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Navigating Perimenopause and Menopause with Confidence

26 September 2026 · Global Women's Week

The transition is normal, often under-discussed, and increasingly well understood — here's what helps.

Perimenopause can start years before periods actually stop, often in the late 30s to mid-40s, with symptoms like irregular cycles, sleep disruption, and mood changes showing up long before hot flashes do.

Hormone therapy has been widely misunderstood for two decades following a single, since-reassessed study. Current guidance is far more nuanced and personalized — it's worth a direct conversation with a doctor who stays current on the research, not old headlines.

This stage is also a legitimate moment to reassess: sleep habits, alcohol intake, strength training, and stress levels all interact with symptoms, and small consistent changes often help more than any single fix.

Quick tips

  • Track symptoms for a few months before a doctor's visit — patterns help with diagnosis
  • Ask specifically about hormone therapy rather than waiting to be offered it
  • Sleep and strength training are two of the highest-leverage habits during this transition

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