The years prior to menopause, before menstrual periods end, are referred to as perimenopause. During this time, many women experience irregular menstrual periods and other symptoms, such as hot flashes, vaginal dryness, and mood swings. The menopause section of our health information offers a good overview of symptoms and treatments, and includes a list of additional resources in print and on the Web. The North American Menopause Society has prepared an 8-page Menopause Handbook covering menopause and perimenopause (the years preceding menopause), available for downloading from the Web or by mail.

Physicians affiliated with Sutter Health hospitals provide care to women at all stages of perimenopause and menopause. To find out what services are available, please contact 1-800-866-7724 or visit sutterphysiciansalliance.org.