How long does perimenopause last?

It varies, for many people it lasts a few years, though it can be shorter or longer. Menopause is confirmed once you've had no period for 12 months.

Can I still get pregnant during perimenopause?

Yes. While fertility declines, pregnancy is still possible until menopause is confirmed, so contraception may still be relevant. A clinician can advise you.

Perimenopause: Recognising the Change

Name: Perimenopause: Recognising the Change | Gynaec.com.au
Creator: Dr Priya Sivadas
Published: 2026-06-27

What perimenopause is

Perimenopause is the phase before menopause, when the ovaries gradually make less oestrogen. It can start in your 40s (sometimes earlier) and last for several years. Menopause itself is confirmed once you've gone 12 months without a period.

Common early signs

Signs vary widely between people, and not everyone has the same experience.

Changes to the length or heaviness of periods
Hot flushes or night sweats
Sleep changes
Mood or memory changes
Vaginal dryness or changes to libido

Why cycles become less predictable

As hormone levels fluctuate, ovulation becomes less regular, so periods may come closer together, further apart, or vary in flow. This is a normal part of the transition, though any bleeding that seems unusual is worth reviewing.

When to see a specialist

If symptoms are affecting your daily life, or you're unsure whether what you're experiencing is perimenopause, a specialist can help you understand what's happening and talk through your options.