Send us a text Perimenopause affects every woman at some point in life but often doesn't get the attention it deserves, with symptoms like hot flashes, mood swings, and sleep issues starting as early as our late 30s. As women, we need to advocate for ourselves during this transition and find providers who listen to our concerns rather than dismissing them as normal aging. • Perimenopause usually begins in early to mid-40s, though some women notice changes in their late 30s • Hispanic women r...