Perimenopause, or the transition into menopause, generally occurs also between 45 and 55.

围绝经期，或过渡到更年期，通常也发生在 45 到 55 岁。

Women's estrogens, on the other hand, start fading in midlife during menopause, which is anything but symptom-free.

一方面，女性的雌激素在中年更年期衰退，绝经期绝非没有症状。

But expressing your ideas when you are sleep-deprived, burned out, or in perimenopausal brain fog, can feel nearly impossible.

但当你睡眠不足、精疲力竭或处于围绝经期脑雾状态时，达你的想法几乎是不可能的。

Age is also a factor since endometrial carcinoma tends to develop in women who have gone through menopause, usually around 55 to 65 years of age.

年龄也是一个因素，因为子宫内膜癌往往发生于绝经期的妇女，通常在55岁到65岁。

Then I started talking to my cousin and she said, " Have you thought it might be perimenopause? " So I went to a private GP in the end, because I thought I'm not being heard.

然后我我的妹说话，她说：“你认为这可能是围绝经期吗？ ” 所以我最后去了一家私人全科医生，因为我认为我没有被听到。

" We've known this is true of humans and a few other animals that don't have menopause, like African elephants, for a while, and had a strong inkling that it was also true in these resident killer whales, " he wrote.

" 我们早已知道，这个现象在人类一些没有绝经期的动物（比如非洲象）身上是存在的，对虎鲸而言，很可能也是如此，" 他说。

Just as we have health care resources for what to expect when you're having a child and how to be a great parent, we need better health care resources for what to expect in perimenopause and support through the entire transition.

正如我们拥有医疗保健资源来了解您在生孩子时会发生什么以及如何成为一个好父母一样，我们需要更好的医疗保健资源来了解围绝经期的期望以及在整个过渡期的支持。