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How You Feel in the Different Stages of Your Menstrual Cycle

Zoe Kaplan
Zoe Kaplan

Fluctuations in estrogen and progesterone during the menstrual cycle can have significant impacts on how you feel both physically and emotionally at different phases. Here’s what you might be feeling and how to take action.

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Sep 30, 2024
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Fluctuations in estrogen and progesterone during the menstrual cycle can have significant impacts on how you feel both physically and emotionally at different phases. Here’s what you might be feeling and how to take action.

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Fluctuations in estrogen and progesterone during the menstrual cycle can have significant impacts on how you feel both physically and emotionally at different phases. Here’s what you might be feeling and how to take action.

The menstrual cycle is a natural process that most women go through monthly. During this cycle, hormones fluctuate to prepare for a potential pregnancy. As your hormones fluctuate, you may experience a range of physical, emotional, and even mental symptoms in response—which is completely normal!

Understanding how the menstrual cycle makes you feel can help you better manage your symptoms, emotions, and overall health. In this guide, we’ll answer “how do you feel at different stages of the menstrual cycle?”, giving you insights into common symptoms, why you might feel that way, and actions to take.

>>RELATED: What Is Cycle Syncing? (Plus, 4 Tips on How to Start)

How the menstrual cycle affects how you feel at different stages

Hormonal fluctuations play a crucial role in the physical and emotional changes we experience during the menstrual cycle. Estrogen and progesterone, the primary sex hormones, can influence everything from how well we sleep to how motivated we feel during the day.

Estrogen and the menstrual cycle

Estrogen is a hormone that is produced by the ovaries. It plays a crucial role in the development and function of female reproductive organs. In addition to its reproductive functions, estrogen also has a significant impact on our physical and emotional health.

Physical effects of estrogen

While estrogen is often known as a hormone that contributes to the production of female sex characteristics, estrogen has wide-ranging physical effects:

  • Breast development and growth: Estrogen stimulates the growth and development of breast tissue.
  • Uterine lining growth: Estrogen helps to thicken the uterine lining in preparation for pregnancy.
  • Bone health: Estrogen helps to maintain bone density and reduce the risk of osteoporosis.
  • Skin health: Estrogen can help to improve skin elasticity and reduce the appearance of wrinkles.

Emotional effects of estrogen

Estrogen also has wide-ranging effects on your emotions, including:

  • Increased energy and mood: Estrogen can boost energy levels and improve mood.
  • Enhanced libido: Estrogen can increase sexual desire and arousal.
  • Improved cognitive function: Estrogen may help to improve memory and concentration.

Progesterone and the menstrual cycle

Progesterone is another hormone that is produced by the ovaries. It plays a crucial role in preparing the body for pregnancy. In addition to its reproductive functions, progesterone can also play a role in your physical and emotional health.

Physical effects of progesterone

Progesterone’s primary responsibility is to help prepare your body for pregnancy, but it can have other physical effects, like:

  • Thickening of the uterine lining: Progesterone helps to thicken the uterine lining in preparation for a fertilized egg.
  • Breast tenderness: Progesterone can cause breasts to become tender and swollen.
  • Thyroid functioning: Progesterone can help enhance your thyroid function.

Emotional effects of progesterone

  • Mood stability: Progesterone can help to stabilize mood and reduce anxiety.
  • Increased relaxation: Progesterone can promote feelings of relaxation and calmness.
  • Sleep improvement: Progesterone can boost sleep quality.

How you feel during the menstrual cycle: menstruation

As the menstrual cycle begins, levels of estrogen and progesterone are low. This hormonal decline triggers the shedding of the uterine lining, leading to menstruation, or your period.

The drop in estrogen can lead to symptoms like cramps (dysmenorrhea) as the uterus contracts to expel its lining. These contractions can cause discomfort and may radiate to the lower back and thighs. 

Additionally, low progesterone levels can lead to water retention, contributing to bloating and a feeling of heaviness. Some individuals also experience headaches, which can be linked to changes in estrogen levels affecting blood vessels.

Emotionally, the hormonal fluctuations can lead to increased sensitivity and mood swings. Lower levels of estrogen and progesterone are associated with serotonin regulation; as these hormones decrease, some people may feel more irritable or experience feelings of sadness. 

How to manage how you’re feeling during menstruation

While the menstruation phase of the menstrual cycle can often bring discomfort, there are ways to manage how you’re feeling both physically and emotionally:

  • Pain relief: Over-the-counter pain relievers, like ibuprofen or naproxen, can effectively reduce cramps and discomfort. Consider taking them at the onset of symptoms for optimal relief.
  • Hydration and nutrition: Staying well-hydrated helps reduce bloating, while incorporating magnesium-rich foods—like leafy greens, nuts, and whole grains—can help alleviate cramping. Foods rich in omega-3 fatty acids, like salmon and flaxseeds, can also have anti-inflammatory effects.
  • Gentle exercise: Light physical activity, such as walking or yoga, can stimulate blood flow and help release endorphins, natural mood lifters that can also reduce pain perception.
  • Mindfulness and relaxation: Techniques such as deep breathing, meditation, or gentle stretching can help manage emotional fluctuations. Journaling during this time can also provide an outlet for processing feelings.

>>MORE: What Workout Should I Do on My Period? 5 Workouts to Try and What to Avoid

How you feel during the menstrual cycle: Follicular phase

The follicular phase begins right after menstruation, lasting until ovulation. During this time, estrogen levels start to rise as the body prepares for a potential pregnancy. The increase in estrogen stimulates the growth of follicles in the ovaries, leading to the maturation of an egg.

Physically, many individuals may notice an improvement in symptoms as cramps and bloating from menstruation fade away. As estrogen levels rise, you may experience increased energy, better endurance, and improved mood. Increased estrogen levels can help facilitate muscle building and maintenance, making it a good time to try out more intense and high-energy workouts.

>>MORE: 12 Best Follicular Phase Exercises for Better Cycle Syncing

Emotionally, the rising estrogen can lead to a boost in mood and motivation. Many people find themselves feeling more optimistic and sociable, as higher estrogen levels positively influence serotonin production. This can foster a sense of clarity and focus, making it a great time for creative projects and social activities. 

How to manage how you’re feeling during the follicular phase

While the follicular phase is generally more uplifting, there are still ways to enhance your experience both physically and emotionally:

  • Maintain hydration and nutrition: Staying hydrated is crucial, especially as energy levels increase. Incorporating a diet rich in lean proteins, healthy fats, and fiber can support overall well-being. Foods high in antioxidants, like berries and leafy greens, can also promote energy and reduce inflammation.
  • Engage in regular exercise: Engaging in regular physical activity during this phase can harness your increasing energy levels. Cardio workouts, strength training, or even dance can help elevate your mood and boost your physical fitness.
  • Set goals and prioritize tasks: Use the clarity and motivation of this phase to set personal or professional goals. Prioritizing tasks can help you capitalize on your heightened energy and focus, making it a productive time.
  • Set aside time for people you love and activities you enjoy: This period of increased energy levels may help you feel more motivated and engaged in projects you love, or feel more present when you’re spending time with friends and family.

How you feel during the menstrual cycle: Ovulation

Ovulation marks the midpoint of the menstrual cycle. During this phase, estrogen levels peak, which triggers the release of a mature egg from the ovary. This surge in hormones brings about notable physical and emotional changes.

Physically, many individuals experience a sense of heightened vitality and energy during ovulation. The increase in estrogen can lead to improved muscle strength and endurance, making physical activities feel more effortless. 

Ovulation may not feel all strong and positive; this phase can also be accompanied by mild discomfort or cramping on one side of the abdomen, known as mittelschmerz, as the egg is released. 

Emotionally, ovulation is often associated with a boost in mood and confidence, and even sex drive—which can be helpful if you’re trying to conceive! The peak in estrogen enhances serotonin levels, which can result in feelings of euphoria and increased sociability. Many people find themselves more open to social interactions and creative pursuits, feeling empowered and magnetic during this phase. However, as the body shifts closer to the luteal phase, some may begin to experience minor emotional fluctuations.

How to manage how you’re feeling during ovulation

While ovulation can also be a period of increased energy, you can still take steps to manage and take advantage of how you’re feeling.

  • Stay hydrated and nourished: Maintaining hydration is key during ovulation, especially as energy levels peak. Focus on a balanced diet that includes plenty of fruits, vegetables, lean proteins, and whole grains. Foods rich in zinc, like pumpkin seeds and chickpeas, can support reproductive health.
  • Engage in active movement: Take advantage of your heightened energy by engaging in physical activities you enjoy. Whether it’s running, dancing, or group fitness classes, exercising can amplify your sense of well-being and social connectivity.
  • Embrace social opportunities: This phase is ideal for socializing. Plan outings with friends, attend events, or engage in group activities. The boost in confidence can enhance interactions and deepen connections.

How you feel during the menstrual cycle: Luteal phase

The luteal phase follows ovulation and lasts until the start of menstruation, typically spanning about 10 to 14 days. During this time, progesterone levels rise while estrogen levels fluctuate, preparing the body for a potential pregnancy. 

Physically, the increase in progesterone can lead to various symptoms. Some individuals may experience breast tenderness, bloating, and fatigue as the body retains more fluid. This phase is also when premenstrual syndrome (PMS) symptoms may surface, including headaches and digestive changes. As the body prepares for the possibility of implantation, energy levels might dip, leading to feelings of sluggishness.

Emotionally, the luteal phase can be complex. The rise in progesterone often leads to mood swings, irritability, and heightened sensitivity. Some individuals may feel anxious or experience emotional lows, which can be attributed to fluctuations in serotonin levels. The transition towards menstruation can also trigger feelings of introspection or reflection, as the body prepares for another cycle.

How to manage how you’re feeling during the luteal phase

While the luteal phase can bring discomfort and emotional fluctuations, there are ways to combat difficult physical and emotional symptoms:

  • Focus on nutrition: Eating a balanced diet rich in whole foods can help alleviate some symptoms. Incorporate magnesium-rich foods (like nuts and leafy greens) to reduce bloating and cramps, and choose complex carbohydrates (like whole grains) to stabilize mood.
  • Stay hydrated: Drinking plenty of water can help alleviate bloating and reduce fatigue. Herbal teas, especially those with calming properties like chamomile or peppermint, can also be soothing.
  • Stay (lightly) active: While energy levels may dip, engaging in light to moderate exercise can help boost mood and combat fatigue. Activities like walking, yoga, or swimming can stimulate endorphin production and provide relief from PMS symptoms. (Learn what exercises are best to try during the luteal phase.)
  • Practice stress-reduction techniques: Incorporating mindfulness practices, such as meditation, deep breathing, or gentle stretching, can help manage emotional fluctuations and promote relaxation during this phase.
  • Prioritize sleep: Ensure you’re getting enough rest. Quality sleep can help regulate mood and energy levels, making it easier to navigate the emotional challenges of the luteal phase.

Tracking and taking action throughout your menstrual cycle

Understanding your menstrual cycle is key to recognizing how hormonal fluctuations affect your physical and emotional wellbeing. Tracking your cycle can provide valuable insights into your body’s rhythms, allowing you to anticipate changes and take proactive steps to support your health.

By how can you effectively track your hormones to know exactly what part of your cycle you’re in? 

Some women choose to track their cycle by counting the days from their period, yet Oova research indicates that as low as 5% of women actually have a 28-day cycle. Others may try to use symptoms to figure out what phase they’re in.

The most accurate way to understand what part of your cycle you’re in is to measure your specific hormone levels. Oova’s at-home hormone kits allow you to measure luteinizing hormone, E3G (an estrogen metabolite), and PdG (a progesterone metabolite) to understand how your hormone levels change over time. 

All you need to do is pee on a test strip and scan with the Oova app. The app does the rest of the work, identifying trends in your hormones so you can get a clear, personalized, and lab-quality accurate picture of your cycle from the comfort of your home. 

Better yet, you can track symptoms within the Oova app to help you understand how physical and emotional changes you’re experiencing coincide with hormone changes—and get the insights you need to take action.

About the author

Zoe Kaplan
Zoe Kaplan is a writer and content strategist passionate about creating content that helps people navigate the world a little more easily. Zoe has worked across verticals, from women's career development to reproductive health. You can check out more of her work at zoeakaplan.com.

Sources

perimenopause-periods
Should I still see my gynecologist if my periods are just "weird" but not painful?
Yes. Annual visits remain important during perimenopause. Your provider can help determine if your "weird" periods are typical perimenopause changes or something requiring attention. They can also discuss management options to improve your quality of life.
perimenopause-periods
How long do irregular periods last before menopause?
Irregular perimenopause periods typically last 4 to 8 years before your final period, though this varies greatly. Some women experience irregularity for just a few months, while others have irregular periods for over a decade before reaching menopause.
perimenopause-periods
Is it normal to have two periods in one month during perimenopause?
Yes, this can happen, especially in early perimenopause when cycles shorten. You might have a 21 day cycle, meaning you could have a period at the beginning and end of the same calendar month. Track these patterns to distinguish between short cycles and abnormal bleeding.
perimenopause-periods
Why are my periods suddenly so heavy in my 40s?
Heavy perimenopause periods often result from estrogen dominance. When progesterone drops but estrogen remains high, your uterine lining builds up more than usual, causing heavier bleeding when it sheds. This is common in perimenopause but should be evaluated if it affects your daily life.
perimenopause-periods
Can I still get pregnant if my periods are irregular during perimenopause?
Yes. As long as you're having periods, even irregular ones, you may still be ovulating. Pregnancy is possible until you've gone 12 full months without any period. If you don't want to become pregnant, continue using contraception throughout perimenopause.
perimenopause-and-weight-gain
Can you prevent perimenopause weight gain completely?
While you may not prevent all weight changes during perimenopause, you can minimize gain through proactive strategies. Starting strength training before perimenopause, maintaining consistent sleep habits, and managing stress can help your body adapt to hormonal changes more smoothly. Remember, some body changes during this transition are normal and healthy.
perimenopause-and-weight-gain
At what age does perimenopause weight gain typically start?
Perimenopause weight gain can begin in your late 30s or early 40s, often coinciding with the first hormonal changes. Many women notice gradual changes starting 5 to 10 years before their final period. The timing varies greatly based on genetics, lifestyle, and overall health.
perimenopause-and-weight-gain
Does everyone gain the same amount during perimenopause?
No. Perimenopause weight gain varies significantly. Some women gain 5 pounds, others 20 or more, and some maintain their weight. Factors include genetics, starting weight, activity level, stress, sleep quality, and how dramatically hormones fluctuate. Your experience is unique to your body.
Is perimenopause weight gain different from regular aging weight gain?
Yes. While metabolism naturally slows with age, perimenopause weight gain has distinct characteristics. The hormonal shifts cause fat redistribution to the midsection, even if overall weight doesn't change dramatically. This abdominal weight gain pattern is specifically linked to declining estrogen and progesterone, not just aging.
perimenopause-and-weight-gain
Will the weight come off after menopause?
Perimenopause weight gain often stabilizes after menopause when hormones level out, but the weight doesn't automatically disappear. The metabolic and body composition changes that occur during perimenopause tend to persist. However, with consistent healthy habits, weight management becomes more predictable post menopause than during the fluctuating perimenopause years.
https://www.oova.life/blog/progesterone-supplementation-guide
Can I take progesterone if I'm breastfeeding?
Yes, progesterone is generally safe while breastfeeding and doesn't significantly affect milk supply. However, always discuss with your healthcare provider before starting any hormone supplementation while nursing.
https://www.oova.life/blog/progesterone-supplementation-guide
Is it safe to take progesterone throughout pregnancy?
Yes, when prescribed by your healthcare provider. Progesterone supplementation in early pregnancy is safe and can reduce miscarriage risk in women with low progesterone or a history of pregnancy loss. Most providers continue supplementation through the first trimester (weeks 10-12) when the placenta takes over.
https://www.oova.life/blog/progesterone-supplementation-guide
Can progesterone supplementation cause weight gain?
Progesterone can cause temporary water retention and bloating, which may show up as a few pounds on the scale, but it doesn't cause true fat weight gain. Most women don't experience significant weight changes from progesterone supplementation.
https://www.oova.life/blog/progesterone-supplementation-guide
Can I switch from pills to suppositories or vice versa?
Yes, but only under your doctor's guidance. The dosing and timing may need adjustment when switching between forms since they're absorbed differently. Never switch on your own, especially if you're pregnant or undergoing fertility treatment.
https://www.oova.life/blog/progesterone-supplementation-guide
Will progesterone supplementation delay my period?
Yes, progesterone keeps the uterine lining intact, so if you're not pregnant and continue taking progesterone, your period will be delayed. Once you stop taking it, your period should start within 2-10 days. If you are pregnant, progesterone helps maintain the pregnancy and you won't get a period.
https://www.oova.life/blog/progesterone-supplementation-guide
Should I take progesterone pills orally or vaginally?
For fertility and pregnancy support, vaginal progesterone is usually preferred because it delivers higher concentrations directly to the uterus. For perimenopause or general hormone balance, oral progesterone often works well and is more convenient. Your doctor will recommend the best route based on your specific needs.
https://www.oova.life/blog/progesterone-supplementation-guide
When should I start taking progesterone after ovulation?
Typically, progesterone supplementation for luteal phase support starts 2-3 days after ovulation (confirmed by LH surge or temperature rise). Your doctor will give you specific timing based on your protocol. Some women start immediately after a positive ovulation test.
https://www.oova.life/blog/progesterone-supplementation-guide
What's better: progesterone cream or pills?
Pills (oral micronized progesterone) are generally more effective and reliable than creams because absorption from creams is inconsistent. For medical conditions like fertility issues, low progesterone, or HRT, prescription pills or suppositories are strongly recommended over over-the-counter creams.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
How can I tell if I have low or high progesterone?
The only definitive way to know is through hormone testing via blood tests or at-home urine tests that measure progesterone metabolites. However, symptom patterns can provide clues: anxiety and irregular periods suggest low progesterone, while bloating and extreme fatigue suggest high progesterone.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
When during my cycle should I test progesterone levels?
Test progesterone levels during the luteal phase, typically 7 days after ovulation or around day 21 of a 28-day cycle. This is when progesterone should be at its peak, making it easier to identify if levels are too low or too high.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
What are the main differences between low and high progesterone symptoms?
Low progesterone typically causes irregular or heavy periods, anxiety, hot flashes, and sleep issues. High progesterone causes bloating, fatigue, intense breast tenderness, and depression-like mood changes. Low progesterone symptoms persist throughout your cycle, while high progesterone symptoms are most intense during the luteal phase.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
Can you have symptoms of both low and high progesterone?
Some symptoms like breast tenderness and mood changes can occur with both low and high progesterone, making it confusing. However, the timing, intensity, and accompanying symptoms differ. Hormone testing is the best way to determine which imbalance you're experiencing.
https://www.oova.life/blog/10-dpo
Can stress affect 10 DPO symptoms?
Yes, stress can worsen or mimic 10 DPO symptoms. Stress increases cortisol, which can cause cramping, fatigue, and mood changes similar to both PMS and early pregnancy. During the two-week wait, try stress-reduction techniques like gentle exercise, meditation, or spending time with loved ones.
https://www.oova.life/blog/10-dpo
Is it better to test at 10 DPO or wait?
It's better to wait until 12–14 DPO for more accurate results. Testing at 10 DPO often leads to false negatives because hCG levels may still be too low. If you absolutely can't wait, use a sensitive early detection test with first morning urine, and be prepared to retest in 2–3 days if negative.
https://www.oova.life/blog/10-dpo
What does implantation bleeding look like at 10 DPO?
Implantation bleeding at 10 DPO is typically light pink or brown, much lighter than a period, and lasts 1–2 days. It's often just spotting when you wipe or a few drops on a panty liner. However, only 15–20% of pregnant women experience implantation bleeding—most don't have any bleeding at all.
https://www.oova.life/blog/10-dpo
Why am I cramping at 10 DPO?
Cramping at 10 DPO can be caused by elevated progesterone (whether you're pregnant or not), implantation (if you're pregnant), or premenstrual cramping. Unfortunately, cramping alone can't tell you if you're pregnant since progesterone causes similar symptoms in both scenarios.
https://www.oova.life/blog/10-dpo
What are the chances of a BFP at 10 DPO?
If you're pregnant, you have about a 50–60% chance of getting a positive test at 10 DPO. This means there's a 40–50% chance of a false negative even if you conceived. Chances improve significantly by 12–14 DPO.
https://www.oova.life/blog/10-dpo
What DPO is most accurate for pregnancy testing?
14 DPO (the day of your missed period) is the most accurate time to test, with 99% accuracy. 12 DPO offers 80–90% accuracy. 10 DPO has only 50–60% accuracy. For best results, wait as long as you can—ideally until 12–14 DPO.
https://www.oova.life/blog/10-dpo
Is 10 DPO too early to test?
10 DPO is considered early for pregnancy testing. While some women get positives at 10 DPO, accuracy is only 50–60% if you're pregnant. For best results, wait until 12 DPO (80–90% accuracy) or 14 DPO/missed period (99% accuracy).
https://www.oova.life/blog/10-dpo
Can you have implantation at 10 DPO?
Yes, implantation can still occur at 10 DPO, though 84% of women have already implanted by this point. Late implantation at 10–12 DPO is normal. If implantation happens at 10 DPO, you won't get a positive pregnancy test for another 2–3 days.
https://www.oova.life/blog/10-dpo
What does a negative test at 10 DPO mean?
A negative test at 10 DPO does not mean you're not pregnant. It's very common to get negatives at 10 DPO even if you conceived. Your hCG levels may still be too low, or implantation may have occurred later. Wait until 12–14 DPO to retest for more accurate results.
https://www.oova.life/blog/10-dpo
Can you get a positive pregnancy test at 10 DPO?
Yes, but only about 50–60% of pregnant women will get a positive at 10 DPO. The other 40–50% have hCG levels that are still too low to detect. If you test negative at 10 DPO, wait 2–3 days and test again.
https://www.oova.life/blog/high-progesterone-symptoms
Can high progesterone cause weight gain?
Yes, elevated progesterone can cause temporary weight gain through water retention and bloating. This is a normal part of the luteal phase and early pregnancy.
https://www.oova.life/blog/how-to-increase-estrogen
Does stress affect estrogen levels?
Yes, chronic stress elevates cortisol, which can suppress estrogen production and disrupt hormonal balance. Stress reduction through meditation, yoga, adequate sleep, and self-care practices helps maintain optimal estrogen levels.
https://www.oova.life/blog/how-to-increase-estrogen
When should I consider medical treatment for low estrogen?
Consider medical intervention if natural methods don't improve symptoms after 3 months, if symptoms severely impact quality of life, if you're experiencing early menopause (before 40), or if you have fertility concerns. Hormone replacement therapy may be appropriate in these cases.
https://www.oova.life/blog/how-to-increase-estrogen
What are the signs that my estrogen is increasing?
Signs of rising estrogen include more regular menstrual cycles, reduced hot flashes, improved vaginal lubrication, better mood stability, increased energy, and improved skin elasticity. You may also notice reduced symptoms that originally indicated low estrogen.
https://www.oova.life/blog/how-to-increase-estrogen
Can exercise increase estrogen levels?
Yes, moderate exercise stimulates estrogen release and helps maintain hormonal balance. Aim for 150 minutes of moderate cardio weekly plus strength training twice per week. However, excessive exercise can actually lower estrogen, so balance is key.
https://www.oova.life/blog/how-to-increase-estrogen
How long does it take to increase estrogen naturally?
With consistent dietary and lifestyle changes, you may notice improvements in symptoms within 4-8 weeks. However, significant hormonal changes typically take 2-3 months. Tracking your cycle and symptoms can help you monitor progress.
https://www.oova.life/blog/how-to-increase-estrogen
What foods increase estrogen levels naturally?
Foods high in phytoestrogens can help increase estrogen naturally. The best options include flax seeds (high in lignans), soy products (tofu, tempeh, edamame), lentils, chickpeas, whole grains (oats, quinoa, brown rice), and garlic. These plant compounds mimic estrogen's effects in the body.
https://www.oova.life/blog/perimenopause
What helps relieve hot flashes quickly?
Cool environments, layered clothing, herbal teas, and medical treatments like gabapentin or HRT may help—depending on severity. Lifestyle changes like reducing caffeine and alcohol can also provide relief.
https://www.oova.life/blog/perimenopause
Are there tests to confirm perimenopause?
Yes. Tests measuring estradiol, LH, and FSH levels can indicate hormonal shifts—but diagnosis is often symptom-based since hormone levels fluctuate widely during perimenopause.
https://www.oova.life/blog/perimenopause
How do I know it's perimenopause and not something else?
A doctor may recommend hormone testing (like LH, E3G, and PdG) and track symptom timing. Diagnosis is often based on symptoms combined with age and menstrual pattern changes.
https://www.oova.life/blog/perimenopause
What's the earliest age perimenopause can start?
Some women begin experiencing symptoms as early as their mid-30s, though perimenopause typically starts between ages 38-45.
https://www.oova.life/blog/perimenopause
Does perimenopause affect mental clarity?
Yes. Brain fog and difficulty concentrating are common during hormone fluctuations in perimenopause.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
What happens after the last sign of perimenopause?
After your final period, you enter postmenopause. You'll need 12 consecutive months without a period to confirm menopause. Many symptoms gradually improve, though some like vaginal dryness may persist without treatment.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
When do perimenopause symptoms finally stop?
Some symptoms like brain fog improve after menopause, while others like hot flashes may continue for up to 10 years post-menopause. Vaginal symptoms often persist or worsen without treatment. Each person's timeline is different.
https://www.oova.life/blog/high-progesterone-symptoms
Is high progesterone a sign of pregnancy?
Yes, high progesterone is one of the earliest indicators of pregnancy. Progesterone levels rise significantly after conception to support the developing embryo and reach their peak during the third trimester.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
Can you still get pregnant in late perimenopause?
Yes, you can still get pregnant during perimenopause as long as you're having periods, even if they're infrequent. Continue using birth control until you've gone 12 consecutive months without a period and have officially reached menopause.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
Do symptoms get worse before perimenopause ends?
Yes, most perimenopause symptoms intensify in the final 1-2 years before menopause. Hot flashes peak around your final period, vaginal symptoms worsen, and mood changes increase. However, brain fog typically improves in late perimenopause.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
How long does late perimenopause last?
Late perimenopause typically lasts 1-3 years before your final period. However, the exact duration varies significantly from person to person. You've reached menopause after 12 consecutive months without a period.
https://www.oova.life/blog/high-progesterone-symptoms
What are the symptoms of high progesterone?
High progesterone symptoms include fatigue, bloating, breast tenderness, weight gain, anxiety, depression, headaches, and food cravings. During pregnancy, you may also experience increased nipple sensitivity and muscle aches.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
What are the first signs that perimenopause is ending?
The earliest signs include longer gaps between periods (60+ days), intensifying hot flashes that peak around your final period, and worsening vaginal dryness. These symptoms typically increase in late perimenopause before you reach official menopause.
https://www.oova.life/blog/high-progesterone-symptoms
When should I be concerned about high progesterone?
Consult a healthcare provider if you experience high progesterone symptoms outside your luteal phase when not pregnant, or if symptoms include severe pelvic pain, abnormal vaginal bleeding, or rapid weight gain while on hormone therapy.
https://www.oova.life/blog/high-progesterone-symptoms
How do you test progesterone levels?
Progesterone can be measured through blood tests at your doctor's office or at-home urine tests that measure PdG (a progesterone metabolite). Testing is typically done during the luteal phase, about 7 days after ovulation.

About the Oova Blog:
Our content is developed with a commitment to high editorial standards and reliability. We prioritize referencing reputable sources and sharing where our insights come from. The Oova Blog is intended for informational purposes only and is never a substitute for professional medical advice. Always consult a healthcare provider before making any health decisions.