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Menopause is defined as 12 months without a period. The average age in the U.S. is 52. The ovaries have decreased production of hormones.  

Perimenopause is defined as the years surrounding that transition. Hormone levels change, irregular periods and changes in your period can occur, mood changes can happen, vaginal dryness and changes in libido can happen, and hot flashes can occur.  Perimenopause usually starts in the mid to late 40s. 

Implementing lifestyle changes can significantly ease menopause symptoms and improve overall well-being. Focus on nutrition, exercise, mental health, and self-care practices. By making these lifestyle changes, women can navigate menopause with greater ease and improve their overall quality of life. Each small step contributes to better health and well-being during this natural transition.

Source: https://womenshealth.gov/menopause/menopause-basics