Perimenopause vs. Menopause: What’s the Difference?

These two terms are often used interchangeably, but they mean very different things. At Be. Women’s Health in Frisco, TX, we make it simple.

Perimenopause:

The transition before menopause.
It can last 4–10 years and includes hormonal ups and downs, irregular cycles, and new symptoms like hot flashes, sleep issues, and mood changes.

Menopause:

Defined as 12 consecutive months without a period.
At this point, estrogen is consistently low and symptoms may stabilize or change.

What this means for you:

In perimenopause:
• Periods still happen, but unpredictably
• Symptoms may come in waves
• Hormone therapy may or may not be appropriate depending on cycle status
• You can still get pregnant

In menopause:
• No more periods
• Hormone therapy options expand
• Vaginal dryness, low libido, and sleep changes may persist
• Health screenings like bone density become more important

Understanding where you are in the transition helps us personalize care and bring relief sooner.

Not sure where you are in the transition? Book a hormone evaluation at Be. Women’s Health in Frisco.