I was six years old, sitting cross-legged on the carpet outside my mother’s bedroom, watching her and her friends gather around the television like it was delivering breaking news. The door was half open. The volume was low but urgent. Someone was fanning herself with a magazine. Another woman laughed too loudly. On the screen, a woman was talking about menopause in the careful, coded language of daytime TV. I didn’t understand the words, but I understood that something was happening to their bodies, and it mattered.
My mother was always good about telling me my body would change. Before I even played with Barbies, she said my breasts would come in, hips would widen, periods would arrive and rearrange everything. She believed in information, never fear. But perimenopause? That word never entered the chat. Menopause was framed as an ending, a door you walk through later, once your kids are grown and your body is done being useful. What came before it, the long, messy middle, was treated like static. Background noise. Something you just…powered through.
Approximately 6,000 women each day, or 1.3 million women annually in the U.S experience perimenopause. While most women enter it in their 40s, 15 percent experience it in their 20s or 30s, with regular periods while enduring hormone imbalances. During this phase, a woman’s hormones fluctuate which makes it hard to test for the actual start date of perimenopause, and unfortunately, difficult to treat its symptoms.

She believed in information, never fear. But perimenopause? That word never entered the chat.



