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Free perimenopause quiz

Am I in perimenopause?

Answer a few questions about your cycle and how you've felt in the past month. You'll see your likely stage of the menopause transition and how strong your symptoms are, right away.

  • 2 minutes
  • No email or sign-up
  • Answers stay in your browser

Where are you in the transition?

Based on STRAW+10, the staging system doctors and researchers use for reproductive aging, and the symptoms of the Menopause Rating Scale.

This quiz is for information only. It is not a diagnosis or medical advice. Always talk to a licensed healthcare provider about your symptoms.

How this perimenopause quiz works

The quiz looks at two things: your cycle, which shows which stage of the transition you are most likely in, and your symptoms, which show how much the transition is affecting you right now.

The cycle questions follow STRAW+10 (Stages of Reproductive Aging Workshop), the framework used in research and clinical guidelines to describe the years around menopause. The symptom questions cover the 11 areas of the Menopause Rating Scale: hot flashes, heart palpitations, sleep, mood, irritability, anxiety, exhaustion, sexual problems, bladder problems, vaginal dryness and joint pain. Each is rated from none to very severe, and the total gives your symptom score out of 44.

The stages of perimenopause, in plain English

Before the transition

Your cycles are about as long and as regular as they've always been. Subtle changes can still start here: slightly shorter cycles, heavier flow, or stronger PMS.

Early perimenopause

Your cycle length starts to vary. A cycle comes 7 or more days earlier or later than the one before, and that keeps happening. Sleep problems, anxiety and night sweats often begin in this stage. Read more about periods getting closer together in your 40s.

Late perimenopause

You go 60 days or more without a period at least once. Hot flashes and night sweats are usually at their strongest in this stage, which typically lasts one to three years.

Menopause and postmenopause

Menopause is the point when you have gone 12 months in a row without a period. Everything after it is postmenopause. Symptoms such as hot flashes can continue for several years, and vaginal dryness and bladder symptoms often appear or get worse.

Why your result is a starting point, not a diagnosis

Thyroid problems, low iron, depression, stress and some medications can cause many of the same symptoms. And hormone levels swing so much during perimenopause that a single blood test often can't confirm it either. What helps most is a record of what is actually happening over a few weeks. Our guide to tracking perimenopause symptoms and free printable tracker show you how, and what to bring to your appointment covers the next step.

Common questions

Can an online quiz tell me if I am in perimenopause?

No quiz can diagnose perimenopause, but it can show whether your cycle changes and symptoms match the pattern doctors look for. For women over 45, guidelines generally recommend diagnosing perimenopause from symptoms and cycle changes rather than blood tests, so knowing where your answers point is a useful starting point for a conversation with your doctor.

Can I be in perimenopause if my periods are still regular?

Yes. Many women notice sleep changes, anxiety, night sweats or brain fog before their cycle length changes much. Shorter cycles, heavier flow or worse PMS are often the first cycle-related signs, and cycles usually become clearly irregular only later in the transition.

At what age does perimenopause start?

Most women enter perimenopause in their 40s, often in their early to mid 40s, and it can start in the late 30s. Menopause, one full year without a period, happens on average around age 51. Cycle changes or menopause symptoms before 40 should always be checked by a doctor.

Does hormonal birth control or HRT affect the result?

Yes. Hormonal contraception and hormone therapy control or mask your natural bleeding pattern, so your cycle cannot show which stage you are in. In that case the quiz looks only at your age and symptoms, and tells you so.

Do you store my answers?

No. The quiz runs entirely in your browser. Your answers are never sent to our servers or anyone else, and they disappear when you close the page. There is no email or sign-up step.

What should I do after taking the quiz?

Write your symptoms down for 4 to 8 weeks: period dates, sleep, mood, hot flashes and anything else from the quiz. Bring those notes to your doctor. A few weeks of real data is far more useful at an appointment than a summary from memory.