Is It Perimenopause, Menopause, or Something Else?
Perimenopause starts 4–10 years before your final period — but the average woman sees 3 doctors before getting a correct diagnosis. Check your symptoms below. If 6 or more match, bioidentical HRT may help. Winona reports 80% of patients feel better within 90 days.
Check every symptom you're experiencing:
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Plant-based hormone therapy prescribed by board-certified doctors. Winona reports 80% of patients feel better within 90 days (individual results vary). No in-person visit required.
Free online assessment. Ships to your door. $49/month for most plans.
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80% of women experience menopause symptoms. Most don't know bioidentical HRT is an option.
Common Questions About Menopause & Hormone Therapy
How accurate is a menopause symptom checker?
This checker estimates your likely menopause stage using 12 symptoms mapped to clinical guidelines from the North American Menopause Society. It is educational, not diagnostic. Only a physician can diagnose menopause. Winona's board-certified doctors provide formal assessments via telehealth.
What is bioidentical HRT and how is it different?
Bioidentical HRT uses plant-derived hormones structurally identical to those your body produces — estradiol, progesterone, and sometimes testosterone. Winona prescribes these in customized formulations based on your symptoms and lab work. Winona reports 80% of patients feel better within 90 days (individual results vary).
At what age does perimenopause usually start?
Perimenopause typically begins 4-10 years before menopause, most commonly between ages 40-44. Early signs include cycle changes, sleep disruption, and mood shifts — often misattributed to stress or aging. The average age of menopause in the US is 51.