Perimenopause is the transition before periods stop; symptoms and bleeding patterns vary and other causes may need exclusion.

Hormones & HRT - Menopause

Perimenopause and menopause, explained

Last reviewed 3 August 2026. How we write this.

Perimenopause is the transition before periods stop; symptoms and bleeding patterns vary and other causes may need exclusion.

Hot flushes, sleep disruption, cycle change, vaginal symptoms and mood changes can occur. Age, symptoms and history often matter more than a single hormone result.

When bleeding needs assessment

Very heavy bleeding, bleeding after sex or any bleeding after menopause should be discussed promptly with a clinician.

Educational content only. This does not diagnose, treat or replace individual advice from an appropriately qualified clinician.

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Sources for this classroom

Educational content only. Not medical advice, diagnosis or treatment. Always consult a qualified healthcare professional before changing your health regimen.