Menopause ends the female reproduction window. Perimenopause is like adult puberty, the transition from regular menstrual cycles to one year without periods.

Perimenopause is tough to define. Symptoms can occur for three to five years or longer. Menopause occurs when the ovaries have fully retired. Heavy or light periods, irregular bleeding, vaginal dryness, hot flashes and night sweats may pop up as the ovaries wind down their work.

Until the ovaries shut down completely, it’s going to be a bumpy ride. Progesterone may be prescribed by your provider to even things out. Some over the counter products like black cohosh may provide some relief from symptoms.

Listen as Dr. Mary Jane Minkin joins Melanie Cole, MS, to discuss what to expect from perimenopause.