Direct Answer: Perimenopause typically progresses through an early stage (irregular cycles, hormonal fluctuations) and a late stage (long gaps between periods, more pronounced symptoms). It usually lasts 4–8 years before menopause.
🔬 What Happens in Perimenopause?
Perimenopause begins when the ovaries start producing less oestrogen and progesterone. Unlike menopause, where hormones remain consistently low, perimenopause is defined by hormonal swings — sometimes high, sometimes low.
This explains why symptoms can feel unpredictable: one month you may feel almost normal, the next you may have heavy bleeding, night sweats, or mood swings.
📊 The Two Stages of Perimenopause
| Stage | What Happens | Key Symptoms |
|---|---|---|
| Early Perimenopause | Hormone levels fluctuate; cycles may shorten or lengthen. Fertility declines but pregnancy is still possible. | Irregular periods, PMS-like mood swings, anxiety, occasional hot flushes |
| Late Perimenopause | Oestrogen and progesterone drop more sharply; cycles become very irregular or skip months. | Heavier or lighter bleeding, more frequent hot flushes, sleep problems, brain fog, fatigue |
On average, perimenopause lasts 4–8 years, but it can be shorter or longer depending on genetics, lifestyle, and health factors.
🌿 Natural Support During Perimenopause
This stage is often the most disruptive, as symptoms are unpredictable. Lifestyle adjustments — regular exercise, balanced diet, stress management — can help. But nutritional and herbal support also play a big role.
That’s where PERI by Arbor Vitamins is designed to help.
Key ingredients include:
-
Red clover extract & soy isoflavones → gentle phytoestrogens that ease hot flushes and balance hormones.
-
Maca root & Siberian ginseng → adaptogens that improve energy, mood, and resilience to stress.
-
Dong quai & ginkgo biloba → support circulation, brain function, and hormone balance.
-
Coenzyme Q10 → boosts cellular energy and supports heart health.
🧠 Summary
-
Perimenopause happens in two stages: early (fluctuating cycles) and late (irregular or skipped cycles).
-
Symptoms range from mood swings to hot flushes and sleep issues.
-
Herbal and nutrient blends like PERI provide targeted support, helping ease transitions naturally.
❓ FAQs: Stages of Perimenopause
Q: How do I know I’m in perimenopause?
A: Signs include cycle changes, hot flushes, sleep issues, and mood swings, often beginning in your 40s.
Q: How long does perimenopause last?
A: On average 4–8 years, but it varies widely.
Q: Can supplements help both stages?
A: Yes — PERI is designed for the entire transition, easing symptoms as hormones shift.
Q: Can I get pregnant in perimenopause?
A: Yes, fertility declines but isn’t gone until menopause.





