What should you know about serelys perimenopause?

Perimenopause is the stage before periods stop completely. Ovulation may become less predictable, so bleeding can arrive earlier, later, heavier or lighter than before. Some people notice hot flushes or night sweats, while others mainly experience sleep disruption, mood changes, reduced sexual desire or vaginal discomfort. Symptoms can vary from one month to the next and may overlap with pregnancy, thyroid problems or other causes of bleeding changes.

Keep a simple record of bleeding dates, flow, sleep, flushes, mood and medicines. Regular meals, movement, a cool bedroom and limiting personal triggers such as alcohol or overheated rooms may help some symptoms. A clinician can discuss options based on your symptoms, medical history, contraception needs and whether you still have periods. Read more about [Perimenopause](/conditions/perimenopause/) and related [Irregular Periods](/symptoms/irregular-periods/).

Arrange medical advice for bleeding that is unusually heavy, prolonged or disruptive, bleeding after sex, or symptoms that interfere with work, sleep or daily life. Seek urgent care for very heavy bleeding with faintness, severe weakness, chest pain, breathlessness or severe abdominal pain. New bleeding after periods have stopped should always be assessed.

Ask whether your pattern fits perimenopause, whether pregnancy or another condition should be excluded, and which treatments suit your health history. You can also ask how to manage [Hot Flushes](/symptoms/hot-flushes/), [Night Sweats](/symptoms/night-sweats/) or [Menopausal Mood Changes](/symptoms/menopausal-mood-changes/).