What your score means

Low (0-14): Your symptom profile doesn't strongly suggest perimenopause. If you're under 35, it's much less likely. If you're 40+ with even modest symptoms, baseline testing may still be worthwhile.

Moderate (15-29): Symptoms are consistent with early perimenopause. A comprehensive hormone panel (FSH, estradiol, progesterone, testosterone, thyroid) can confirm and establish baseline for treatment.

High (30-44): Pattern strongly suggests active perimenopause. HRT evaluation is worth serious consideration.

Very high (45+): Pattern consistent with significant perimenopause or early menopause. Get evaluated, effective treatments are available.

What you're likely experiencing

If you scored in the moderate-high range, you're likely experiencing the hormonal transition that affects virtually every woman starting in her late 30s or 40s. Progesterone typically drops first, followed by erratic estrogen swings, and eventually testosterone decline. See our complete perimenopause guide for the hormonal picture.

Why so many women are told "it's just stress"

Standard medical training on perimenopause is minimal. Many women present with anxiety, sleep issues, weight gain, and mood changes and are offered SSRIs, sleep medications, or told to exercise more. Meanwhile, the hormonal cause isn't addressed.

The good news: in 2026, evidence-based modern HRT is safer, more accessible, and more effective than ever. See our complete HRT guide.

What to do next