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Perimenopause

Perimenopause Insomnia: Why You Can't Sleep & How to Fix It

Clara Siegmund
Clara Siegmund

1 out of 5 people experience insomnia during perimenopause, making this perimenopause symptom very common. In this complete perimenopause insomnia guide, learn what causes insomnia, and how to sleep better in the menopausal transition and beyond.

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Nov 3, 2025
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Woman awake in bed at night experiencing perimenopause insomnia and sleep problems
Published:
Nov 3, 2025
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1 out of 5 people experience insomnia during perimenopause, making this perimenopause symptom very common. In this complete perimenopause insomnia guide, learn what causes insomnia, and how to sleep better in the menopausal transition and beyond.

Perimenopause
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1 out of 5 people experience insomnia during perimenopause, making this perimenopause symptom very common. In this complete perimenopause insomnia guide, learn what causes insomnia, and how to sleep better in the menopausal transition and beyond.

Can't sleep during perimenopause? You're not alone. If you're lying awake at 3 AM, tossing and turning all night, or waking up exhausted no matter how early you go to bed, you're likely experiencing perimenopause insomnia, one of the most common and frustrating symptoms of the menopausal transition. 

Perimenopause sleep problems affect nearly half of all women, with 1 in 5 experiencing full-blown insomnia. Insomnia is a sleep disorder that impacts your ability to get quality, restorative sleep at night. Insomnia and other sleep problems are very common in perimenopause, and changing hormones are often partly to blame. The good news? Understanding why this happens is the first step to sleeping better.

This guide to insomnia in perimenopause has everything you need to know, including symptoms, causes, and the insomnia timeline. Plus, we’ll give you tips for how to sleep better during perimenopause, using lifestyle and natural remedies alongside medical options as needed.

H3 3 Quick Wins for Better Sleep

  1. Set your bedroom to 65-68°F (cool temperatures help you fall asleep faster)
  2. Stop drinking fluids 2 hours before bed (fewer bathroom trips = better sleep)
  3. Do 5 minutes of deep breathing before bed (calms your nervous system)

Does perimenopause cause insomnia?

Yes, perimenopause can cause insomnia. 

Oova recently published research in collaboration with the American College of Obstetricians and Gynecologists (ACOG) examining the relationship between hormone decline and sleep disruption during perimenopause. Our findings confirm that declining estrogen and progesterone are primary drivers of insomnia, affecting nearly half of all women during this transition.

Read our published research →

In fact, perimenopause insomnia is the most common sleep disorder of the menopausal transition, affecting 22% of people [1]. More largely, up to 47% of people have difficulty sleeping in perimenopause, whether from insomnia or other sleep-related issues [1].

Let’s put these numbers into context:

  • 2 out of 10 women have diagnosed insomnia
  • 5 out of 10 women struggle with perimenopause sleep problems
  • Nearly half experience some form of sleep disruption

That means the odds are high that someone you know, or maybe even you yourself, are sleeping badly in perimenopause.

Perimenopause and sleep: Understanding the connection

Perimenopause and sleep have a complicated relationship. Sleep disturbances in perimenopause go beyond occasional restlessness, they can fundamentally change how well you sleep night after night.

Perimenopause sleep problems include:

  • Insomnia (difficulty falling or staying asleep)
  • Sleep fragmentation (waking up multiple times)
  • Early morning awakening (waking at 4 or 5 AM and unable to fall back asleep)
  • Poor sleep quality (sleeping but not feeling rested)
  • Sleep disorders (like sleep apnea or restless leg syndrome)

All of these issues can leave you feeling exhausted, foggy, and irritable during the day. If you're thinking "I can't sleep during perimenopause," know that these symptoms are not in your head, they're a real and recognized part of the transition.

What are symptoms of perimenopause insomnia?

When you have perimenopause insomnia, it impacts your ability to sleep. 

What does that look and feel like? Common perimenopause insomnia symptoms include [2]:

  • Difficulty falling asleep at night
  • Waking up frequently
  • Sleeping fitfully
  • Waking up too early in the morning
  • Being unable to fall back to sleep, whether at night or in the early morning
  • Not getting enough total sleep

You need sleep to feel your best and stay healthy. When perimenopause insomnia impacts your rest, both your emotional well-being and physical health take a hit – particularly if insomnia becomes chronic (meaning it lasts more than a few months).

This can lead to wide-ranging effects throughout your daily life, including:

  • Daytime fatigue
  • Increased brain fog and mental cloudiness
  • Increased irritability
  • Increased mood swings
  • Lethargy and low energy levels
  • Physical exhaustion

What causes perimenopause insomnia?

Perimenopause insomnia is caused by a combination of factors, including hormone fluctuations and other perimenopause symptoms.

Do hormones cause perimenopause insomnia?

Yes. Oova's research published with ACOG confirms that hormone fluctuations are a primary cause of perimenopause insomnia.

Perimenopause is driven by a major shift in hormones, including hormones that help you get quality sleep. When these hormone levels change, it can cause insomnia and other sleep difficulties.

Estrogen, for example, makes you fall asleep faster, sleep more soundly, and sleep longer [3]. Estrogen and progesterone together help produce melatonin (the hormone that makes you sleepy at night), and they promote a regular sleep cycle [4]. Research shows that the perimenopause shifts in these hormones and others make it harder for them to regulate sleep as before, leading to sleep problems [2]:

  • Estrogen declines, and low estrogen is associated with insomnia.
  • Progesterone declines, and low progesterone is associated with sleep disturbances.

Understanding your hormone patterns can help you and your doctor develop a personalized treatment plan. Tracking symptoms alongside hormone levels (through at-home hormone testing) gives you concrete data to work with rather than just describing how you feel.

Read the full research findings →

Do perimenopause symptoms contribute to perimenopause insomnia?

On top of hormone changes, perimenopause symptoms that impact your ability to fall asleep and sleep soundly can also contribute to insomnia:

  • Night sweats (vasomotor symptoms): These nighttime hot flashes can block sleep and jolt you awake. People with worse night sweats are more likely to have insomnia [5].
  • High stress: Cortisol levels (the stress hormone) increase with perimenopause, and high cortisol plus high stress can negatively affect your sleep [2]. 
  • More nighttime bathroom trips (nocturia): Vaginal and urinary perimenopause symptoms (collectively called genitourinary syndrome of menopause) can make you need to pee more often [6]. When nighttime bathroom trips become more frequent, your sleep quality is impacted.
  • Sleep disorders: Perimenopause comes with an increased risk of sleep disorders, including conditions that affect your nighttime breathing (such as sleep apnea), and ones that make you move around more in your sleep (like restless leg syndrome and periodic limb movement disorder) [2].

How long does perimenopause insomnia last?

Here's the good news: perimenopause insomnia doesn't last forever, and you don't have to just wait it out.

The timeline:

  • Early perimenopause: Sleep problems often begin as hormone fluctuations start
  • Late perimenopause: Insomnia may peak as hormonal changes intensify
  • Early postmenopause: Sleep disturbances can continue for 1-3 years after your final period
  • Late postmenopause: Most women see improvement as hormones stabilize

However, you don't need to accept years of exhaustion! The strategies below can help you sleep better starting tonight.[1]. 

In the meantime, though, you don’t have to accept constant bad sleep and exhaustion from perimenopause insomnia! 

Tips for how to sleep better during perimenopause

A combination of lifestyle strategies, natural remedies, and medical options as needed can all help you get better sleep in perimenopause, so you can wake up feeling rested and restored.

Prioritize your sleep hygiene: 

Good sleep hygiene is key to reprogramming your sleep and supporting quality rest. Try cultivating these healthy sleep habits:

  • A relaxing bedtime routine helps your body and mind wind down for sleep.
  • A regular sleep schedule trains your body to be ready for bed and sleepy around the same time each day.
  • An optimal sleep environment – cool, dark, quiet, and cozy – promotes sound, quality sleep.
  • A screen-free bedtime eliminates the interference that screens have on sleep.

Lifestyle strategies and natural remedies for better sleep in perimenopause:

These sleep-friendly habits, lifestyle strategies, and natural remedies may help combat perimenopause insomnia:

  • Exercise regularly: Low- and high-intensity exercise can significantly improve your sleep quality [4]. Try workouts like biking, jogging, walking, swimming, or fitness classes a few times a week (but not too close to bedtime).
  • Eat regular meals and keep a healthy, nutritious diet: Healthy diets rich in fruits, veggies, whole grains, and protein promote sleep, and eating meals regularly can help regulate your sleep cycle [7]. Eat early dinners, so your body has time to digest before rest.
  • Hydrate, but avoid drinking too close to bedtime: Stay hydrated throughout the day, then aim to stop drinking fluids a couple hours before bed to limit nighttime bathroom trips.
  • Cut back on stimulants: Limit (or eliminate) coffee, alcohol, and smoking to reduce the impact these substances have on sleep.
  • Reduce stress: Easing stress, anxiety, and emotional distress can boost well-being and improve sleep. Try doing mindfulness practices, relaxation techniques, meditation, and deep breathing techniques regularly, while also making time for activities that bring you joy.

Natural remedies and therapies for better sleep in perimenopause:

Some therapeutic remedies that don’t involve medication can also help reduce perimenopause insomnia and improve sleep:

  • Cognitive behavioral therapy (CBT-I): CBT-I) is one of the most effective treatments for perimenopause sleep problems, with research showing it can be as effective as medication without side effects. CBT-I helps you identify behaviors that interfere with sleep and develop personalized strategies for falling & staying asleep [8].
  • Light therapy: Light therapy, which involves sitting near a light box or other light source for a set amount of time each day, can help regulate your sleep cycle to promote quality sleep [1].
  • Vitamins and supplements: Supplements like B vitamins, magnesium, and zinc may help improve sleep [7]. Always talk to your doctor before trying vitamins and supplements.

Medication for better sleep in perimenopause:

In some cases, medication may be useful for improving sleep in perimenopause. Your doctor can help you weigh the benefits and risks to decide if medication may be right for you. (Of course, your doctor can also recommend lifestyle strategies and natural remedies!)

Hormone replacement therapy (HRT), which stabilizes hormone fluctuations, is one common treatment for perimenopause symptoms. HRT is particularly effective for night sweats, and reducing night sweats can improve sleep [9,2].

Sleep medication can also be a useful short-term option for better sleep during perimenopause. Long-term use generally isn’t recommended.

Sleep better during perimenopause: The bottom line

Perimenopause sleep problems and insomnia are incredibly common, affecting nearly half of all women. While changing hormones play a major role, the good news is that you have options.

Start with the basics: Optimize your sleep environment, stick to a consistent sleep schedule, and limit caffeine and alcohol. Add therapeutic support: Consider CBT-I or light therapy for drug-free solutions. Talk to your doctor: Hormone replacement therapy can address the root cause, while sleep medications may help in the short term.

Most importantly, remember: if you can't sleep during perimenopause, you're not broken, you're experiencing a normal (if frustrating) part of the transition. With the right support and strategies, better sleep is possible.

Ready to understand what's happening with your hormones? Learn more about Oova.

 

Frequently Asked Questions About Perimenopause Insomnia

Why can't I sleep during perimenopause even though I'm exhausted?

Declining estrogen and progesterone disrupt your body's natural sleep-wake cycle, making it harder to fall asleep even when you're tired. Night sweats and stress also interrupt sleep quality.

Is insomnia a sign of early perimenopause?

It can be. Sleep disturbances are one of the earliest signs of perimenopause for many women, sometimes appearing before irregular periods.

Will I ever sleep normally again after perimenopause?

Yes! Most women see significant improvement in sleep quality in late postmenopause as hormones stabilize. In the meantime, the strategies in this guide can help.

Should I take melatonin for perimenopause insomnia?

Melatonin may help some women, but it's not a long-term solution. Talk to your doctor about whether it's appropriate for you and the right dosage.

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. Haufe A & Leener B. (2023). Sleep Disturbances Across a Woman's Lifespan: What Is the Role of Reproductive Hormones?
  3. Lee J, et al. (2019). Sleep Disorders and Menopause.
  4. Park KM, et al. (2024). Sleep Disturbance in Perimenopausal Women.
  5. Delamater L & Santoro N. (2018). Management of the Perimenopause.
  6. Karen Carlson K & Nguyen H. (2024). Genitourinary Syndrome of 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. North American Menopause Society. (2022). The 2022 hormone therapy position statement of The North American Menopause Society.
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.

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