Key Points:

• The perimenopause is the reproductive phase in a woman’s life occurring before the final menstrual period, or menopause
• The perimenopause is characterised by hormonal fluctuations, particularly oestrogen
• Women may experience a range of symptoms including hot flushes, mood disturbance and genitourinary issues. Menstrual cycle disturbance including heavy menstrual bleeding is common
• Women should be counselled about the ongoing need for contraception
• The perimenopause is an opportune time to discuss health screening at a woman’s midlife