The age for premenopause, also called perimenopause, differs from one woman to another, just as the duration of premenopause differs. In many women, the age for premenopause starts in the mid-40s, but there are some who will notice the symptoms of this stage in their late 30s or until they hit early 50s. However, it is a known fact that premenopause begins 2 to 8 years before onset of menopause, which is the period where a woman does not have menstrual period for 12 consecutive months after her last menstrual period.

In some women, premenopause can last for as long as ten years. In the US, the average age for menopause is considered to fifty-one years, and in most American women the symptoms of premenopause manifest long before menopause. During the perimenopause, the hormone levels fluctuate and as a result the woman may experience a whole lot of symptoms. The levels of estrogen and progesterone, the 2 reproductive hormones, go haywire during premenopause and that is why many menopausal symptoms appear in women. The most common premenopausal symptoms experienced by women are as follows:

• Irregular or missed menstrual period
• Short or long menstrual period with heavy or increase flow
• Hot flashes
• Dryness of the vagina
• Lack or complete loss of sexual desire
• Incontinence when sneezing or coughing
• Frequent infections of the vagina or urinary tract
• Disturbed sleep or unable to fall off to sleep at nights
• Mood swings
• Increase in blood cholesterol levels
• Weight gain
• Loss of bone density

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