Most people who menstruate know what menopause is but did you know that perimenopause can occur in your 40s, 30s or even earlier? Some call it PMS on steroids.

Indications of perimenopause include:

• hot flashes and night sweats

• fatigue

• increased premenstrual syndrome (PMS)

• irregular menstrual cycles

• insomnia

• vaginal dryness

• decreased libido

• palpitations

• poor memory and concentrations

• mood swings and irritability

• anxiety

• breast tenderness.

These are many of the same symptoms as menopause. The good news is that acupuncture and herbal medicine is great for relieving the symptoms of perimenopause and menopause and bringing your hormones back into balance so you can transition into your second spring with more grace and ease.