100 symptoms of perimenopause

https://naturalmedicines.therapeuticresearch.com/. You may also experience menopause-like symptoms, such as hot flashes, sleep problems and vaginal dryness. 40. 33239. Yes, perimenopause can affect your sleep. 14. As a result, you may have irregular bleeding or spotting. Basu P, et al. Bleeding problems. If you want to expand your family during this time, speak with your healthcare provider about your health, fertility and possible fertility treatment options. Have periods more frequently than every 21 days. Of course, I'm the only female in my household, so everyone thinks I lost my mind. They happen for the same reason that you might experience hot flashes during the day: Your hypothalamus is more sensitive. Each of them answered a brief script of questions about how they were experiencing perimenopause symptoms, post-menopause, or somewhere in between. Menopause refers to the. About 1% of women go through menopause prematurely, according to Faubion. Menopause. As mentioned above, perimenopause simply describes the transitional process into menopause. That means people can experience symptoms differently and at very different times. Perimenopause is also called the menopausal transition. Puffy Eyes, not only from sleep disturbances, but also can accompany low progesterone. 37. It's a ruff road but most of my symptoms have gotten better. The symptoms associated with perimenopause can be challenging, so wed recommend having open conversations with friends and family, along with your health care provider so that you have the support in place that you need. Delamater L, et al. Some medical conditions or procedures cause early menopause. I'm so sorry to hear what you've been through. No matter where you are in your transition, this information can be helpful. Obstetrics and Gynecology. Pal suggests that any treatment plan should have you, the patient, at its center. If we combine this information with your protected Some symptoms alarm a woman that she may be suffering from a serious disease. To relieve symptoms, you can: Certain factors are linked to early perimenopause. Menopause means your periods have ended. As your estrogen levels drop during perimenopause, the tissue of your vulva and the lining of your vagina may become thinner. Some of the most common physical symptoms include: Hot flashes. Increased Appetite, especially at night and after dinner contributes to that unusual and unwanted weight gain. This is a quick visual list of most of the possible menopause symptoms that many middle aged women struggle with. These are brief episodes where you may feel excessively hot, sweaty, and flushed. Urinary Incontinence, the uncontrollable and spontaneous loss of urine, or the Urge for Incontinence, can occur suddenly or feel continuous, and not only in response to coughing, sneezing, jumping or running. According to Khan, lifestyle changes are essential to getting relief from perimenopausal symptoms: Its common practice to continue women on birth control pills if theyre healthy and can otherwise take birth control pills until they go through menopause, Faubion says. Accessed 22 June 2022. Hot Flashes. These symptoms can be hardly noticeable in some women. Perimenopause might not just impact your physical health. Watch Holly Thacker, M.D. It's quite possible for women to start to notice things changing in their mid-30s. Remember: You dont need to suffer in silence with perimenopause symptoms. Changes can include vaginal dryness, tenderness, and painful sex. The term perimenopause simply describes the time when your cycles are no longer predictable. Some people also notice a change in their premenstrual syndrome (PMS) symptoms. 15. Or it can be a gradual build up just when you think your menses will end and you start gushing for days. 3. So, from hot flashes to irregular periods, a menopause specialist talks to Flo about what to expect when you experience perimenopause. 'Most women begin to experience perimenopausal symptoms in their 40s, but sometimes in their late 30s. heavier or lighter periods. Change pads or tampons every one to two hours. Vaginal dryness that causes discomfort during sex. Worsening PMS symptoms: cramps, IBS, bloating, etc. No two women will experience perimenopause in the same way. It seems worse in the evenings. Some people only experience a couple of them; others have all of them. Lack of Appetite may be experienced as more of a lack of interest in food, going to the frig and standing there with the door open and staring blankly. Accessed 22 June 2022. 42. 61, no. Symptoms differ among women and may range from mild to severe. In: Ferri's Clinical Advisor 2021. 5 Signs Perimenopause is Ending. Vaginal and bladder problems. Once you've gone through 12 consecutive months without a menstrual period, you've officially reached menopause, and the perimenopause period is over. Getting regular exercise can lower your stress levels and improve your sleep two things that help ease menopause symptoms. Symptoms that may begin to appear during perimenopause include: Cognitive issues. You should reach out to your healthcare provider right away if you have: FSH (follicle stimulating hormone) is a hormone produced by the pituitary gland the gland located at the base of your brain. Most physical symptoms associated with perimenopause are due to the gradual decline in estrogen levels as you approach menopause. Reaffirmed 2016. Now theyre 25 to 21 days. 61. Every piece of content at Flo Health adheres to the highest editorial standards for language, style, and medical accuracy. Can I ask whether you experienced spotting at all? If any of the following situations apply to you, see a healthcare provider to rule out other causes. Elsevier; 2021. https://www.clinicalkey.com. The average length of perimenopause is about four years. 2019; doi:10.1177/2515690X19829380. Estrogen doesnt just play a crucial role in your menstrual cycle. Obstetrics and Gynecology Clinics of North America. Abdominal Bloating comes on suddenly often after eating, or seems to be all the time, and can be visibly evident making you feel that you look like you are pregnant. Women start perimenopause at different ages. If they are having irregular periods, they also think that theres something abnormal going on.. 2. 7th ed. Possibly. Night sweats are hot flashes at night that interfere with sleep. 31. Archives of Women's Mental Health. Becoming familiar with the signs of perimenopause is important for women. As your egg production decreases, your hormone levels drop too. Its important to note that even as your cycles become irregular, you can still get pregnant during perimenopause. missing periods. Egton Medical Information Systems Limited. Estrogen plays a key role in your cycle. Me too , im experiencing most of the syptoms and tired pf it. You may opt-out of email communications at any time by clicking on Unexplained dizziness - Episodes of dizziness can sometimes be related to anxiety, fatigue, or hot flashes. Greendale, Gail A., et al. Sometimes described as a second puberty, knowing what to expect when going through it can be helpful for women as they age. When your periods are irregular, you may be more likely to get pregnant unexpectedly. Most women don't associate these changes with perimenopause, which is unfortunate because these symptoms affect more than half of all peri- and menopausal women in the US. Mood swings, irritability or increased risk of depression may happen during perimenopause. Pelvic Pain can be random and independent of cycles and may feel continuous for some women. However, your health care provider may recommend over-the-counter or prescription treatment to help you manage your symptoms. Increase in Facial Hair especially under your chin, or along your jaw line. Yet this is not solely a physical eventit is also the biggest . Hormone therapy can help relieve some symptoms of perimenopause. You can lower your risk of complications by seeking treatment when necessary. appropriate medical assistance immediately. There is one additional symptom that I suffer that is the deterioration of my sight. Discuss your perimenopause symptoms with your healthcare provider. Perimenopause can last for years. Bloating health information, we will treat all of that information as protected health Vulvovaginal Atrophy. Mayo Clinic Proceedings. it literally feels like death some days! The average time for symptoms to persist is around four and half years, but in a handful of women, it can continue for a decade.. This video lists 100 perimenopause symptoms in 7 minutes! "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. 8 years ago, 26. Obstetrics and Gynecology Clinics of North America. Headaches, Migraines, especially before, during or at the end of your menses debilitate and radically interferes with normal functioning. In fact, for some people, it can last for years. How long do you think I will have these symptoms? 1 Period Changes Changes in your usual menstrual pattern are among the most noticeable signs of perimenopause. Shortly following ovulation, your progesterone levels also rise to prepare your body for pregnancy. Menopause is a natural condition. Accessed 22 June 2022. Menopause. NHS, https://www.nhs.uk/conditions/menopause/. They usually last 1 to 5 minutes. As perimenopause is a natural transition, there is no treatment to stop it from happening. If you have symptoms that interfere with your life or well-being, such as hot flashes, mood swings or changes in sexual function that concern you, see your doctor. 20. But I got your 66 plus more!.When someone has breezed through menopause they have no idea.I am close to 47 I have been going through this perimenopause hell transition for 4 and a half years.I am amazed I haven't gone into the nut house. 60. Perimenopause is the time during which the female body makes a transition from its fertile phase to menopause. what previously took four to five hours to digest, now seems to take all night. Continue to have regular checkups with your healthcare provider to keep an eye on your health. Hot flashes. 51. Perimenopause refers to a period of time leading up to menopause. They include hot flashes, irregular periods, mood changes, and more. Bleeding is extremely heavy you're changing tampons or pads every hour or two for two or more hours, Periods regularly occur less than 21 days apart. https://www.nccih.nih.gov/health/menopausal-symptoms-in-depth. As your hormone levels decrease, the following perimenopausal symptoms may occur a few years before you reach menopause: vaginal dryness. Mayo Clinic is a not-for-profit organization. The 5 signs of perimenopause ending are: 1. Women may experience intermittent vaginal dryness, urinary leakage and an overactive bladder during and after perimenopause. 17. Changes to your periods are often the first sign of perimenopause, but other common symptoms include hot flushes and mood swings. Some people may only be in this stage for a few months, while others will be in this transition phase for more than four years. 2014; doi:10.1097/01.AOG.0000441353.20693.78. and if you do, it may worsen. However, see your doctor if: Signs such as these may mean there's a problem with your reproductive system that requires diagnosis and treatment. Use of the forums is subject to our Terms of Use Weight Gain disturbs most women, particularly when it seems to happen over a couple of days, settles in the waist, buttocks and thighs, promoting a visceral thickening from the waist down, the classic middle-aged figure. Headaches. 22. This is called vulvovaginal atrophy. Thats rare, but I would suggest that women need contraception if they do not want to become pregnant, or itd be a catastrophe if they became pregnant, until they have gone a year without a period.. Relation of Demographic and Lifestyle Factors to Symptoms in a Multi-Racial/ethnic Population of Women 40-55 Years of Age. American Journal of Epidemiology, vol. Teeth Aching or the experience of a strange sensation in one?s teeth or gums, often accompanied by an increase in bleeding gums. If youve gone more than 12 months without having a period, you are no longer in perimenopause. The late transition: You may have identified that your cycle is getting increasingly longer (up to 60 days). Its more than likely that youll have heard of menopause, but what about perimenopause? You may notice signs of progression toward menopause, such as menstrual irregularity, sometime in your 40s. Your estrogen levels rise just before ovulation to trigger your ovaries to release an egg. If theyre having palpitations, they think its because of heart disease. Accessed 22 June 2022. thought it may be useful info for some ladies unfamilair with whats going on .. think I have had most of them in the past . Painful Sex often described as if one?s vagina would tear open at the point of penetration along with feelings of abrasion during intercourse. Delamater, Lara, and Nanette Santoro. (https://pubmed.ncbi.nlm.nih.gov/21961710/), (https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/how-do-i-know-when-i'm-in-menopause-). Many women also experience night sweats or chills along with hot flashes. 44. About 4 months ago I had a panic come over . Symptoms and Causes However, perimenopause can last anywhere from a few months to 10 years. Emotional symptoms interfering with your ability to function on a daily basis. If youve had your uterus or ovaries removed. 45. Generally speaking, there are two main stages of perimenopause: The early transition: This is when you start to notice irregularities in your cycle. Would hormone therapy be an option for me? In: Comprehensive Gynecology. We will get through this! Make a donation. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. We do not endorse non-Cleveland Clinic products or services. The Normal Menstrual Cycle and the Control of Ovulation. Endotext, edited by Kenneth R. Feingold et al., MDText.com, Inc., 2018. 2. As estrogen decreases, it throws off the balance with progesterone, another hormone produces by the ovaries. Yes. Perimenopause is the transition to menopause. Read our editorial policy. Symptoms that begin to manifest after a woman is in menopause are considered post-menopausal. Advertising on our site helps support our mission. I am experiencing most of the list and am so grateful to discover I am not alone. During perimenopause, women may have various symptoms. Black cohosh. Accessed 22 June 2022. https://www.womenshealth.gov/menopause. Accessed March 5, 2021. 8794. The symptoms vary, but most people experience at least one of the following: The length of time you have symptoms of perimenopause can vary between a few months to many years. Dry mouth or changes in taste. Some people start the transition in their 30s, while other people wont experience perimenopause until their late 40s or 50s. These two hormones together are responsible for ovulation and menstruation. The Wrap Up. Completing menopause before age 40 is called premature menopause. Vaginal dryness. It might help to keep a journal of your menstrual cycles including when they start and stop and the amount of bleeding. You may be transitioning into menopause if you begin experiencing some or all of the following symptoms: Hot flashes, also known as vasomotor symptoms (a sudden feeling of warmth that spreads over your body). 1. If your period stops completely before the age of 40 and youre not on hormonal contraception, then you should reach out to your health care provider. Perimenopause and Cognition. Obstetrics and Gynecology Clinics of North America, vol. Estrogen plays an important role in preserving your bones. Overactive thyroid and high prolactin can also alter those results. We cannot generalize or recommend these tests for every perimenopausal woman since hormone levels fluctuate significantly prior to actual menopause, Khan says. 32. 30. Flooding commonly accompanies the woman with uterine fibroids as she transits into menopause. Biomedicine and Pharmacotherapy. Unfortunately, theres no crystal ball that reveals when youll begin the menopause transition. The 34 symptoms of menopause is a list of common symptoms that can occur before or during menopause. In a 2015 study, it was found that cinnamon significantly decreased the severity of nausea, among other symptoms, whilst on your period. 62. Perimenopause and Menopause Symptoms. For some women, it is not a very noticeable milestone," Khan says. Practice Bulletin No. Perimenopause means "around menopause" and refers to the time during which your body makes the natural transition to menopause, marking the end of the reproductive years. My last period was 10 months ago and I feel quite worried by this. Gold, E. B., J. Bromberger, et al. I understood that the aches and pains, anxiety, insomnia, weight gain, disappearing libido and memory issues were all parts of the jigsaw and could be improved. Treatment is very personalized and individualized to what kind of symptoms a woman going through perimenopause is experiencing. Flare up of Arthritis worsens with low progesterone levels and increase sugar intake. 2017; doi:10.1016/j.ogc.2018.02.008. The two important hormones to highlight in perimenopause are progesterone and estrogen. 2. Tiredness, difficulty sleeping, forgetfulness, brain fog, and trouble concentrating are all perimenopause symptoms that can affect your mental health. With the past 2 years being the absolute worse! Change inMenstrual Cycle, Cycles may get closer together or farther apart, lighter and shorter in duration or much heavier, lasting longer than one has been accustomed to. This content does not have an Arabic version. Night Sweats often begin between a woman?s breasts, initially a night or two before her menses, waking her from sleep, later more profoundly disturbing with up to total body saturation, followed by damp or sweat drenched chills. information and will only use or disclose that information as set forth in our notice of Here, a menopause expert outlines exactly what happens in this period, known as perimenopause, and some of the signs to look out for. You used to be 28 days. Generally, the first sign of perimenopause is irregular periods. Get Cleveland Clinic's symptom overview and treatment options for a wide variety of health conditions. Black cohosh. Cold Extremities feels quite strange especially in the presence of a hot flash, the combination of which is not impossible. Hot flashes are bouts of sweating, redness, and heat flushes that last for about 30 seconds to 10 minutes. Cyclical breast pain. The Big Checklist of Perimenopause symptoms Classic Symptoms Hot Flashes The classic symptom. chills. Read Guide to using progesterone for women's health. I have had blurred vision off and of since starting this mess and use reading glasses only but I have had it kinda bad for the last three days where nothing seems to be helping my vision. Being Accident Prone, bumping into things, not even realizing it until the bruise reveals itself later and then lacking the ability to recall the causative incident feels perplexing and a little scary at the prospect of something more damaging. Your healthcare provider may recommend a multivitamin, calcium supplement, extra vitamin D or more weight-bearing exercises. 2018; doi:10.1016/j.biopha.2018.08.100. Painful, or tender nipples have been described as this exquisite localized pain only in the nipples and suggests estrogen excess. In fact, one study highlighted that this is a time when people could be at a heightened risk of depression or low moods. Even though the exact cause of hot flashes remains unknown, it is thought that changes in circulation cause an increase . "But for some, this transition carries quite a bit of impact because there are hormonal changes, ovarian changes and some physiological and emotional effects, as well.. Gonsalves, Lilian. Perimenopause is the transitional period before menopause. Suddenly feeling extremely hot, anxious, or flushed? Perimenopause. Reaffirmed 2018. Accessed 22 June 2022. They occur because as your estrogen levels decrease, your bodys thermostat (hypothalamus) becomes increasingly sensitive to temperature changes. Begin to experience perimenopausal symptoms in a Multi-Racial/ethnic Population of women 40-55 years of.... Until their late 30s flooding commonly accompanies the woman with uterine fibroids as she transits into menopause recommend a,... Am so grateful to discover I am experiencing most of the syptoms and tired pf it risk complications. Digest, now seems to take all night few months to 10 years sweats or chills along hot... To rule out other causes their premenstrual syndrome ( PMS ) symptoms in between Facial Hair under... You dont need to suffer in silence with perimenopause are due to the editorial. With your ability to function on a daily basis difficulty sleeping, forgetfulness, brain fog, and accuracy! Female body makes a transition from its fertile phase to menopause can symptoms... Sweats or chills along with hot flashes your egg production decreases, it is thought changes... How they were experiencing perimenopause symptoms that may begin to manifest after a woman 100 symptoms of perimenopause! Can also alter those results a journal of your menses debilitate and radically interferes with normal.... As your hormone levels decrease, your progesterone levels and improve your two! Calcium supplement, extra vitamin D or more weight-bearing exercises a heightened risk of complications seeking., irritability or increased risk of depression may happen during perimenopause flashes, sleep problems and vaginal dryness urinary. May notice signs of progression toward menopause, Khan says a result, you can still get unexpectedly! Theres no crystal ball that reveals when youll begin the menopause transition progesterone and estrogen period changes changes circulation... Day: your hypothalamus is more sensitive menstrual pattern are among the most noticeable signs of toward. Perimenopause symptoms, post-menopause, or tender nipples have been described as exquisite! Et al., MDText.com, Inc., 2018 are no longer in perimenopause they happen for the same.... The transitional process into menopause flashes during the day: 100 symptoms of perimenopause hypothalamus is sensitive. Your menstrual cycles including when they start and stop and the lining your... Hot flashes are bouts of sweating, redness, and flushed high can. Ending are: 1 ability to function on a daily basis is called premature menopause for days will and! Flo about what to expect when going through perimenopause is experiencing flushes mood... Worsens with low progesterone levels also rise to prepare your body for pregnancy as perimenopause is important for women they... Come over is not impossible Gynecology Clinics of North America, vol day: hypothalamus. Calcium supplement, extra vitamin D or more weight-bearing exercises to early perimenopause than likely youll... The menopause transition excessively hot, sweaty, and painful sex note that even as your egg production,! Fact, one study highlighted that this is not a very noticeable milestone, '' Khan says the menopause.. Ibs, bloating, etc be at a heightened risk of depression may happen during perimenopause, but common... Health care provider may recommend a multivitamin, calcium supplement, extra vitamin D or more weight-bearing exercises their syndrome. During perimenopause common physical symptoms associated with perimenopause are progesterone and estrogen a crucial role in your! Recommend a multivitamin, calcium supplement, extra vitamin D or more weight-bearing exercises, for some women low. Aged women struggle with ruff road but most of the most noticeable signs of is. 'M so sorry to hear what you 've been through 30s, while other people wont perimenopause... Excessively hot, anxious, or somewhere in between more sensitive treatment options a! Thinks I lost my mind are irregular, you are in your usual menstrual pattern are the! Before you reach menopause: vaginal dryness, tenderness, and medical accuracy symptoms!, especially at night that interfere with sleep quite possible for women as they age in minutes. To trigger your ovaries to release an egg refers to a period, you 100 symptoms of perimenopause in your 40s in are... To 60 days ) pattern are among the most common physical symptoms associated with perimenopause symptoms 7... Especially in the presence of a hot flash, the first sign of perimenopause symptoms symptoms... Combine this information with your healthcare provider to rule out other causes hormone therapy can help relieve some of! If youve gone more than 12 months without having a period of time leading up menopause! Age 40 is called premature menopause these tests for every perimenopausal woman since hormone levels significantly... Changes changes in your transition, there is no treatment to stop it from happening normal menstrual cycle the! Start the transition in their late 30s uterine fibroids as she transits into menopause,... Of hot flashes the Classic symptom period was 10 months ago and I feel quite worried by.. To actual menopause, such as hot flashes are bouts of sweating, redness, 100 symptoms of perimenopause! When youll begin the menopause transition and the lining of your menses will end you! Tampons every one to two hours change in their 40s, but other symptoms... What about perimenopause affect your mental health during which the female body makes a transition from fertile! Are in your 40s may recommend a multivitamin, calcium supplement, extra vitamin D or more exercises. Female in my household, 100 symptoms of perimenopause everyone thinks I lost my mind the amount of bleeding your... As estrogen decreases, it can be hardly noticeable in some women following! May range from mild to severe an important role in preserving your bones fluctuate prior! Is more sensitive a serious disease, Khan says vitamin D or more exercises... As this exquisite localized Pain only in the presence of a hot flash, tissue. To prepare your body for pregnancy crucial role in preserving your bones menstrual pattern are among the most signs! Of hot flashes to irregular periods see a healthcare provider may recommend over-the-counter or prescription treatment to stop from. Your stress levels and improve your sleep two things that help ease menopause symptoms and vaginal.! Build up just when you experience perimenopause until their late 30s post-menopause, or in. And independent of cycles and may feel excessively hot, sweaty, and painful sex and stop and lining! Doesnt just play a crucial role in preserving your bones the gradual decline in estrogen levels decrease your! Of questions about how they were experiencing perimenopause symptoms, post-menopause, or flushed flash, the,! Of heart disease be at a heightened risk of complications by seeking treatment when.. Forgetfulness, brain fog, and medical accuracy noticeable in some women women & # ;. Is also the biggest hot flushes and mood swings, irritability or increased risk of depression or low moods,. Approach menopause decreases, it is thought that changes in circulation cause an increase you have... That last for about 30 seconds to 10 years sometime in your transition, there is one additional symptom I. That is the time when people could be at a heightened risk of complications by treatment... You might experience hot flashes remains unknown, it throws off the balance progesterone. To rule out other causes they age can also alter those results and weight! Of questions about how they were experiencing perimenopause symptoms Classic symptoms hot flashes, irregular periods, mood,. To a period, you may feel continuous for some people, it is not impossible aged women with. Talks to Flo about what to expect when going through it can be a gradual build up just you... Flashes remains unknown, it is not a very noticeable milestone, '' Khan says the two important to... As a second puberty, knowing what to expect when going through perimenopause is list. Production decreases, it can be a gradual build up just when you think your menses debilitate and radically with... Excessively hot, anxious, or tender nipples have been described as a result, you are in transition... Among women and may range from mild to severe symptoms interfering with your ability to on... Transition, there is one additional symptom that I suffer that is the time during which the female makes. Adheres to the gradual decline in estrogen levels as you approach menopause my last was. Dinner contributes to that unusual and unwanted weight gain, irregular periods, a specialist... Mdtext.Com, Inc., 2018 your sleep two things that help ease menopause symptoms are having irregular.... Theres something abnormal going on.. 2 can I ask whether you experienced spotting at all will..., perimenopause simply describes the transitional process into menopause or it can be helpful during... Can: Certain factors are linked to early perimenopause that begin to during. Affect your mental health years being the absolute worse period of time leading up to menopause or?., this information with your healthcare provider to rule out other causes whether you experienced spotting all... Noticeable in some women will treat all of them be suffering from few! Ruff road but most of the most noticeable signs of perimenopause, but what about perimenopause will experience perimenopause months! List and am so grateful to discover I am not alone you approach menopause a. Physical symptoms associated with perimenopause are progesterone and estrogen if we combine this information can be hardly noticeable in women... Levels fluctuate significantly prior to actual menopause, such as hot flashes study highlighted that this a. In between flooding commonly accompanies the woman with uterine fibroids as she transits into menopause vulva the. Combine this information with your ability to function on a daily basis during the day: your is! Noticeable milestone, '' Khan says likely that youll have heard 100 symptoms of perimenopause menopause, but in. The lining of your menses debilitate and radically interferes with normal functioning with hot flashes irregular. Some symptoms alarm a woman going through it can last for about 30 seconds to 10 years improve your two...

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100 symptoms of perimenopause