Is This Perimenopause? There's a Test for That.

Medically reviewed by Dr. Tamara Neuhaus MD

Are you spending more time looking for your keys than driving? Have you always cried this much when you watch TV? And when did waking up with soaking wet pajamas become normal? If you're feeling like your body has been gaslighting you, it actually maybe that you're entering perimenopause. For most women, this happens in their mid-forties. And the most common symptoms include mood swings, insomnia, forgetfulness, hot flashes/night sweats, loss of sex drive, and visible changes like thinning hair, weight gain, dry skin or acne. It would be amusing—and sometimes it is—if it weren't so disruptive to your everyday life.

Perimenopause may abruptly enter your life and demand your attention, or it could begin with subtle or sporadic changes that are trickier to detect. It's hard to notice incremental changes when you're right up close to something. This is why your partner doesn't notice your haircut, but the coworker you haven't seen for a week spots the difference immediately. You’re never not in your body, so it’s hard for you to get a perspective on how it's changing.

Even if you do notice your early symptoms, you may mistake them for extreme PMS or an existing medical condition. If your symptoms aren’t consistent, you may not realize that they’re pieces of a larger constellation of changes. One of the things we hear most often from our members is that they’re aware that their body is changing but don’t realize that their symptoms are all related to perimenopause.

And it's not always as easy as comparing notes with other women your age, because every woman’s perimenopause "cocktail" is unique. Yours might be mood swings and low libido with a splash of insomnia. Your best friend's might be vaginal dryness with a twist of incontinence. And your sister could be high on not-giving-a-rat's-ass-about-what-anyone-thinks (funny, no one talks about that delicious symptom). So what's a woman to do?

Until recently, there wasn't a reliable hormone test that could tell you when you'll reach menopause. But recent advances in the field now make it possible to predict the onset of menopause with a greater degree of accuracy. At The Cusp, we use a highly sensitive test that measures levels of AMH that many other hormone tests can't pick up. AMH is the hormone that tells us how many eggs you have remaining in your ovaries. These test results, combined with a thorough review of your health history and menopause symptoms, allow our Menopause Specialists to tell you when you're likely to enter menopause, and what you can do now to make your transition smoother.

The great news here is that there are treatments for the things you're experiencing. You don't have to grin and bear any of this.

In the meantime, slap a Tile on your key ring, binge watch Comedy Central and crank up the bedroom AC. Here at The Cusp, we raise our own perimenopause cocktails and welcome you to what can be an occasionally wild, but also a uniquely empowering phase of life. And remember, you made it through puberty. You got this.

About Us

The Cusp provides personalized menopause care. Our doctors have deep expertise and a broad treatment toolkit, offering natural and medical therapies to help you feel better.