Perimenopause is the transitional period before menopause, marking the end of the reproductive years. During this time, the ovaries gradually slow down and produce less estrogen, which can cause changes in hormone levels and lead to a range of physical and emotional symptoms. Some of the most common symptoms of perimenopause include:

• Irregular periods: As ovulation becomes more unpredictable, the length of time between periods may be longer or shorter, the flow may be light to heavy, and some periods may be skipped.

• Hot flashes and night sweats: These are common during perimenopause and can vary in intensity, length, and frequency.

• Sleep problems: Insomnia and other sleep disturbances are often due to hot flashes or night sweats, but sometimes sleep becomes unpredictable even without them.

• Mood changes: Mood swings, irritability, or increased risk of depression may happen during perimenopause.

• Changes in sexual desire: Lower sex drive is a common symptom of perimenopause.

• Vaginal dryness: This can cause discomfort during sex.

• Urine leakage when coughing or sneezing: This is due to weakened pelvic muscles.

• Urinary urgency: An urgent need to urinate more frequently.

• Trouble concentrating: Difficulty focusing or remembering things.

• Headaches: Some women experience more frequent or severe headaches during perimenopause.

• Joint and muscle aches: These can be caused by changes in hormone levels.

• Heavy sweating: This can occur during the day or at night.

• Hav...