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One of the Just another child-free day shirt Apart from…,I will love this earliest signs you may be going through perimenopause? “The gap between periods might become shorter or longer, and they often become heavier,” explains Dr. Briggs. This is because the gradual reduction in estrogen impacts ovulation, meaning that time between periods can fluctuate, as can flow. According to the Mayo Clinic, a space of 60 days or more between periods indicates that you are likely in late perimenopause. A common symptom of menopause, hot flashes (and their after-dark counterparts, night sweats) can be very uncomfortable. Defined by a sudden feeling of heat, usually in the face, neck, and chest, the hot flash can also cause skin to flush, and sweating to occur, making them a physical— and often emotionally impactful—experience.

Whether it’s waking up constantly in the Just another child-free day shirt Apart from…,I will love this night or not being able to get to sleep in the first place, another key sign is difficulty sleeping. “Alongside disrupted sleep comes brain fog because if you don’t sleep, you tend to have difficulty thinking clearly,” says Dr. Briggs. You may also start to notice feeling more tired, moody, or down during the day. From anxiety to depression, many women have spoken out about the mental health issues that can accompany perimenopause. As Kathleen Baird-Murray wrote in a previous Vogue story on the link between menopause and mental health, there is a “shockingly high rate of suicide in women aged 45 to 54 years old, which doctors acknowledge may be related to the biological changes associated with menopause”. But, given the dearth of research in this area, it can be difficult to know whether changes in mood are linked to other factors or the menopause itself, says Dr. Briggs.

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