
“COULDITBE... PERIMENOPAUSE?”
UnderstandingtheMost MisunderstoodPhaseofa Woman’sLife


“COULDITBE... PERIMENOPAUSE?”
•Thetransitionphasebeforemenopause
•Typicallybeginsinlate30stomid-40s
•Canlastupto10years
“Perimenopauseisn’tjust‘pre-menopause.’It’sitsownphase —biologicallyandexperientially.Itcanstartinyourlate30s andcontinueuntilmenopausesetsin,usuallyaroundage51. Thistransitionalperiodlastsaroundadecade,anditseffects canbesubtle,frustrating,andlife-altering.”
•Symptomsaresubtleorfleeting
•Oftendismissedas“stress”or“inyourhead”
•Lackofpublicandmedicalawareness
“Perimenopausesymptomsoftencreepinquietly—mood swings,forgetfulness,lowerlibido.Mostwomendon’trecognize theconnectiontohormonalchanges.Evenmoreconcerning, manydoctorsdon’teither.That’swhatmakesitsucha confusingandmisdiagnosedstage.”
•Anxiety,fatigue,forgetfulness
•Irregularperiods:lighter,heavier,shorter,longer
•Changesinlibidoandemotionalresponse
“Youmightfeel‘off’—vagueanxiety,mentalfog,oremotional distancefromyourpartner.Maybeyougotobedearlyjustto avoidarguments.Maybeyourperiodsuddenlybecomes unpredictable.Theseareallvalidexperiences.You’renot imaginingthem—andyou’renotalone.”
“ISITALLINMYHEAD?”
RecognizingthePattern
•Importanceofsymptom“families”
•Notallsymptomsarehormonal
•Linktomenstrualcyclechanges
“Whileit’stemptingtochalkupsymptomstolifestress,there’s apatterndoctorslookfor.Whensymptomscluster—especially aroundchangesinyourcycle—that’saclue.Themenstrual irregularitiesarenotrandom;theyaresignalsofyourshifting hormonallandscape.”
•Tailoredhealthcarestrategies
•Betterdiagnosisandsymptommanagement
•Comprehensiveapproach:physical,mental,sexualhealth
“Generalpractitionersmaynotalwaysconnectthedots.Asa PerimenopauseSpecialistinNYC,DrGoldsteinfocuses specificallyonthisstageoflife—itspatterns,itschallenges, andthecareittrulyrequires.Thereareeffectivestrategies, butfirst,wemustrecognizetheconditionforwhatitis.”
•Trackyoursymptomsandcycle
•Bespecificwhentalkingtoyourdoctor
•Consideraconsultationwithaspecialist
“Awarenessisyourfirsttool.Trackyoursymptoms,noteyour cyclechanges.Ifsomethingfeelsoff—don’tignoreit.Bring specificstoyourdoctor.Andifyou’renotgettinganswers,see aspecialist.Youdeserveclarityandsupport.”
You’reNotAlone—Let’sTalkAboutIt
•Everywomangoesthroughthis
•Let’sbreakthesilence
•Reachoutforsupport
“Perimenopauseaffectseverywoman,yetsomanysufferin silence.It’stimewetalkaboutitopenly—withourfriends, partners,andhealthcareproviders.Ifthispresentation resonatedwithyou,maybeit’stimetoask:Coulditbe... Perimenopause?andscheduleaconsultationwithDrStevenR. Goldstein,aPerimenopauseSpecialistNYC.