Understanding Perimenopause: Guidance From a Leading Expert
Perimenopause is one of the most confusing and often misunderstood stages of a woman’s life. It can appear unexpectedly, present with a wide range of symptoms, and vary considerably from one person to another. For many women, finding clarity during this transition requires the insight of a seasoned clinician who has devoted decades to the study of women’s hormonal health. Dr. Steven R. Goldstein MD—past President of the International Menopause Society, Certified Menopause Practitioner, and co-author of Could It Be Perimenopause….?— has spent more than thirty years helping women navigate this challenging period. As a respected perimenopause specialist NYC patients have trusted for decades, Dr. Goldstein has guided thousands of women through the physical and emotional changes associated with hormonal transition.
What Exactly Is Perimenopause? Perimenopause marks the time in a woman’s life when the ovaries begin to gradually slow the production of hormones—particularly estrogen and progesterone. Most women begin noticing symptoms in their forties, though some experience the onset of perimenopause in their thirties. The transition toward menopause is not brief; rather, it typically spans four to seven years, with symptoms that may come and go.