Perimenopause vs. menopause: what's actually happening

“Menopause” gets used as a catch-all, but it’s really three stages.

Perimenopause

The years leading up to menopause, when oestrogen and progesterone start to swing unpredictably. This is when many women first notice restless nights, shifting moods, low energy, or brain fog — and because hormones are fluctuating rather than simply declining, the experience can feel erratic from week to week.

Menopause

Technically a single point in time: twelve months after your last period. The average age is around 51, but the range is wide and normal.

Postmenopause

Everything after. Hormone levels settle at a lower baseline, which is why bone, muscle and heart health become a bigger focus in these years.

The most important reframe: this is a natural life stage, not an illness. The aim isn’t to “fix” it — it’s to support your body well as it changes. A steady daily foundation of the minerals and botanicals your body leans on can make the transition feel more manageable.

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.