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The phase between menstruation and menopause is considered perimenopause. “Perimenopause means ‘around menopause,’” said Tina Hendrick, M.D., a board-certified OBGYN and medical director at OB Hospitalists of Kentucky, part of Pediatrix® Medical Group. “It’s the time period when your estrogen and progesterone levels start to decline.” You may experience symptoms intermittently, or it can feel completely normal – everyone is different, explained Dr. Hendrick. “There are so many possible symptoms of perimenopause. You name it, it can be a symptom,” she said. “Some of the more common symptoms are changes in menses, hot flashes, night sweats, irritability/anxiety, vaginal dryness, decline in libido, sleep dysfunction and weight gain.”
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