Perimenopause II

The hot flush in a meeting is public. Everyone watches. The three in the morning has no witnesses, so nobody counts it. Between forty and fifty-six percent of women report insomnia symptoms in the transition, and one in four meets full diagnostic criteria. This is what is happening in those hours, why progesterone leaving is the part nobody explains, and why the treatment with the strongest evidence behind it is almost never the one you get offered.