Why Codes Matter
Proper coding ensures:
- Insurance coverage for hormone level tests
- Approval for treatments like vaginal estrogen
- Accurate tracking of how many women experience certain symptoms
My Personal Perimenopause Diagnosis Journey
My road to diagnosis wasn’t straightforward. At 41, I chalked up night sweats to an overly warm bedroom. When my cycles went haywire at 42, my GP ordered thyroid tests (normal) before suggesting stress reduction. It wasn’t until month six of sleep disruption affecting my work that a new gynecologist asked, “Has anyone discussed perimenopause with you?”
The relief of having a name for what I was experiencing was profound. With diagnosis came options — from lifestyle adjustments to treatment possibilities. Most importantly, I stopped feeling like my body was betraying me and started seeing this as a natural transition I could navigate with knowledge and support.
How to Talk to Your Doctor About Perimenopause
Many women report feeling dismissed when bringing up perimenopause concerns. These strategies help make conversations productive:
Before Your Appointment
- Track symptoms for at least two cycles (try apps like Clue or paper journals)
- Prepare specific examples: “I’ve had night sweats three times weekly for two months”
- List all medications/supplements — some interact with hormonal treatments
Questions to Ask
- “Based on my symptoms, could this be perimenopause?”
- “Would hormone level testing be helpful in my case?” (Note: FSH tests alone often aren’t definitive)
- “What lifestyle changes might alleviate my most bothersome symptoms?”
- “When would you consider medical treatment, and what options exist?”
Remember: You’re the expert on your body. If a provider dismisses your concerns without evaluation, seek a second opinion. The North American Menopause Society maintains a directory of certified practitioners.
Frequently Asked Questions
At what age does perimenopause typically start?
Most women begin noticing symptoms between ages 45-55, but perimenopause can start as early as the mid-30s. According to ACOG, the average duration is 4 years, but it may last up to 8-10 years for some women.
How is perimenopause medically diagnosed?
There’s no single test. Doctors diagnose based on symptom patterns, menstrual history, and sometimes hormone tests (though these fluctuate daily during perimenopause). Tracking symptoms over time provides the clearest picture.
Can you still get pregnant during perimenopause?
Yes! Until you’ve gone 12 full months without a period, pregnancy remains possible. ACOG reports that women over 40 actually have higher abortion rates than teens, partly due to underestimating fertility during this transition.
Do all women experience severe symptoms?
No — about 20% sail through with minimal disruption, 60% experience moderate symptoms, and 20% have severe symptoms that significantly impact quality of life. Genetics, stress levels, and overall health influence symptom severity.
Keep Reading
You Might Also Like
The Symptom Tracker That Helps You Take Control of Menopause
Track hot flashes, sleep, mood, and 12 other symptoms. Spot patterns your doctor needs to see. Printable PDF you can bring to appointments.
No spam. Unsubscribe anytime. We respect your privacy.
Follow us for more women’s health tips
Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider before starting any new health program.
Affiliate Disclosure | Privacy Policy
© 2026 Pelvic Wellness Lab. All rights reserved.