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Perimenopause

How to Know: 10 Clear Signs Perimenopause is Ending

Clara Siegmund
Clara Siegmund

Wondering if perimenopause is almost over? Keep an eye out for these 10 signs to demystify your perimenopause journey and understand your unique timeline.

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Sep 11, 2025
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Woman reflecting by a window, symbolizing the journey of perimenopause and recognizing the signs perimenopause is ending.
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Sep 10, 2025
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Wondering if perimenopause is almost over? Keep an eye out for these 10 signs to demystify your perimenopause journey and understand your unique timeline.

Perimenopause
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Wondering if perimenopause is almost over? Keep an eye out for these 10 signs to demystify your perimenopause journey and understand your unique timeline.

Perimenopause may feel endless, but it doesn’t actually last forever. 

Approximately 1.3 million women transition into menopause each year in the US [1]. That means that you and around 3,500 other women could reach the end of perimenopause on any given day!

How can you tell when you’re nearing the end of your perimenopause journey? Your symptoms and hormones hold the answer. Read on to learn the 10 clear signs that mean perimenopause is ending.

When does perimenopause end?

During perimenopause, you undergo a major biological and hormonal shift as you transition to menopause over the course of a couple years to a decade or more. 

Perimenopause ends after the stage known as late perimenopause. Late perimenopause may last about one to three years, although exact timing depends on each person [1].

In late perimenopause, symptoms tend to change. Some may start to get better, or become more predictable. Others may worsen before improving. You may even develop new symptoms for the first time. Once perimenopause ends and you reach official menopause, symptoms generally go away.

 

10 clear signs perimenopause is ending

How do you decode what’s happening in your body and understand when you’re nearing the end of the menopausal transition? By monitoring perimenopause symptoms and tracking key reproductive hormones.

Let’s take a look at 10 of the most common and clear signs perimenopause is ending.

1. Periods become more and more infrequent

You may already know that irregular periods are a telltale sign you’re in perimenopause, but did you know that periods can also clue you in to the end of perimenopause? 

Experiencing very infrequent periods is the most reliable sign perimenopause is ending. In fact, doctors consider that you’re officially in late perimenopause when you experience stretches of 60 days or more without a period (amenorrhea) [1]. So if you go months between periods, it could mean that perimenopause is ending soon.

Remember, though, that as long as your periods still come, no matter how infrequently, you’re still in perimenopause. Once 12 consecutive months have passed since your last period, it means your periods have stopped altogether and you’ve reached menopause.

2. Hot flashes intensify

Hot flashes (also called vasomotor symptoms) are sudden, intense bursts of heat in the head, face, neck, chest, and/or upper back. 

For many, hot flashes intensify near the end of perimenopause. This symptom tends to pop up around two years before menopause, then peak in intensity one year before. From there, they generally start to improve sometime after menopause [2].

If your hot flashes are noticeably worse than before, or if you suddenly start experiencing hot flashes for the first time, it could be a sign perimenopause is ending. 

3. Emotional symptoms get worse – or improve

The menopausal transition often impacts emotional well-being, and more intense emotional symptoms could mean that perimenopause is ending. As periods become infrequent in late perimenopause, many people experience an increase in depressive symptoms and anxiety [3].

At the same time, though, perimenopause mood swings may start improving. Hormone levels are beginning to stabilize as you near menopause, leading to fewer hormone fluctuations. As a result, the perimenopause emotional rollercoaster can start to level out. Over time, depressive symptoms will improve, too.

Be sure to seek professional support if you need help with mental health and perimenopause mood symptoms.

4. Weight gain slows

It’s common to gain weight as your body changes during perimenopause. If you notice that your weight seems more stable, though, it could be a sign perimenopause is ending. With hormones beginning to level out, weight gain may slow or even plateau, especially when you also eat a nutritious diet and exercise regularly [4].

Regular exercise can also help your body and muscles stay strong, counteracting the loss of muscle mass that happens during perimenopause [5]. Anything that gets your heart rate going is good!

5. Vaginal symptoms get worse 

Perimenopause may be ending soon if your vaginal symptoms are getting worse. 

Estrogen is essential for maintaining vaginal health. As estrogen levels reach their lowest point near the end of perimenopause, the collection of vaginal symptoms known as genitourinary syndrome of menopause becomes both increasingly common and more severe [1]. 

Symptoms include:

  • Vaginal dryness and irritation
  • Overactive bladder
  • Pain during sex (dyspareunia)

By late perimenopause, it’s estimated that around one out of three women experiences vaginal dryness and dyspareunia [3].

6. Joint pain and muscle aches become more noticeable

If your body feels sorer and achier than usual, it could be an indication that perimenopause is ending.
Estrogen plays a key role in bone and muscle health. As levels plummet, you may feel the effects of musculoskeletal symptoms like joint pain and muscle aches. Research shows that as you get closer to menopause, musculoskeletal pain becomes more common and more severe [6].

7. Brain fog starts to clear

Perimenopause brain fog can scramble your brain and make it harder to think and concentrate, with symptoms like forgetfulness, mental fuzziness, and difficulty processing information. 

If it feels like your brain fog is starting to lift, though, it could mean perimenopause is ending. 

Research indicates that cognitive symptoms start improving in late perimenopause [7]. After menopause, you’ll likely feel like you’re back to your normal, pre-perimenopause levels of cognitive functioning [8].

8. Sex drive decreases

If you find yourself less and less interested in physical intimacy, you may be close to the end of perimenopause. 

Long-term research suggests that sex drive decreases significantly in late perimenopause, starting around two years before menopause [9]. Everything from genitourinary syndrome of menopause to the major life and physical changes you’re undergoing can all impact your sex drive.

If a lower sex drive is distressing, consider talking to a therapist or couples counsellor. For physical discomfort or pain during sex, talk to your doctor about treatments like vaginal moisturizers and lubricants.

9. Sleep gradually improves

If you’re slowly starting to sleep better, it may be because perimenopause is ending soon.

As you get closer to menopause and hormone levels become increasingly stable, certain perimenopause symptoms impacting your ability to get quality sleep may start to ease, which may help sleep problems begin to go away.

After official menopause, some people may find that sleep problems improve even more [9]. This isn’t the case for everyone, though: others continue to have trouble sleeping beyond menopause.

10. Hormone tracking shows stabilizing hormones

You can also understand your perimenopause stage by tracking your hormones with at-home perimenopause kits and lab tests. 

The odds are good that perimenopause is ending soon if your hormone test results show [10]:

  • Fewer fluctuations 
  • Consistently low levels of estrogen, progesterone, and anti-müllerian hormone (AMH)
  • Consistently high levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH)

Daily hormone tracking tools like the Oova perimenopause kit enable you to better capture the sustained hormone changes that indicate the end of perimenopause.

Signs perimenopause is ending: The bottom line

Monitoring your perimenopause symptoms and your hormone levels can help you understand whether perimenopause is ending. Signs like infrequent periods, worse hot flashes, less brain fog, and consistently low levels of estrogen and progesterone may all mean you’ll soon reach menopause.

Identifying where you are in the menopausal transition can help you more fully understand your body, make informed choices about your health, and better advocate for your care as you move into a new phase of your life.

FAQs

How long does late perimenopause last?

Late perimenopause typically lasts one to three years, although exact timing varies from person to person. Some women may only experience a few months of late perimenopause, while others may stay in this stage for longer.

Can perimenopause symptoms get worse before perimenopause ends?

Yes, it’s common for certain symptoms to get worse before perimenopause ends (then improve after menopause). Irregular periods, hot flashes, and vaginal symptoms, for example, tend to peak toward the end of perimenopause.

Should I see a doctor if I think perimenopause is ending?

It’s important to schedule regular check-ups as you get older. Reaching official menopause comes with factors to monitor with your healthcare providers, like an increased risk of osteoporosis and cardiovascular problems.

How can I manage late perimenopause?

Your doctor can help you find strategies for managing late perimenopause symptoms. Common treatments include hormone replacement therapy (HRT), hormonal contraceptives, and certain antidepressants, as well as lifestyle interventions like a nutritious diet and regular exercise. 

About the author

Clara Siegmund
Clara Siegmund is a writer, editor, and translator (French to English) from Brooklyn, New York. She has a BA in English and French Studies from Wesleyan University and an MA in Translation from the Sorbonne. She is passionate about literature, reproductive justice, and using language to make information accessible.‍

Sources

perimenopause-periods
Should I still see my gynecologist if my periods are just "weird" but not painful?
Yes. Annual visits remain important during perimenopause. Your provider can help determine if your "weird" periods are typical perimenopause changes or something requiring attention. They can also discuss management options to improve your quality of life.
perimenopause-periods
How long do irregular periods last before menopause?
Irregular perimenopause periods typically last 4 to 8 years before your final period, though this varies greatly. Some women experience irregularity for just a few months, while others have irregular periods for over a decade before reaching menopause.
perimenopause-periods
Is it normal to have two periods in one month during perimenopause?
Yes, this can happen, especially in early perimenopause when cycles shorten. You might have a 21 day cycle, meaning you could have a period at the beginning and end of the same calendar month. Track these patterns to distinguish between short cycles and abnormal bleeding.
perimenopause-periods
Why are my periods suddenly so heavy in my 40s?
Heavy perimenopause periods often result from estrogen dominance. When progesterone drops but estrogen remains high, your uterine lining builds up more than usual, causing heavier bleeding when it sheds. This is common in perimenopause but should be evaluated if it affects your daily life.
perimenopause-periods
Can I still get pregnant if my periods are irregular during perimenopause?
Yes. As long as you're having periods, even irregular ones, you may still be ovulating. Pregnancy is possible until you've gone 12 full months without any period. If you don't want to become pregnant, continue using contraception throughout perimenopause.
perimenopause-and-weight-gain
Can you prevent perimenopause weight gain completely?
While you may not prevent all weight changes during perimenopause, you can minimize gain through proactive strategies. Starting strength training before perimenopause, maintaining consistent sleep habits, and managing stress can help your body adapt to hormonal changes more smoothly. Remember, some body changes during this transition are normal and healthy.
perimenopause-and-weight-gain
At what age does perimenopause weight gain typically start?
Perimenopause weight gain can begin in your late 30s or early 40s, often coinciding with the first hormonal changes. Many women notice gradual changes starting 5 to 10 years before their final period. The timing varies greatly based on genetics, lifestyle, and overall health.
perimenopause-and-weight-gain
Does everyone gain the same amount during perimenopause?
No. Perimenopause weight gain varies significantly. Some women gain 5 pounds, others 20 or more, and some maintain their weight. Factors include genetics, starting weight, activity level, stress, sleep quality, and how dramatically hormones fluctuate. Your experience is unique to your body.
Is perimenopause weight gain different from regular aging weight gain?
Yes. While metabolism naturally slows with age, perimenopause weight gain has distinct characteristics. The hormonal shifts cause fat redistribution to the midsection, even if overall weight doesn't change dramatically. This abdominal weight gain pattern is specifically linked to declining estrogen and progesterone, not just aging.
perimenopause-and-weight-gain
Will the weight come off after menopause?
Perimenopause weight gain often stabilizes after menopause when hormones level out, but the weight doesn't automatically disappear. The metabolic and body composition changes that occur during perimenopause tend to persist. However, with consistent healthy habits, weight management becomes more predictable post menopause than during the fluctuating perimenopause years.
https://www.oova.life/blog/progesterone-supplementation-guide
Can I take progesterone if I'm breastfeeding?
Yes, progesterone is generally safe while breastfeeding and doesn't significantly affect milk supply. However, always discuss with your healthcare provider before starting any hormone supplementation while nursing.
https://www.oova.life/blog/progesterone-supplementation-guide
Is it safe to take progesterone throughout pregnancy?
Yes, when prescribed by your healthcare provider. Progesterone supplementation in early pregnancy is safe and can reduce miscarriage risk in women with low progesterone or a history of pregnancy loss. Most providers continue supplementation through the first trimester (weeks 10-12) when the placenta takes over.
https://www.oova.life/blog/progesterone-supplementation-guide
Can progesterone supplementation cause weight gain?
Progesterone can cause temporary water retention and bloating, which may show up as a few pounds on the scale, but it doesn't cause true fat weight gain. Most women don't experience significant weight changes from progesterone supplementation.
https://www.oova.life/blog/progesterone-supplementation-guide
Can I switch from pills to suppositories or vice versa?
Yes, but only under your doctor's guidance. The dosing and timing may need adjustment when switching between forms since they're absorbed differently. Never switch on your own, especially if you're pregnant or undergoing fertility treatment.
https://www.oova.life/blog/progesterone-supplementation-guide
Will progesterone supplementation delay my period?
Yes, progesterone keeps the uterine lining intact, so if you're not pregnant and continue taking progesterone, your period will be delayed. Once you stop taking it, your period should start within 2-10 days. If you are pregnant, progesterone helps maintain the pregnancy and you won't get a period.
https://www.oova.life/blog/progesterone-supplementation-guide
Should I take progesterone pills orally or vaginally?
For fertility and pregnancy support, vaginal progesterone is usually preferred because it delivers higher concentrations directly to the uterus. For perimenopause or general hormone balance, oral progesterone often works well and is more convenient. Your doctor will recommend the best route based on your specific needs.
https://www.oova.life/blog/progesterone-supplementation-guide
When should I start taking progesterone after ovulation?
Typically, progesterone supplementation for luteal phase support starts 2-3 days after ovulation (confirmed by LH surge or temperature rise). Your doctor will give you specific timing based on your protocol. Some women start immediately after a positive ovulation test.
https://www.oova.life/blog/progesterone-supplementation-guide
What's better: progesterone cream or pills?
Pills (oral micronized progesterone) are generally more effective and reliable than creams because absorption from creams is inconsistent. For medical conditions like fertility issues, low progesterone, or HRT, prescription pills or suppositories are strongly recommended over over-the-counter creams.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
How can I tell if I have low or high progesterone?
The only definitive way to know is through hormone testing via blood tests or at-home urine tests that measure progesterone metabolites. However, symptom patterns can provide clues: anxiety and irregular periods suggest low progesterone, while bloating and extreme fatigue suggest high progesterone.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
When during my cycle should I test progesterone levels?
Test progesterone levels during the luteal phase, typically 7 days after ovulation or around day 21 of a 28-day cycle. This is when progesterone should be at its peak, making it easier to identify if levels are too low or too high.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
What are the main differences between low and high progesterone symptoms?
Low progesterone typically causes irregular or heavy periods, anxiety, hot flashes, and sleep issues. High progesterone causes bloating, fatigue, intense breast tenderness, and depression-like mood changes. Low progesterone symptoms persist throughout your cycle, while high progesterone symptoms are most intense during the luteal phase.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
Can you have symptoms of both low and high progesterone?
Some symptoms like breast tenderness and mood changes can occur with both low and high progesterone, making it confusing. However, the timing, intensity, and accompanying symptoms differ. Hormone testing is the best way to determine which imbalance you're experiencing.
https://www.oova.life/blog/10-dpo
Can stress affect 10 DPO symptoms?
Yes, stress can worsen or mimic 10 DPO symptoms. Stress increases cortisol, which can cause cramping, fatigue, and mood changes similar to both PMS and early pregnancy. During the two-week wait, try stress-reduction techniques like gentle exercise, meditation, or spending time with loved ones.
https://www.oova.life/blog/10-dpo
Is it better to test at 10 DPO or wait?
It's better to wait until 12–14 DPO for more accurate results. Testing at 10 DPO often leads to false negatives because hCG levels may still be too low. If you absolutely can't wait, use a sensitive early detection test with first morning urine, and be prepared to retest in 2–3 days if negative.
https://www.oova.life/blog/10-dpo
What does implantation bleeding look like at 10 DPO?
Implantation bleeding at 10 DPO is typically light pink or brown, much lighter than a period, and lasts 1–2 days. It's often just spotting when you wipe or a few drops on a panty liner. However, only 15–20% of pregnant women experience implantation bleeding—most don't have any bleeding at all.
https://www.oova.life/blog/10-dpo
Why am I cramping at 10 DPO?
Cramping at 10 DPO can be caused by elevated progesterone (whether you're pregnant or not), implantation (if you're pregnant), or premenstrual cramping. Unfortunately, cramping alone can't tell you if you're pregnant since progesterone causes similar symptoms in both scenarios.
https://www.oova.life/blog/10-dpo
What are the chances of a BFP at 10 DPO?
If you're pregnant, you have about a 50–60% chance of getting a positive test at 10 DPO. This means there's a 40–50% chance of a false negative even if you conceived. Chances improve significantly by 12–14 DPO.
https://www.oova.life/blog/10-dpo
What DPO is most accurate for pregnancy testing?
14 DPO (the day of your missed period) is the most accurate time to test, with 99% accuracy. 12 DPO offers 80–90% accuracy. 10 DPO has only 50–60% accuracy. For best results, wait as long as you can—ideally until 12–14 DPO.
https://www.oova.life/blog/10-dpo
Is 10 DPO too early to test?
10 DPO is considered early for pregnancy testing. While some women get positives at 10 DPO, accuracy is only 50–60% if you're pregnant. For best results, wait until 12 DPO (80–90% accuracy) or 14 DPO/missed period (99% accuracy).
https://www.oova.life/blog/10-dpo
Can you have implantation at 10 DPO?
Yes, implantation can still occur at 10 DPO, though 84% of women have already implanted by this point. Late implantation at 10–12 DPO is normal. If implantation happens at 10 DPO, you won't get a positive pregnancy test for another 2–3 days.
https://www.oova.life/blog/10-dpo
What does a negative test at 10 DPO mean?
A negative test at 10 DPO does not mean you're not pregnant. It's very common to get negatives at 10 DPO even if you conceived. Your hCG levels may still be too low, or implantation may have occurred later. Wait until 12–14 DPO to retest for more accurate results.
https://www.oova.life/blog/10-dpo
Can you get a positive pregnancy test at 10 DPO?
Yes, but only about 50–60% of pregnant women will get a positive at 10 DPO. The other 40–50% have hCG levels that are still too low to detect. If you test negative at 10 DPO, wait 2–3 days and test again.
https://www.oova.life/blog/high-progesterone-symptoms
Can high progesterone cause weight gain?
Yes, elevated progesterone can cause temporary weight gain through water retention and bloating. This is a normal part of the luteal phase and early pregnancy.
https://www.oova.life/blog/how-to-increase-estrogen
Does stress affect estrogen levels?
Yes, chronic stress elevates cortisol, which can suppress estrogen production and disrupt hormonal balance. Stress reduction through meditation, yoga, adequate sleep, and self-care practices helps maintain optimal estrogen levels.
https://www.oova.life/blog/how-to-increase-estrogen
When should I consider medical treatment for low estrogen?
Consider medical intervention if natural methods don't improve symptoms after 3 months, if symptoms severely impact quality of life, if you're experiencing early menopause (before 40), or if you have fertility concerns. Hormone replacement therapy may be appropriate in these cases.
https://www.oova.life/blog/how-to-increase-estrogen
What are the signs that my estrogen is increasing?
Signs of rising estrogen include more regular menstrual cycles, reduced hot flashes, improved vaginal lubrication, better mood stability, increased energy, and improved skin elasticity. You may also notice reduced symptoms that originally indicated low estrogen.
https://www.oova.life/blog/how-to-increase-estrogen
Can exercise increase estrogen levels?
Yes, moderate exercise stimulates estrogen release and helps maintain hormonal balance. Aim for 150 minutes of moderate cardio weekly plus strength training twice per week. However, excessive exercise can actually lower estrogen, so balance is key.
https://www.oova.life/blog/how-to-increase-estrogen
How long does it take to increase estrogen naturally?
With consistent dietary and lifestyle changes, you may notice improvements in symptoms within 4-8 weeks. However, significant hormonal changes typically take 2-3 months. Tracking your cycle and symptoms can help you monitor progress.
https://www.oova.life/blog/how-to-increase-estrogen
What foods increase estrogen levels naturally?
Foods high in phytoestrogens can help increase estrogen naturally. The best options include flax seeds (high in lignans), soy products (tofu, tempeh, edamame), lentils, chickpeas, whole grains (oats, quinoa, brown rice), and garlic. These plant compounds mimic estrogen's effects in the body.
https://www.oova.life/blog/perimenopause
What helps relieve hot flashes quickly?
Cool environments, layered clothing, herbal teas, and medical treatments like gabapentin or HRT may help—depending on severity. Lifestyle changes like reducing caffeine and alcohol can also provide relief.
https://www.oova.life/blog/perimenopause
Are there tests to confirm perimenopause?
Yes. Tests measuring estradiol, LH, and FSH levels can indicate hormonal shifts—but diagnosis is often symptom-based since hormone levels fluctuate widely during perimenopause.
https://www.oova.life/blog/perimenopause
How do I know it's perimenopause and not something else?
A doctor may recommend hormone testing (like LH, E3G, and PdG) and track symptom timing. Diagnosis is often based on symptoms combined with age and menstrual pattern changes.
https://www.oova.life/blog/perimenopause
What's the earliest age perimenopause can start?
Some women begin experiencing symptoms as early as their mid-30s, though perimenopause typically starts between ages 38-45.
https://www.oova.life/blog/perimenopause
Does perimenopause affect mental clarity?
Yes. Brain fog and difficulty concentrating are common during hormone fluctuations in perimenopause.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
What happens after the last sign of perimenopause?
After your final period, you enter postmenopause. You'll need 12 consecutive months without a period to confirm menopause. Many symptoms gradually improve, though some like vaginal dryness may persist without treatment.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
When do perimenopause symptoms finally stop?
Some symptoms like brain fog improve after menopause, while others like hot flashes may continue for up to 10 years post-menopause. Vaginal symptoms often persist or worsen without treatment. Each person's timeline is different.
https://www.oova.life/blog/high-progesterone-symptoms
Is high progesterone a sign of pregnancy?
Yes, high progesterone is one of the earliest indicators of pregnancy. Progesterone levels rise significantly after conception to support the developing embryo and reach their peak during the third trimester.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
Can you still get pregnant in late perimenopause?
Yes, you can still get pregnant during perimenopause as long as you're having periods, even if they're infrequent. Continue using birth control until you've gone 12 consecutive months without a period and have officially reached menopause.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
Do symptoms get worse before perimenopause ends?
Yes, most perimenopause symptoms intensify in the final 1-2 years before menopause. Hot flashes peak around your final period, vaginal symptoms worsen, and mood changes increase. However, brain fog typically improves in late perimenopause.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
How long does late perimenopause last?
Late perimenopause typically lasts 1-3 years before your final period. However, the exact duration varies significantly from person to person. You've reached menopause after 12 consecutive months without a period.
https://www.oova.life/blog/high-progesterone-symptoms
What are the symptoms of high progesterone?
High progesterone symptoms include fatigue, bloating, breast tenderness, weight gain, anxiety, depression, headaches, and food cravings. During pregnancy, you may also experience increased nipple sensitivity and muscle aches.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
What are the first signs that perimenopause is ending?
The earliest signs include longer gaps between periods (60+ days), intensifying hot flashes that peak around your final period, and worsening vaginal dryness. These symptoms typically increase in late perimenopause before you reach official menopause.
https://www.oova.life/blog/high-progesterone-symptoms
When should I be concerned about high progesterone?
Consult a healthcare provider if you experience high progesterone symptoms outside your luteal phase when not pregnant, or if symptoms include severe pelvic pain, abnormal vaginal bleeding, or rapid weight gain while on hormone therapy.
https://www.oova.life/blog/high-progesterone-symptoms
How do you test progesterone levels?
Progesterone can be measured through blood tests at your doctor's office or at-home urine tests that measure PdG (a progesterone metabolite). Testing is typically done during the luteal phase, about 7 days after ovulation.

About the Oova Blog:
Our content is developed with a commitment to high editorial standards and reliability. We prioritize referencing reputable sources and sharing where our insights come from. The Oova Blog is intended for informational purposes only and is never a substitute for professional medical advice. Always consult a healthcare provider before making any health decisions.