Perimenopause Checklist: Symptoms, Labs, and Next Steps
Perimenopause can begin years before menopause and often shows up as subtle changes in mood, sleep, cycles, and energy. A structured checklist helps make sense of symptoms and prevents delays in care.
Common symptoms to track
- Irregular cycles, heavier or lighter flow
- Hot flashes, night sweats, temperature swings
- Brain fog, anxiety, low mood, irritability
- Sleep disruption and persistent fatigue
- Weight gain or changes in body composition
Key labs your doctor may request
Labs are selected based on symptoms and history. Typical panels include estrogen, progesterone, thyroid, vitamin D, fasting glucose, and lipid profiles. These results guide safe, personalized treatment options.
Next steps
Start with a focused consultation, bring symptom notes, and discuss lifestyle changes alongside medical options. Early, thoughtful care can reduce long-term risks and improve quality of life.