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Later Spring

Am I in perimenopause? A 12-question self-check

There is no single blood test that confirms perimenopause: hormone levels swing too much during the transition to be reliable, so clinicians assess it from age, cycle changes and symptoms. This free self-check asks about exactly those three things. It follows the symptom domains of the Menopause Rating Scale and the STRAW+10 principle that cycle change, not a lab value, defines the transition. No email is required and nothing you answer leaves your browser.

Informational only — this is not a medical device, a diagnosis, or a substitute for seeing a clinician.

1. How old are you?
2. Over the last 12 months, your periods have been…
3. Over the last 3 months, how much has each of these bothered you?

Hot flashes or night sweats

Trouble sleeping

Mood changes — irritability, anxiety or low mood

Brain fog or memory lapses

Fatigue or loss of energy

Vaginal dryness or discomfort

Reduced sex drive

Joint or muscle aches

Heart racing or palpitations

Bladder problems or urgency

Nothing you answer is stored or sent anywhere — the result is computed in your browser.

Common questions about perimenopause testing

Is there a blood test for perimenopause?

Not a reliable one. FSH and estrogen levels fluctuate widely from week to week during the transition, which is why professional guidance treats perimenopause as a clinical diagnosis made from age, cycle pattern and symptoms rather than from a lab result. A single “normal” hormone panel does not rule perimenopause out.

At what age does perimenopause start?

Most commonly in the mid-40s, though it can begin in the late 30s. The transition typically lasts around four years and can stretch to eight or more. An early or atypical pattern is worth discussing with a clinician — being taken seriously about early menopause covers how.

What is the difference between perimenopause and menopause?

Perimenopause is the transition: cycles change and symptoms appear while periods still happen. Menopause is a point in time, defined retrospectively after twelve consecutive months without a period. Everything after that point is postmenopause. Perimenopause vs menopause goes deeper.

What should I do with my result?

Whatever your score, a symptom that bothers you is reason enough to see someone. You can search all listed practitioners who declare perimenopause and menopause as a focus — perimenopause specialists — or start with how to prepare for the appointment.

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