Perimenopause is the period of changes that occur before you actually enter menopause. This natural transition stage begins marking the end of your reproductive years and can occur as early as your mid-30s and into your 40s. During perimenopause, your estrogen levels rise and fall in uneven patterns throughout the month. You might start noticing that your periods are becoming shorter, or even longer, and that you start experiencing menopause-like symptoms. The team at Vital Balance offers effective, personalized treatments that can help ease your most troubling symptoms.