Perimenopause is a stage of a woman's life when her body begins to transition to menopause. It typically begins in a woman's mid-40s and can last up to 10 years. During this time, a woman's body starts to produce less estrogen and progesterone, resulting in the decline of the reproductive hormones. Changes in these hormones can cause a variety of physical and emotional symptoms. Common physical symptoms of perimenopause include hot flashes, night sweats, irregular menstrual cycles, weight gain, and changes in breast size. Women may also experience changes in mood, such as anxiety, irritability, and depression. Treatments for perimenopause vary depending on the symptoms experienced. Hot flashes can often be managed with lifestyle changes, such as avoiding spicy foods and wearing lighter clothing. Estrogen replacement therapy is the most common form of treatment for perimenopause, but other hormone therapies may be used, depending on the individual. Non-hormonal medications, such as antidepressants and anti-anxiety medications, may also be prescribed. Perimenopause can be a difficult time for many women, but there are ways to manage the symptoms and make the transition to menopause a little easier. It is important to talk to a doctor if you are experiencing any of the symptoms of perimenopause and to discuss the best treatment options for you.