The perimenopause is an important time for many women. This is when you first start to notice changes in your body. Often the first sign of the approaching menopause is loss of the regular cycle of your periods. You may also start to have symptoms such as hot flushes and night sweats.

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Once you reach your forties, ovulation becomes erratic. Before ovulation stops altogether, the menstrual cycle often lengthens. This can start anything from two to eight years before menopause. This is the reason that older women often find it more difficult to fall pregnant.

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