Evidence-based midlife health
Free clinical-grade checklist

Is it perimenopause — or are you just exhausted?

The early signs rarely look like hot flashes. They look like broken sleep, a shorter fuse, a foggy afternoon and a cycle that's suddenly "off". This checklist helps you recognise the pattern before a doctor confirms it — and walk into that appointment prepared.

  • Spot the 12 early signals most women dismiss as stress
  • Know which tests are useful — and which one usually isn't
  • Bring a one-page symptom summary your doctor can act on

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Menovya · Checklist 01
Is It
Perimenopause?
The early-signs checklist
Cycle length shifting by 7+ days
Waking at 3–4 a.m., wired
New anxiety or irritability
Brain fog, word-finding gaps
Heavier or closer periods
Night sweats, palpitations
Evidence
based
2026
Built on StagingSTRAW+10 UK guidelineNICE NG23 Cohort studySWAN Position statementThe Menopause Society Review seriesThe Lancet 2024
The evidence

Perimenopause starts earlier and lasts longer than most women are told

Three findings from the research that this checklist is built around.

7+

days of cycle variation

A persistent difference of seven days or more between consecutive cycles is the recognised marker of the early menopausal transition.

Harlow et al., STRAW+10 · 2012
7.4

years, median duration

Hot flashes and night sweats lasted a median of 7.4 years in the SWAN cohort — and often began well before the final period.

Avis et al., JAMA Intern Med · 2015
45+

symptoms, not blood tests

For women over 45, NICE advises diagnosing perimenopause from symptoms — hormone levels fluctuate too much for a single test to be reliable.

NICE guideline NG23
Inside the checklist

Four pages. Zero guesswork.

Designed to be printed, ticked off over a few weeks and taken to your appointment.

I.

The early-signs audit

Twelve signals grouped by body system, with what each one usually feels like in real life.

  • Cycle & bleeding changes
  • Sleep & temperature
  • Mood, focus & memory
II.

The 4-week tracker

A simple grid to log frequency and intensity, so you show patterns — not impressions.

  • Daily 30-second log
  • Cycle-day overlay
  • Trigger notes
III.

The tests that matter

What guidelines say about hormone testing, and the checks worth asking for to rule out look-alikes.

  • Why FSH is often unhelpful over 45
  • Thyroid, iron & other mimics
IV.

Your doctor script

A one-page summary and the exact questions to ask, so a ten-minute appointment actually leads somewhere.

  • Symptom summary template
  • Questions on treatment options
Our method

Every line traces back to published research

Menovya translates clinical guidelines and peer-reviewed studies into tools you can use on a Tuesday night — without the jargon, and without the hype.

We don't diagnose and we don't sell miracle cures. We help you understand what's happening, track it properly and have a better conversation with your healthcare provider.

Harlow SD et al. · Menopause, 2012
STRAW+10 — Stages of Reproductive Aging Workshop
The reference framework for defining the stages of the menopausal transition.
NICE · Guideline NG23
Menopause: diagnosis and management
Symptom-based diagnosis and the limits of hormone testing in women over 45.
Avis NE et al. · JAMA Internal Medicine, 2015
Duration of vasomotor symptoms — SWAN study
Long-term data on how early and how long hot flashes and night sweats last.
The Menopause Society · 2022
Hormone Therapy Position Statement
Current consensus on treatment options to discuss with your clinician.
Hickey M et al. · The Lancet, 2024
An empowerment model for managing menopause
Why informed, prepared women get better care through the transition.
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