficulty concentrating (often called ‘brain fog’)
  • Mood swings

Why Perimenopause Deserves Your Attention

Many women go through perimenopause without realizing they have options. They assume that feeling exhausted, irritable, or struggling with sleep is just something they have to push through.

But ignoring these changes doesn’t just impact how you feel, it can affect your long-term health. Addressing perimenopause isn’t just about symptom relief; it’s about long-term health.

Untreated hormonal imbalances can contribute to bone loss, heart health issues, and even cognitive decline. But with the right support, you can protect your body from these risks while improving your daily well-being.

Perimenopause Quiz: Assess Your Symptoms

Answer the yes or no to the following questions to assess whether you might be in perimenopause.

  1. Have your menstrual cycles become shorter, longer, or more unpredictable?
  2. Have you experienced hot flashes or night sweats?
  3. Are you experiencing mood swings, increased irritability, or feelings of anxiety?
  4. Do you struggle with poor sleep or frequent nighttime waking?
  5. Have you noticed more joint pain or muscle stiffness?
  6. Have you noticed changes in your energy levels, such as unexplained fatigue or sudden bursts of energy?
  7. Have you noticed changes in your weight, particularly around your midsection?
  8. Do you experience digestive issues such as bloating, constipation, or acid reflux more often?
  9. Have you noticed changes in your hair, such as thinning or increased shedding?
  10. Have you noticed a decrease in your libido or changes in your sexual desire?

What Your Results Mean

  • Mostly Yes: You may be experiencing symptoms of perimenopause. Consulting with a health care provider can help you understand your hormone levels and explore treatment options to support your well-being.
  • Mostly No: You may not be in perimenopause yet, but keep monitoring your menstrual cycles and overall health.

Next Steps

This quiz is not a diagnostic tool, but rather a starting point to help you identify potential signs of perimenopause. If you answered ‘yes’ to several questions, consider speaking with a health care provider to discuss your symptoms and explore potential treatment options.

Hormone Optimization at Pure Body Health

At Pure Body Health, we take a personalized approach to women’s hormone optimization, ensuring that treatments align with your body’s unique needs. 

We specialize in custom-formulated bioidentical hormone replacement therapy (BHRT), using hormones that closely match those naturally produced in your body.

 Depending on your symptoms and health goals, we offer a variety of delivery methods, including injections, lozenges, creams, and vaginal applications when appropriate.

Beyond BHRT, we recognize that hormonal balance is influenced by multiple factors. That’s why our approach includes comprehensive lab testing and diagnostics to assess not only estrogen and progesterone levels but also thyroid, adrenal, and micronutrient health.

Book a Consultation

If you have been struggling with symptoms of perimenopause, we can help. 

To book an appointment at our wellness clinic in Tempe, call (480) 427-0442 or complete the online inquiry form. Visit us at 1553 W Todd Drive, Suite 106, Tempe, AZ.

Additional Resources

Hormonal Reasons for Hair Loss: How To Support Regrowth

Menopausal Weight Gain: Solutions From Pure Body Health

Bioidentical Hormone Replacement Therapy (BHRT): Is It For You?