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neüserene · hormones

Hormones are not the enemy.

What perimenopause changes, what stays the same, and why the answer was never to silence the signal.

1 min read · Reaneu editorial team · 18 Jun 2026
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Hormones are messengers

Hormones are chemical messengers. Oestrogen and progesterone help run your cycle. They also touch your sleep, mood, skin and bones.

They rise and fall by design. A change in them is not a sign that something is broken.

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What perimenopause is

Perimenopause means around menopause. It is the stretch of changing cycles before your periods stop. It most often begins in the mid-40s.

Menopause is a single point in time. It is confirmed after 12 months without a period. The average age is 51 in both the UK and the US.

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What can change

Hormone levels move up and down, not in a straight line. Periods can turn heavier, lighter, closer together or further apart. Hot flushes, night sweats, poor sleep and low mood are common.

Perimenopause lasts about four years on average. It can be a few months or up to ten years. Some women have few symptoms, and others have many.

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Getting support

You do not have to push through it. If symptoms trouble you, talk to your doctor. Treatments exist, including hormone replacement therapy. If symptoms start before 45, ask for a check.

Sleep, regular movement, strength training and a varied diet all help how you feel. Supplements do not replace medical care.

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FAQs

Most often in the mid-40s. Early menopause is before 45, and premature menopause is before 40, which affects about 1 in 100 women.

Not always. Menopause is a natural stage, not an illness. If symptoms affect your daily life, support is available.

References

  1. NHS. Menopause, nhs.uk/conditions/menopause.
  2. Mayo Clinic. Perimenopause: symptoms and causes.
  3. National Institute on Aging and Cleveland Clinic, on the typical length of perimenopause.

This article is for information. It is not medical advice. Speak to your doctor about your own health.

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