Your period arrives when you least expect it, and you have stopped trusting your calendar.
Is it perimenopause? See where your cycle and symptoms fit
Irregular periods, broken sleep, a shorter fuse, and foggy afternoons can be hard to connect, and easy to dismiss as stress. Answer 62 questions to see which stage of the transition your period pattern matches and which symptoms stand out, then take clear questions to a clinician.
Start your self-check
Start the test- Which stage of the transition your period pattern matches
- Six areas of symptoms linked to real situations from your week
- Questions to bring to a clinician
01
Changes that are easy to dismiss
You wake at 3 a.m. too warm to sleep, then try to concentrate the next day.
You feel less patient and less sharp, and you are not sure whether to mention it to a doctor.
You may recognize several of these, one, or none. Putting them in order is the first step to a useful conversation with a clinician.
02
Six areas of change, considered separately
Changes in your menstrual cycle
Changes in the timing, gaps, flow, or length of your periods over the past year.
Hot flashes, night sweats, and palpitations
Sudden waves of heat, flushing, sweating, chills, or a racing heart, day or night.
Sleep and night-time waking
Trouble falling asleep, waking in the night or too early, or waking up unrefreshed.
Mood, irritability, and anxiety
Shorter patience, sudden anxiety, low moods, loss of interest, or reactions that feel bigger than usual.
Brain fog, memory, and mental energy
Losing words, misplacing things, slower thinking, or feeling mentally exhausted.
Body changes and intimacy
Aches, low energy, changes in desire or comfort, bladder changes, headaches, dizziness, or tingling.
03
From scattered symptoms to a clearer next step
Describe what is happening
Answer 48 questions on how often symptoms happen and 14 questions about your periods, age, health, and needs.
See your stage and preview
See which stage your period pattern matches and which areas of symptoms stand out.
Choose useful detail
Use the free help information or choose the optional paid report for a fuller explanation and clinician questions.
04
Information you can use beyond the result page
The stage of the transition your period pattern matches
A six-area profile of your symptoms with the answers behind it
Practical tracking ideas and questions for a clinician
05
Who this self-check is for
- You are an adult who has periods now, or had them until recently, and you are noticing changes.
- You want to understand your symptoms, whether you are curious, unsure, or preparing for an appointment.
- If you have very heavy bleeding, bleeding after menopause, or another urgent symptom, seek care first; this self-check cannot assess urgent symptoms.
06
Built on how clinicians stage the transition
48 questions cover the symptom areas used in common menopause scales: hot flashes, palpitations, sleep, mood, concentration, joints, bladder, intimacy, headaches, and more. Your period answers are matched to the STRAW+10 stages clinicians use. The questions are original, and this is a self-check, not a diagnosis or a hormone test.
62 questions · 6 areas · About 8–12 minutes
07
Questions before you begin
What is perimenopause, and how is it different from menopause?
Perimenopause is the transition before menopause, when hormone levels shift and periods often become less predictable. Menopause is confirmed once you have gone 12 months in a row without a period when no other cause explains it. Changes such as hot flashes, broken sleep, and mood shifts can begin during perimenopause, which often starts in the 40s, although timing varies widely.
Can this test tell me whether I am in perimenopause?
It shows which stage your period pattern matches. Clinicians stage the transition mainly by changes in your periods, using the STRAW+10 criteria: cycles that vary by a week or more mark the early transition, and a gap of 60 days or more marks the late transition. Your result names the matching stage and shows how your symptoms line up across six areas. It is not a diagnosis; a clinician confirms it, and contraception or surgery can hide the pattern.
Is there a blood test for perimenopause?
Hormone levels can rise and fall from one day to the next during perimenopause, so a single blood test often cannot confirm or rule it out. Clinicians usually consider your age, cycle changes, and symptoms. They may suggest tests to check for other causes, such as a thyroid condition or pregnancy, or when changes begin at a younger age.
Could something other than perimenopause explain these changes?
Yes. Thyroid conditions, anemia, depression or anxiety, sleep disorders, medication effects, stress, and pregnancy can cause overlapping changes, and hormonal contraception can hide changes in your cycle. The context questions help you note these factors for a clinician.
Can I still get pregnant during perimenopause?
Yes. Ovulation can still happen when periods are irregular, so pregnancy remains possible until menopause is confirmed. If preventing pregnancy matters to you, keep using contraception and ask a clinician when it is safe to stop. A missed period can also be a reason to take a pregnancy test.
Is the test free, and do I need the paid report to get help?
The questions and initial preview are free. You can choose a paid full report to read online and download as a PDF. You never need to buy a report to contact a clinician or read the free help information.
Start with what the past few months have actually been like
Start your self-check
Start the test