< Back to the Blog
Perimenopause

Perimenopause Fatigue: Why You’re Always Tired and What to Do About It!

Clara Siegmund
Clara Siegmund

Whether it’s nighttime sleep problems or daytime exhaustion, perimenopause fatigue can leave you totally drained. Here’s what causes this common perimenopause symptom, and how you can find relief.

Modified On:
Published:
Sep 25, 2025
Est. Read Time:
0
An unmade bed with dim lighting, representing perimenopause fatigue from restless sleep and nighttime awakenings.
Published:
Nov 12, 2025
Est. Read Time:
0

Whether it’s nighttime sleep problems or daytime exhaustion, perimenopause fatigue can leave you totally drained. Here’s what causes this common perimenopause symptom, and how you can find relief.

Perimenopause
Share to:
No items found.

Whether it’s nighttime sleep problems or daytime exhaustion, perimenopause fatigue can leave you totally drained. Here’s what causes this common perimenopause symptom, and how you can find relief.

You’re exhausted all the time, but you can’t fall asleep at night. When you do finally drift off, you sleep fitfully and wake up too early, feeling unrested and just as tired as the day before.

There’s a reason for this: perimenopause fatigue. You’re not imagining things, you really are sleep-deprived – just like millions of other people in perimenopause. In fact, nearly 1 out of 2 perimenopausal women have trouble sleeping [1]!

Why does perimenopause cause fatigue, and how can you get better sleep and boost your energy levels? Read on to find out.

‍

Does perimenopause cause fatigue?

Let’s cut to the chase: does perimenopause cause fatigue? Yes, absolutely. Perimenopause fatigue is a common symptom experienced by many during the menopausal transition. 

Perimenopause fatigue is often (but not exclusively) associated with trouble sleeping at night. When you don’t get enough quality sleep, it’s no wonder you’re tired! But perimenopause fatigue stems from other causes, too, beyond just nighttime sleep troubles.

‍

Why am I so tired during perimenopause?

We know perimenopause makes you tired, but why? There are lots of different factors in play, ranging from the biological and hormonal changes behind perimenopause, to other perimenopause symptoms that zap your energy.

Let’s examine what causes perimenopause fatigue.

‍

Do hormone fluctuations impact energy levels?

Perimenopause is driven by changes in reproductive hormones. Estrogen and progesterone, for example, fluctuate unpredictably and decline over time, and the research shows that these fluctuations impact energy levels.

This is partly because estrogen and progesterone are involved in the systems that make you sleep – and sleep well. Estrogen, for instance, blocks the brain chemicals that wake you up, helping you sleep through the night [1]. It also helps you fall asleep faster, sleep more deeply, and stay asleep longer [2].

Plus, estrogen and progesterone regulate your circadian rhythm and produce melatonin, two key factors for good sleep [3]. Your circadian rhythm is your body’s sleep-wake cycle, determining when you go to sleep and wake up each day. Melatonin is a hormone that makes you feel tired at bedtime.

As estrogen and progesterone fluctuate and decline during perimenopause, it becomes harder for them to properly regulate your sleep. That makes it harder for you to get quality sleep, and when you don’t sleep well, you’re more likely to experience perimenopause fatigue during the day.

‍

Do other perimenopause symptoms impact energy levels?

Hormone fluctuations cause lots of other perimenopause symptoms, too, many of which contribute to perimenopause fatigue.

Here are just some of the perimenopause symptoms that can make you tired:

  • Night sweats (vasomotor symptoms): Nighttime hot flashes can jolt you awake or make it impossible to fall asleep. People with more severe night sweats are more likely to experience insomnia [4].
  • Sleep disturbances: 47% of perimenopausal people experience sleep disturbances like trouble falling asleep, waking up frequently at night, or waking up too early [1].
  • Perimenopause brain fog: Brain fog can make you spend more energy just to function throughout the day, leaving you exhausted.
  • Stress and other mood symptoms: Increased stress, mood swings, and emotional turmoil during perimenopause can drain you physically and emotionally.
  • Physical changes: Weight gain and bloating can impact nighttime breathing, potentially waking you up at night as your body adjusts oxygen intake [1].

Plus, additional perimenopause-related factors can make you feel tired and low-energy:

  • Nutritional deficiencies: Chronic fatigue could be linked to low levels of iron, vitamin D, and vitamin B12 [5]. The likelihood of developing these nutritional deficiencies (and others) increases during perimenopause and beyond [6].
  • Daily stressors: The daily mental and physical demands of midlife are tiring already. With the added tolls perimenopause takes on your mind and body, it’s no wonder you’re exhausted.

‍

Does menopause make you tired, too?

For some people, sleep problems may start to improve with official menopause (that is, once you’ve gone 12 consecutive months without a period) [4]. Beyond menopause, in other words, you may start to sleep better.

But this isn’t the case for everyone. Menopause can make you tired, too. Menopause fatigue is also frustratingly common, affecting up to 60% of people [1].

‍

What’s the difference between perimenopause fatigue and menopause fatigue?

Perimenopause fatigue and menopause fatigue share many similarities, but part of where they differ is in their causes.

Menopause fatigue is linked to low hormone levels, rather than fluctuations (hormones stabilize after menopause). Plus, certain fatigue-inducing health factors become more likely after menopause, including insomnia, sleep apnea, restless leg syndrome, and frequent nighttime bathroom trips (nocturia) [1].

From your point of view, though, fatigue may well feel the same whether you’re in perimenopause or beyond. 

‍

How to combat perimenopause fatigue

Faced with the many factors driving perimenopause fatigue, feeling tired and low energy is completely understandable.

But you don’t have to accept exhaustion as your new normal!

There are ways to combat perimenopause and menopause fatigue, starting with daily habits, lifestyle strategies, and nutrition-based approaches to support energy and improve sleep:

  • Create your optimal sleep environment: Make your bedroom cool, dark, and quiet for a sleep environment that’s cozy and prime for Zs.
  • Develop a relaxing bedtime routine: A wind-down routine prepares your body and mind for sleep. Try calming, screenless activities like reading, a bath, meditation, or other relaxation techniques.
  • Stick to a regular sleep schedule: Train your body for sleep by going to bed and waking up around the same time each day.
  • Keep a regular meal schedule: Eating regular meals helps maintain your circadian rhythm [7]. Have dinner earlier so your body has ample time to settle into sleep mode.
  • Eat a balanced, nutritious diet: Healthy diets support better sleep and increased energy. Foods like eggs, fish, nuts, pumpkin seeds, cherries, and strawberries may help boost melatonin production [7]. 
  • Hydrate regularly, but not right before bed: Drink water throughout the day so you aren’t parched at night, and avoid too much fluid before bed to reduce nighttime bathroom trips.
  • Limit caffeine and alcohol: Cutting back on coffee and alcohol reduces the negative impact these substances can have on sleep.
  • Exercise regularly: Regular exercise, both low- and high-intensity, can improve sleep quality [3]. Just avoid intense workouts too close to bed.
  • Consider cognitive behavioral therapy (CBT): CBT is a powerful tool for addressing perimenopause sleep problems, helping you rewire your mindset around sleep to develop good sleep habits and improve sleep quality [8].
  • Try supplements for perimenopause fatigue: Talk to your doctor about whether supplements could be right for you. Vitamins for perimenopause fatigue and menopause fatigue include B vitamins, magnesium, and zinc [7].

When you sleep better at night, you may find that your daytime perimenopause fatigue improves and you feel more energized. 

Plus, emerging research from Oova suggests that longer sleep may even help manage perimenopause estrogen levels [9]. In other words, optimizing your sleep to combat perimenopause fatigue could also help stabilize hormone fluctuations and ease other perimenopause symptoms.

‍

When to seek professional support for perimenopause fatigue

If sleep-friendly lifestyle strategies don’t improve perimenopause fatigue, it may be time to talk to your doctor.

Consider seeking professional support if exhaustion suddenly gets worse, you can’t function daily, or you’d just like some extra help with understanding your perimenopause journey and building a holistic approach.

Medication that treats perimenopause symptoms by stabilizing hormone fluctuations, like hormone replacement therapy (HRT) and hormonal birth control, can help you manage sleep and ease perimenopause fatigue. Sleep medication can be used in the short term in certain cases, but long-term use generally isn’t recommended. 

‍

Perimenopause fatigue: The bottom line

Perimenopause fatigue is a common experience, often linked to hormone fluctuations and other perimenopause symptoms, including night sweats, sleep disturbances, and brain fog.

Remember that you don’t need to accept constant fatigue as an inevitable part of getting older. Consider adopting strategies to build healthy sleep habits, and talk to your doctor for help as needed. With support and lifestyle adjustments, you can manage perimenopause fatigue and regain your energy.

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

  1. Troìa L, et al. (2025). Sleep Disturbance and Perimenopause: A Narrative Review
  2. Lee J, et al. (2019). Sleep Disorders and Menopause.
  3. Park KM, et al. (2024). Sleep Disturbance in Perimenopausal Women.
  4. Delamater L & Santoro N. (2018). Management of the Perimenopause.
  5. Harvard Health. (2015). Could a vitamin or mineral deficiency be behind your fatigue?
  6. Wylenzek F, et al. (2024). A systematic review on the impact of nutrition and possible supplementation on the deficiency of vitamin complexes, iron, omega-3-fatty acids, and lycopene in relation to increased morbidity in women after menopause.
  7. Erdélyi A, et al. (2023). The Importance of Nutrition in Menopause and Perimenopause—A Review.
  8. Ntikoudi A, et al. (2024). The Effectiveness of Cognitive Behavioral Therapy on Insomnia Severity Among Menopausal Women: A Scoping Review.
  9. Divaraniya A, et al. (2024). Using Daily Hormone Tracking to Understand the Impact of Sleep on Perimenopausal Hormone Fluctuations.
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.

Posts

Latest Articles

Beyond the Black Box How New Research Is Rewriting Women's Midlife Health
Perimenopause
Nov 17, 2025

Beyond the Black Box How New Research Is Rewriting Women's Midlife Health

After 22 years, the FDA has removed the black box warning from hormone replacement therapy, marking a watershed moment in women's health. Our CEO Amy Divaraniya, who witnessed this historic announcement at HHS, explores what the latest research reveals about the critical timing window for HRT, why starting treatment during perimenopause matters, and what this means for providers, patients, and the future of menopause care.

What We Learned at The Menopause Society 2025 Annual Meeting And Why It Actually Matters for Your Health
Perimenopause
Nov 11, 2025

What We Learned at The Menopause Society 2025 Annual Meeting And Why It Actually Matters for Your Health

The latest menopause research from 1,600+ healthcare professionals reveals surprising insights about brain fog, weight changes, and hormone therapy that could change how you navigate midlife.

5 Game-Changing Fertility Breakthroughs from ASRM 2025 That Could Help You Get Pregnant Sooner
Fertility
Nov 11, 2025

5 Game-Changing Fertility Breakthroughs from ASRM 2025 That Could Help You Get Pregnant Sooner

What the world's top fertility experts revealed in San Antonio about IVF success rates, egg quality, and your path to parenthood.