The Menocle blog
Perimenopause, explained.
Plain-language articles built on the research, with every claim linked to its source. Education, not advice — the kind of reading that makes your next appointment a better one.
Symptoms
Perimenopause symptoms: the full list, including the ones nobody mentions
Hot flashes and irregular periods are only the start. The full list of perimenopause symptoms — palpitations, joint pain, itchy skin, brain fog — and what to do with them.
September 20, 2026 · 6 min read
Cycles
Why your period tracker stops making sense in perimenopause
Period apps predict from a rhythm. Perimenopause is defined by that rhythm breaking. What cycle changes are normal, how clinicians stage them, and what to track instead.
September 20, 2026 · 5 min read
Sleep
Waking at 3am in your 40s? What perimenopause does to sleep
Why so many women wake at 3am in perimenopause — night sweats, alcohol, a twitchier thermostat — and what the evidence says helps, including CBT for insomnia.
September 20, 2026 · 5 min read
Brain fog
Perimenopause brain fog: why words disappear, and what helps
Losing ordinary words mid-sentence is one of the most frightening perimenopause symptoms. What research shows about memory in the transition, why it's usually temporary, and what to track.
September 20, 2026 · 5 min read
Your appointment
How to talk to your doctor about perimenopause (and not be told it's just stress)
A short appointment and a long list of symptoms. What to bring, what the guidelines say about diagnosis without blood tests, and five questions to ask.
September 20, 2026 · 6 min read
HRT
The HRT black box warning is gone: what changed in November 2025
On November 10, 2025 the FDA moved to remove broad boxed warnings from menopausal hormone therapy. What was removed, what stayed, where the warnings came from, and what it means for you.
September 20, 2026 · 5 min read
No periods
Perimenopause without periods: after a hysterectomy, with a hormonal IUD, or after ablation
No periods to go by? How perimenopause is recognised after a hysterectomy, with a hormonal IUD or after endometrial ablation — and what to track instead of a cycle.
September 20, 2026 · 5 min read