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Middle-aged woman sitting at home with her hands on her head, looking thoughtful

Perimenopause and menopause What are the first signs that I'm entering perimenopause? A different cycle, nights of broken sleep, irritability that doesn't feel like you, sudden heat. Here are the most common early signs of the transition, what else it could be, and when to book an appointment. 2026-10-23 · 5 min read