
Hormones change throughout life, but the transition into menopause can feel especially confusing. Between new symptoms, shifting cycles, and endless advice online, it’s hard to know what’s “normal” and what you can actually expect.
This guide pulls everything together:
Signs you might be in perimenopause:
Irregular cycles (shorter, longer, heavier, or lighter)
Hot flashes & night sweats
Mood swings, irritability, or anxiety
Sleep disruptions
Brain fog or forgetfulness
Vaginal dryness or discomfort
Lower libido
👉 Think of it as your body’s “dress rehearsal” for menopause.
Menopause itself is a single point in time: when you’ve gone 12 months in a row without a period (not due to surgery or another cause). The average age in the U.S. is 51.
What shifts at menopause?
Estrogen and progesterone levels stay lower
Fertility ends
Some symptoms (like hot flashes) may peak or persist
Once you’ve passed the 12-month mark without a period, you’re officially post-menopausal. Symptoms often ease, but new health priorities arise:
Bone health: Lower estrogen speeds up bone loss → higher osteoporosis risk
Heart health: Estrogen also protects blood vessels, so cardiovascular risk rises
Metabolism & skin: Changes in energy, weight distribution, and elasticity are common
Estrogen decline doesn’t just affect bones and mood; it also impacts the urinary tract.
What helps?
Stay hydrated (water helps flush the urinary tract)
Wear breathable fabrics
Consider vaginal moisturizers or lubricants for comfort
Support bladder health with nutrition and supplements designed for this stage of life
While you can’t pause menopause—yes, we did that—you can make the ride smoother.
Lifestyle Support
Symptom Relief
Semaine offers several plant-based supplements designed to help at every stage of this transition:
Perimenopause, menopause, and post-menopause are natural life stages, not conditions to fix. With the right knowledge and support, you can move through them feeling more empowered, healthier, and connected to your body.
That perimenopause only matters once your period stops. In reality, symptoms can begin years earlier, and dismissing them as "too soon" prevents women from getting the support they need for theirhealth and well-being.
- Dr. Lewis, OBGYN
Two often-overlooked signs are:
Less vaginal discharge - gradual dryness or thinning that can go unnoticed.
More frequent UTIs - tissue changes during this stage can increase vulnerability, but many women don't connect it to perimenopause.
- Dr. Chubak, Urologist
During perimenopause, women may notice a dampening of their orgasm, which can be an initial sign of a weakening pelvic floor.
- Dr. Jackie, PT, DPT