{"id":"page-6cd3a864c2","pageData":{},"thumbnail":"https://www.unchealth.org/etc.clientlibs/unchealth/clientlibs/clientlib-react/resources/logo1200x630.png","templateName":"t16-treatment","contentLanguage":"en","cssClassNames":"page basicpage","metaDescription":"Find care for perimenopause symptoms at UNC Health in North Carolina. Get help with hot flashes, night sweats and other symptoms of changing hormone levels.","brandSlug":"UNC Health","defaultMetaSiteName":"UNC Health","siteURL":"https://www.unchealth.org","mainSchemaHtml":"<script type=\"application/ld+json\" id=\"mainSchema\">[{\"@context\":\"https://schema.org/\",\"@type\":\"Organization\",\"name\":\"UNC Health\",\"url\":\"https://www.unchealth.org/care-services/areas-of-care/gynecology/perimenopause\",\"logo\":{\"@type\":\"ImageObject\",\"url\":\"https://www.unchealth.org/etc.clientlibs/unchealth/clientlibs/clientlib-react/resources/logo1200x630.png\",\"height\":\"630\",\"width\":\"1200\"},\"description\":\"UNC Health is a not-for-profit integrated health care system owned by the state of North Carolina, comprised of many locations across the state.\",\"address\":{\"@type\":\"PostalAddress\",\"postalCode\":\"27514\",\"streetAddress\":\"101 Manning Drive\",\"addressCountry\":\"United States\",\"addressRegion\":\"North Carolina\",\"addressLocality\":\"Chapel Hill\",\"telephone\":\"984-974-1000\"},\"brand\":{\"@type\":\"Organization\",\"name\":\"UNC Health\",\"logo\":{\"@type\":\"ImageObject\",\"url\":\"https://www.unchealth.org/etc.clientlibs/unchealth/clientlibs/clientlib-react/resources/logo1200x630.png\",\"height\":\"630\",\"width\":\"1200\"},\"url\":\"https://www.unchealth.org/\",\"sameAs\":\"\",\"location\":\"Chapel Hill, NC\"}},{\"@context\":\"https://schema.org/\",\"@type\":\"WebSite\",\"name\":\"UNC Health\",\"url\":\"https://www.unchealth.org/care-services/areas-of-care/gynecology/perimenopause\",\"description\":\"UNC Health is a not-for-profit integrated health care system owned by the state of North Carolina, comprised of many locations across the state.\",\"image\":{\"@type\":\"ImageObject\",\"url\":\"https://www.unchealth.org/etc.clientlibs/unchealth/clientlibs/clientlib-react/resources/logo1200x630.png\",\"height\":\"630\",\"width\":\"1200\"}},{\"@context\":\"https://schema.org/\",\"@type\":\"MedicalTherapy\",\"name\":\"Perimenopause\"}]</script>","customSchemaHtml":"<script type=\"application/ld+json\" id=\"customSchema\"></script>","bodyBottomGlobal":"<script>\r\n  function getLiveChatConfig() {\r\n    const phone =\r\n      \"800-594-8624 (toll-free) or locally at 984-974-2222 Mon. – Thurs., 8:00 AM – 5:00 PM and Fri., 8:00 AM – 11:30 AM.\";\r\n    const nebulaURL = \"https://livechat-livechat.app.st-882.epiccloud.io\";\r\n    const chatScriptURL =\r\n      \"https://livechat-web-client.app.st-882.epiccloud.io/assets/epic-live-chat.es.js\";\r\n    const apiKey =\r\n      \"AAEAAZmakTnG4EHUADF7IlNpdGVJZCI6IjViZmQyYTM4LTUyZjItNDMzZS04NmI2LTdiZTg1NzM5YWFmZCJ9hM+rEbw4ueEid0MN5b0mjsOLTtWsrCjU6rWqKEQwR2Sw+bndAQw0Iw==\";\r\n\r\n    const branding = {\r\n      primaryColor: \"#004263\",\r\n      fontFamily: \"Muller, Arial, sans-serif\",\r\n      minimizedChatTitle: \"How can we help?\",\r\n      liveChatTitle: \"UNC Health Billing Help\",\r\n      organizationImageURL:\r\n        \"https://www.uncmedicalcenter.org/app/files/public/7453/img-system-systemlogo.png\",\r\n      organizationImageDescriptor: \"UNC Health logo\",\r\n    };\r\n\r\n    return { phone, nebulaURL, chatScriptURL, apiKey, branding };\r\n  }\r\n</script>\r\n\r\n<script>\r\n  (function () {\r\n    const containerId = \"lcWidget\";\r\n\r\n    // ✅ Show chat on these pages (exact “records-insurance” routes)\r\n    const CHAT_PATHS = new Set([\r\n      \"/records-insurance/pay-my-bill\",\r\n      \"/records-insurance/financial-assistance-programs\",\r\n      \"/records-insurance/insurance\",\r\n      \"/records-insurance/billing-insurance-terminology\",\r\n      \"/records-insurance/price-estimates\",\r\n      \"/records-insurance/standard-charges\",\r\n    ]);\r\n\r\n    let scriptInjected = false;\r\n    let widgetRendered = false;\r\n\r\n    function normalizePath(rawPath) {\r\n      let p = (rawPath || \"/\")\r\n        // remove query/hash fragments\r\n        .split(\"?\")[0]\r\n        .split(\"#\")[0]\r\n        // convert any weird whitespace (including NBSP) and trim\r\n        .replace(/\\u00A0/g, \" \")\r\n        .trim()\r\n        // drop .html if present\r\n        .replace(/\\.html$/, \"\");\r\n\r\n      // drop trailing slash (except root)\r\n      if (p.length > 1) p = p.replace(/\\/+$/, \"\");\r\n\r\n      // If we're on an AEM content path, reduce to the “pretty” portion\r\n      // Example: /content/unchealth/us/en/records-insurance/insurance  -> /records-insurance/insurance\r\n      const idx = p.indexOf(\"/records-insurance/\");\r\n      if (idx !== -1) {\r\n        p = p.slice(idx);\r\n      }\r\n\r\n      return p;\r\n    }\r\n\r\n    function shouldShowChatNow() {\r\n      const current = normalizePath(window.location.pathname);\r\n      return CHAT_PATHS.has(current);\r\n    }\r\n\r\n    function getContainer() {\r\n      return document.getElementById(containerId);\r\n    }\r\n\r\n    function ensureContainer() {\r\n      if (getContainer()) return;\r\n\r\n      const container = document.createElement(\"div\");\r\n      container.id = containerId;\r\n      container.style.position = \"fixed\";\r\n      container.style.right = \"20px\";\r\n      container.style.bottom = \"20px\";\r\n      container.style.zIndex = \"9999\";\r\n      document.body.appendChild(container);\r\n    }\r\n\r\n    function showChat() {\r\n      ensureContainer();\r\n\r\n      const container = getContainer();\r\n      if (container) container.style.display = \"block\";\r\n\r\n      document.querySelectorAll(\"iframe[src*='epiccloud.io']\").forEach((el) => {\r\n        el.style.display = \"block\";\r\n        el.style.visibility = \"visible\";\r\n        el.style.pointerEvents = \"auto\";\r\n      });\r\n    }\r\n\r\n    function hideChat() {\r\n      const container = getContainer();\r\n      if (container) container.style.display = \"none\";\r\n\r\n      document.querySelectorAll(\"iframe[src*='epiccloud.io']\").forEach((el) => {\r\n        el.style.display = \"none\";\r\n        el.style.visibility = \"hidden\";\r\n        el.style.pointerEvents = \"none\";\r\n      });\r\n    }\r\n\r\n    function renderWidgetWhenReady() {\r\n      const liveChatProps = getLiveChatConfig();\r\n\r\n      let tries = 0;\r\n      const t = setInterval(() => {\r\n        tries++;\r\n\r\n        if (typeof window.renderLiveChat === \"function\") {\r\n          clearInterval(t);\r\n          try {\r\n            window.renderLiveChat(containerId, liveChatProps);\r\n            widgetRendered = true;\r\n          } catch (e) {\r\n            // ignore and still show\r\n          }\r\n          showChat();\r\n          return;\r\n        }\r\n\r\n        if (tries >= 40) clearInterval(t);\r\n      }, 100);\r\n    }\r\n\r\n    function injectScriptOnceAndRender() {\r\n      const liveChatProps = getLiveChatConfig();\r\n      const endpoint = liveChatProps.chatScriptURL;\r\n      if (!endpoint) return;\r\n\r\n      if (scriptInjected) {\r\n        if (widgetRendered) showChat();\r\n        else renderWidgetWhenReady();\r\n        return;\r\n      }\r\n\r\n      const existing = document.querySelector(\r\n        `script[type=\"module\"][src=\"${endpoint}\"]`\r\n      );\r\n      if (existing) {\r\n        scriptInjected = true;\r\n        renderWidgetWhenReady();\r\n        return;\r\n      }\r\n\r\n      const script = document.createElement(\"script\");\r\n      script.type = \"module\";\r\n      script.src = endpoint;\r\n      script.async = true;\r\n\r\n      script.onload = function () {\r\n        scriptInjected = true;\r\n        renderWidgetWhenReady();\r\n      };\r\n\r\n      document.body.appendChild(script);\r\n    }\r\n\r\n    function onRouteChange() {\r\n      if (shouldShowChatNow()) {\r\n        ensureContainer();\r\n        injectScriptOnceAndRender();\r\n        showChat();\r\n      } else {\r\n        hideChat();\r\n      }\r\n    }\r\n\r\n    // keep your old API name (hide is safer than remove)\r\n    window.removeLiveChatWidget = hideChat;\r\n\r\n    /* -----------------------------\r\n       SPA NAVIGATION DETECTION\r\n    ------------------------------*/\r\n    function installSpaNavHooksOnce() {\r\n      if (window.__liveChatSpaHookInstalled) return;\r\n      window.__liveChatSpaHookInstalled = true;\r\n\r\n      const fire = () => window.dispatchEvent(new Event(\"spa:navigation\"));\r\n\r\n      const _pushState = history.pushState;\r\n      history.pushState = function () {\r\n        const ret = _pushState.apply(this, arguments);\r\n        fire();\r\n        return ret;\r\n      };\r\n\r\n      const _replaceState = history.replaceState;\r\n      history.replaceState = function () {\r\n        const ret = _replaceState.apply(this, arguments);\r\n        fire();\r\n        return ret;\r\n      };\r\n\r\n      window.addEventListener(\"popstate\", fire);\r\n      window.addEventListener(\"hashchange\", fire);\r\n    }\r\n\r\n    function init() {\r\n      installSpaNavHooksOnce();\r\n      window.addEventListener(\"spa:navigation\", onRouteChange);\r\n      onRouteChange();\r\n    }\r\n\r\n    if (document.readyState === \"loading\") {\r\n      document.addEventListener(\"DOMContentLoaded\", init);\r\n    } else {\r\n      init();\r\n    }\r\n  })();\r\n</script>\r\n","description":"Find care for perimenopause symptoms at UNC Health in North Carolina. Get help with hot flashes, night sweats and other symptoms of changing hormone levels.","contentType":"treatment","pagePath":"/care-services/areas-of-care/gynecology/perimenopause.model.json","url":"https://www.unchealth.org/care-services/areas-of-care/gynecology/perimenopause","title":"Perimenopause | North Carolina","tags":[],"schema":["{\"@context\":\"https://schema.org/\",\"@type\":\"Organization\",\"name\":\"UNC Health\",\"url\":\"https://www.unchealth.org/care-services/areas-of-care/gynecology/perimenopause\",\"logo\":{\"@type\":\"ImageObject\",\"url\":\"https://www.unchealth.org/etc.clientlibs/unchealth/clientlibs/clientlib-react/resources/logo1200x630.png\",\"height\":\"630\",\"width\":\"1200\"},\"description\":\"UNC Health is a not-for-profit integrated health care system owned by the state of North Carolina, comprised of many locations across the state.\",\"address\":{\"@type\":\"PostalAddress\",\"postalCode\":\"27514\",\"streetAddress\":\"101 Manning Drive\",\"addressCountry\":\"United States\",\"addressRegion\":\"North Carolina\",\"addressLocality\":\"Chapel Hill\",\"telephone\":\"984-974-1000\"},\"brand\":{\"@type\":\"Organization\",\"name\":\"UNC Health\",\"logo\":{\"@type\":\"ImageObject\",\"url\":\"https://www.unchealth.org/etc.clientlibs/unchealth/clientlibs/clientlib-react/resources/logo1200x630.png\",\"height\":\"630\",\"width\":\"1200\"},\"url\":\"https://www.unchealth.org/\",\"sameAs\":\"\",\"location\":\"Chapel Hill, NC\"}}","{\"@context\":\"https://schema.org/\",\"@type\":\"WebSite\",\"name\":\"UNC Health\",\"url\":\"https://www.unchealth.org/care-services/areas-of-care/gynecology/perimenopause\",\"description\":\"UNC Health is a not-for-profit integrated health care system owned by the state of North Carolina, comprised of many locations across the state.\",\"image\":{\"@type\":\"ImageObject\",\"url\":\"https://www.unchealth.org/etc.clientlibs/unchealth/clientlibs/clientlib-react/resources/logo1200x630.png\",\"height\":\"630\",\"width\":\"1200\"}}","{\"@context\":\"https://schema.org/\",\"@type\":\"MedicalTherapy\",\"name\":\"Perimenopause\"}"],"language":"en",":type":"unchealth/components/core/page",":itemsOrder":["root"],":items":{"root":{":itemsOrder":["experiencefragment-header","subnav","responsivegrid_header","responsivegrid","responsivegrid_footer","experiencefragment-footer"],":items":{"experiencefragment-header":{":type":"unchealth/components/core/experiencefragment",":itemsOrder":["root"],":items":{"root":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["responsivegrid","logo"],":items":{"responsivegrid":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["global_alerts","global_header"],":items":{"global_alerts":{"id":"global-alerts-c2f3893f90","i18n":{"globalAlertsGeneralLabel":"General Alerts","globalAlertsPriorityLabel":"Priority Alerts"},":type":"unchealth/components/content/global-alerts","dataLayer":{"global-alerts-c2f3893f90":{"@type":"unchealth/components/content/global-alerts","repo:modifyDate":"2026-02-16T17:18:37Z"}}},"global_header":{"id":"global-header-04f8a12dcf","logoLink":"/home","myChartCta":{"id":"global-header-04f8a12dcf","label":"My UNC Chart","href":"https://www.myuncchart.org/mychart/Authentication/Login?","target":"_blank","disableCsr":false,":type":"unchealth/components/content/global-header","dataLayer":{"global-header-04f8a12dcf":{"@type":"unchealth/components/content/global-header","repo:modifyDate":"2025-04-28T19:39:38Z"}}},"primaryNavItems":[{"link":"/care-services","featureCard":{":type":"nt:unstructured",":itemsOrder":["root"],":items":{"root":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["responsivegrid"],":items":{"responsivegrid":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["nav_feauture_card_co"],":items":{"nav_feauture_card_co":{"id":"nav-feauture-card-c044d1c012","image":{"id":"nav-feauture-card-c044d1c012","altText":"Parents carrying son on shoulders on beach vacation","defaultImgSrc":"/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg","defaultAspectRatio":"default","mobileAspectRatio":"default","href":"/content/unchealth/us/en/care-services/areas-of-care/primary-care","target":"_self","defaultWebPSrcSet":["/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-480.webp","/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-640.webp","/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-800.webp","/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-1180.webp","/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-1440.webp","/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-2400.webp"],"defaultImgSrcSet":["/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-480.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-640.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-800.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-1180.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-1440.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_246367828.jpeg/jcr:content/renditions/cqdam.web-2400.jpeg"],"height":4947,"width":7421,"srcTitle":"Parents carrying son on shoulders on beach vacation","disableCsr":false,":type":"unchealth/components/content/nav-feauture-card","dataLayer":{"nav-feauture-card-c044d1c012":{"@type":"unchealth/components/content/nav-feauture-card","repo:modifyDate":"2023-07-05T19:10:11Z"}}},"headline":"Looking for Primary Care?","description":"Learn about the different primary care options available at UNC Health and how to find a healthcare provider.","cta":{"id":"nav-feauture-card-c044d1c012","label":"View Details","descriptiveText":"About UNC Health's Primary Care Options","href":"/care-services/areas-of-care/primary-care","target":"_self","disableCsr":false,":type":"unchealth/components/content/nav-feauture-card","dataLayer":{"nav-feauture-card-c044d1c012":{"@type":"unchealth/components/content/nav-feauture-card","repo:modifyDate":"2023-07-05T19:10:11Z"}}},":type":"unchealth/components/content/nav-feauture-card","dataLayer":{"nav-feauture-card-c044d1c012":{"@type":"unchealth/components/content/nav-feauture-card","repo:modifyDate":"2023-07-05T19:10:11Z"}}}},":type":"wcm/foundation/components/responsivegrid"}},":type":"wcm/foundation/components/responsivegrid"}}},"title":"Care & Services","items":[{"title":"Ways to Schedule Care","link":"/care-services/ways-to-schedule-care","target":null},{"title":"Areas of Care","link":"/care-services/areas-of-care","target":null},{"title":"Find a Doctor","link":"/care-services/doctors","target":null},{"title":"Locations","link":"/care-services/locations","target":null},{"title":"Urgent Care","link":"/care-services/urgent-care","target":"_self"},{"title":"Emergency & Trauma","link":"/care-services/emergency-trauma","target":null},{"title":"Virtual Care","link":"/care-services/virtual-care","target":null}]},{"link":"/living-well","featureCard":{":type":"nt:unstructured",":itemsOrder":["root"],":items":{"root":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["responsivegrid"],":items":{"responsivegrid":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["nav_feauture_card_co"],":items":{"nav_feauture_card_co":{"id":"nav-feauture-card-4257bc07ba","image":{"id":"nav-feauture-card-4257bc07ba","altText":"Happy senior people after yoga sport class having fun sitting outdoors in park city","defaultImgSrc":"/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg","defaultAspectRatio":"default","mobileAspectRatio":"default","href":"/content/unchealth/us/en/living-well/classes-events","target":"_self","defaultWebPSrcSet":["/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-480.webp","/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-640.webp","/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-800.webp","/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-1180.webp","/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-1440.webp","/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-2400.webp"],"defaultImgSrcSet":["/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-480.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-640.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-800.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-1180.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-1440.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_578747980.jpeg/jcr:content/renditions/cqdam.web-2400.jpeg"],"height":2626,"width":3940,"srcTitle":"Happy senior people after yoga sport class having fun sitting outdoors in park city","disableCsr":false,":type":"unchealth/components/content/nav-feauture-card","dataLayer":{"nav-feauture-card-4257bc07ba":{"@type":"unchealth/components/content/nav-feauture-card","repo:modifyDate":"2023-07-05T19:35:17Z"}}},"headline":"Looking for Classes & Events?","description":"Learn where to find support groups and classes across UNC Health’s system.","cta":{"id":"nav-feauture-card-4257bc07ba","label":"View Details","descriptiveText":" about Classes and Events","href":"/living-well/classes-events","target":"_self","disableCsr":false,":type":"unchealth/components/content/nav-feauture-card","dataLayer":{"nav-feauture-card-4257bc07ba":{"@type":"unchealth/components/content/nav-feauture-card","repo:modifyDate":"2023-07-05T19:35:17Z"}}},":type":"unchealth/components/content/nav-feauture-card","dataLayer":{"nav-feauture-card-4257bc07ba":{"@type":"unchealth/components/content/nav-feauture-card","repo:modifyDate":"2023-07-05T19:35:17Z"}}}},":type":"wcm/foundation/components/responsivegrid"}},":type":"wcm/foundation/components/responsivegrid"}}},"title":"Living Well","items":[{"title":"Nutrition & Recipes","link":"/living-well/nutrition-recipes","target":null},{"title":"Health Talk","link":"/living-well/health-talk","target":null},{"title":"Spiritual Care","link":"/living-well/spiritual-care","target":null},{"title":"Wellness & Rehabilitation Centers ","link":"/living-well/wellness-rehabilitation-centers","target":null},{"title":"Classes & Events","link":"/living-well/classes-events","target":null}]},{"link":"/records-insurance","featureCard":{":type":"nt:unstructured",":itemsOrder":["root"],":items":{"root":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["responsivegrid"],":items":{"responsivegrid":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["nav_feauture_card_co"],":items":{"nav_feauture_card_co":{"id":"nav-feauture-card-9475d11bda","image":{"id":"nav-feauture-card-9475d11bda","altText":"Person using calculator on top of a stack of bills.","defaultImgSrc":"/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg","defaultAspectRatio":"default","mobileAspectRatio":"default","href":"/content/unchealth/us/en/records-insurance/financial-assistance-programs","target":"_self","defaultWebPSrcSet":["/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-480.webp","/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-640.webp","/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-800.webp","/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-1180.webp","/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-1440.webp","/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-2400.webp"],"defaultImgSrcSet":["/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-480.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-640.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-800.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-1180.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-1440.jpeg","/content/dam/unchealth/images/global-nav/AdobeStock_222024931.jpeg/jcr:content/renditions/cqdam.web-2400.jpeg"],"height":3339,"width":5009,"srcTitle":"Tuition.","disableCsr":false,":type":"unchealth/components/content/nav-feauture-card","dataLayer":{"nav-feauture-card-9475d11bda":{"@type":"unchealth/components/content/nav-feauture-card","repo:modifyDate":"2023-07-05T19:41:04Z"}}},"headline":"Need help with a bill?","description":"Financial navigators can help explain our financial assistance options to help with your medical bills.","cta":{"id":"nav-feauture-card-9475d11bda","label":"View Details","descriptiveText":" about getting help with a medical bill","href":"/records-insurance/financial-assistance-programs","target":"_self","disableCsr":false,":type":"unchealth/components/content/nav-feauture-card","dataLayer":{"nav-feauture-card-9475d11bda":{"@type":"unchealth/components/content/nav-feauture-card","repo:modifyDate":"2023-07-05T19:41:04Z"}}},":type":"unchealth/components/content/nav-feauture-card","dataLayer":{"nav-feauture-card-9475d11bda":{"@type":"unchealth/components/content/nav-feauture-card","repo:modifyDate":"2023-07-05T19:41:04Z"}}}},":type":"wcm/foundation/components/responsivegrid"}},":type":"wcm/foundation/components/responsivegrid"}}},"title":"Records & Insurance","items":[{"title":"Pay My Bill","link":"/records-insurance/pay-my-bill","target":"_self"},{"title":"Insurance","link":"/records-insurance/insurance","target":"_self"},{"title":"Billing & Insurance Terminology","link":"/records-insurance/billing-insurance-terminology","target":"_self"},{"title":"Standard Charges","link":"/records-insurance/standard-charges","target":"_self"},{"title":"Price Estimates Help","link":"/records-insurance/price-estimates","target":"_self"},{"title":"Financial Assistance Program","link":"/records-insurance/financial-assistance-programs","target":"_self"},{"title":"My UNC Chart Features","link":"/records-insurance/my-unc-chart","target":null},{"title":"Medical Records","link":"/records-insurance/medical-records","target":null},{"title":"Advance Care Planning","link":"/records-insurance/advance-care-planning","target":null},{"title":"NC Medicaid","link":"/records-insurance/nc-medicaid","target":null},{"title":"Financial Planning for Pregnancy & Birth Care | UNC Health","link":"/records-insurance/financial-planning-for-pregnancy-birth-care","target":null}]}],"quickLinks":[{"id":"-f3c9310c7f","label":"How to Schedule Care","href":"/care-services/ways-to-schedule-care","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-f3c9310c7f":{"@type":"nt:unstructured"}}},{"id":"-3cd7e7045e","label":"Pay My Bill","href":"/records-insurance/pay-my-bill","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-3cd7e7045e":{"@type":"nt:unstructured"}}},{"id":"-627f4443d5","label":"Urgent & Emergency Care","href":"/care-services/urgent-care","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-627f4443d5":{"@type":"nt:unstructured"}}},{"id":"-037f94d8dc","label":"Careers","href":"https://jobs.unchealthcare.org/","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-037f94d8dc":{"@type":"nt:unstructured"}}}],"searchTerms":[{"searchTerm":"Sore Throat"},{"searchTerm":"Cancer Care"},{"searchTerm":"Orthopedics"},{"searchTerm":"Stomach Pains"},{"searchTerm":"Chronic Headaches"}],"geolocationLinkLabel":"Use My Location","secondaryLinks":[{"iconName":{"name":"directory","title":"Directory"},"cta":{"id":"-1baa47c3cf","label":"Careers","href":"https://jobs.unchealthcare.org/","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-1baa47c3cf":{"@type":"nt:unstructured"}}}},{"iconName":{"name":"profile","title":"Profile"},"cta":{"id":"-228fe4f78a","label":"My UNC Chart","href":"https://www.myuncchart.org/mychart/Authentication/Login?","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-228fe4f78a":{"@type":"nt:unstructured"}}}}],"searchUrl":"/search","locationSearchUrl":"/care-services/locations","shareHeadline":"Share your location with us","shareCopy":"We can provide a more personalized experience for you when you share your location. We will use your location to give you the most relevant and helpful information possible, like UNC Health centers close to home, nearby search results, estimated travel distances, and more. Your location will be displayed on the upper right-hand corner of your screen and can be updated at any time.","updateCopy":"We will use your location to give you the most relevant and helpful information possible, like UNC Health centers close to home, healthcare professionals nearby, estimated travel distances, and more. Your location can be updated at any time.","errorHeadline":"Sorry, we can't seem to find you.","errorCopy":"We were not able to geolocate your device, to continue using our location based functionality please manually input your general location.","shareButton":"Share my location","v":"20221201","experienceKey":"unch-aem-site-search","locale":"en","endpoint":"https://liveapi.yext.com/v2/accounts/me/search/autocomplete","apiKey":"fcb2c208969a29f6bc66c93d5737793e",":type":"unchealth/components/content/global-header","dataLayer":{"global-header-04f8a12dcf":{"@type":"unchealth/components/content/global-header","repo:modifyDate":"2025-04-28T19:39:38Z"}}}},":type":"wcm/foundation/components/responsivegrid"},"logo":{":type":"nt:folder"}},":type":"wcm/foundation/components/responsivegrid"}}},"subnav":{"id":"sub-nav-44255a6dc7","breadcrumbPages":[{"redirect":true,"pageName":"Care & Services","pageUrl":"/care-services"},{"pageName":"Areas of Care","pageUrl":"/care-services/areas-of-care"},{"pageName":"Gynecology","pageUrl":"/care-services/areas-of-care/gynecology"}],"activePage":[{"pageName":"Perimenopause","childrenPages":[],"hasChildren":false}],"hideSubnav":false,":type":"unchealth/components/content/sub-nav","dataLayer":{"sub-nav-44255a6dc7":{"@type":"unchealth/components/content/sub-nav"}}},"responsivegrid_header":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["page_title_banner_co","content_grid_copy_co","background","image_grid_copy_copy","accordion_copy_copy_","content_grid_copy_co_2109693815","background_716891427","health_talk_copy_cop"],":items":{"page_title_banner_co":{"id":"page-title-banner-0899795830","headline":"Perimenopause","description":"<p>Perimenopause is different for everyone. If you have symptoms that cause problems in your daily life, our women’s health specialists can help you.</p>\r\n","image":{"id":"page-title-banner-0899795830","altText":"Middle aged woman sitting at a table, looking away thoughtfully","defaultImgSrc":"/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg","defaultAspectRatio":"default","mobileAspectRatio":"default","defaultWebPSrcSet":["/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-480.webp","/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-640.webp","/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-800.webp","/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-1180.webp","/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-1440.webp","/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-2400.webp"],"defaultImgSrcSet":["/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-480.jpeg","/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-640.jpeg","/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-800.jpeg","/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-1180.jpeg","/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-1440.jpeg","/content/dam/unchealth/images/areas-of-care/cancer-care/stock-photos/AdobeStock_492596855.jpg/jcr:content/renditions/cqdam.web-2400.jpeg"],"height":804,"width":800,"srcTitle":"Sad tired Asian woman lonely at indoor cafe during self isolation quarantine for COVID-19 Coronavirus social distancing prevention. Mental health, anxiety depressed thinking lady.","disableCsr":false,":type":"unchealth/components/content/page-title-banner","appliedCssClassNames":"bottomSpacing--none","dataLayer":{"page-title-banner-0899795830":{"@type":"unchealth/components/content/page-title-banner","repo:modifyDate":"2026-05-27T14:00:42Z"}}},"cta":{"label":"Find a doctor","descriptiveText":"Find a doctor","href":"https://www.unchealth.org/care-services/doctors?facetFilters=%7B%22acceptingPatients%22%3A%5B%22%7B%5C%22acceptingNewPatients%5C%22%3A%7B%5C%22%24eq%5C%22%3Atrue%7D%7D%22%5D%2C%22affiliation%22%3A%5B%5D%2C%22gender%22%3A%5B%5D%2C%22insurance%22%3A%5B%5D%2C%22languages%22%3A%5B%5D%2C%22locations%22%3A%5B%5D%2C%22scheduling%22%3A%5B%5D%2C%22specialties%22%3A%5B%22%7B%5C%22c_answersSpecialty.name%5C%22%3A%7B%5C%22%24eq%5C%22%3A%5C%22Obstetrics+and+Gynecology%5C%22%7D%7D%22%5D%2C%22subspecialties%22%3A%5B%5D%7D","target":"_blank","disableCsr":false},"secondaryCta":{"label":null,"descriptiveText":null,"href":null,"target":"_self","disableCsr":false},":type":"unchealth/components/content/page-title-banner","appliedCssClassNames":"bottomSpacing--none","dataLayer":{"page-title-banner-0899795830":{"@type":"unchealth/components/content/page-title-banner","repo:modifyDate":"2026-05-27T14:00:42Z"}}},"content_grid_copy_co":{"id":"content-grid-e91f653b02",":type":"unchealth/components/containers/content-grid",":items":{"classic_card":{"id":"classic-card-6fc863f35b","image":{"id":"classic-card-6fc863f35b","defaultAspectRatio":"default","mobileAspectRatio":"default","target":"_self","disableCsr":false,":type":"unchealth/components/content/classic-card","dataLayer":{"classic-card-6fc863f35b":{"@type":"unchealth/components/content/classic-card","repo:modifyDate":"2026-05-27T13:47:06Z"}}},"headline":"Summary: Perimenopause care at UNC Health","headlineLevel":"h2","subheading":"Providing support for every change","description":"<ul>\r\n<li>Perimenopause is a normal life stage when your hormones start to change.</li>\r\n<li>Symptoms can include hot flashes, sleep problems, mood changes and irregular bleeding.</li>\r\n<li>UNC Health providers can help manage your symptoms and guide you through this life change.</li>\r\n</ul>\r\n","cta":{"id":"classic-card-6fc863f35b","target":"_self","disableCsr":false,":type":"unchealth/components/content/classic-card","dataLayer":{"classic-card-6fc863f35b":{"@type":"unchealth/components/content/classic-card","repo:modifyDate":"2026-05-27T13:47:06Z"}}},":type":"unchealth/components/content/classic-card","dataLayer":{"classic-card-6fc863f35b":{"@type":"unchealth/components/content/classic-card","repo:modifyDate":"2026-05-27T13:47:06Z"}}}},":itemsOrder":["classic_card"],"appliedCssClassNames":"topSpacing--small bottomSpacing--small","dataLayer":{"content-grid-e91f653b02":{"@type":"unchealth/components/containers/content-grid","repo:modifyDate":"2025-08-26T13:33:28Z"}}},"background":{"id":"background-bcb953fed9",":type":"unchealth/components/containers/background",":items":{"content_grid_copy_co":{"id":"content-grid-3c804a2888",":type":"unchealth/components/containers/content-grid",":items":{"rich_text":{"id":"rich-text-3d5f5131aa","content":"<h2>What is perimenopause? How is it different from menopause?</h2>\r\n<p>Perimenopause is the time leading up to the end of menstruation (periods). When you have stopped having periods for at least one year, you are in menopause. During perimenopause:</p>\r\n<ul>\r\n<li>Hormones begin to shift gradually.</li>\r\n<li>Ovulation can become irregular, causing estrogen and progesterone to decrease.</li>\r\n</ul>\r\n<p>How long perimenopause lasts varies from person to person. What matters is finding good care and a provider who will listen to you about your experiences. At UNC Health, you can find providers certified in menopause and perimenopause care with real world experience helping women through this transition.</p>\r\n","cta":{"id":"rich-text-3d5f5131aa","style":"primaryButton","target":"_self","disableCsr":false,":type":"unchealth/components/content/rich-text","appliedCssClassNames":"topSpacing--default bottomSpacing--default","dataLayer":{"rich-text-3d5f5131aa":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T13:49:14Z"}}},":type":"unchealth/components/content/rich-text","appliedCssClassNames":"topSpacing--default bottomSpacing--default","dataLayer":{"rich-text-3d5f5131aa":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T13:49:14Z"}}}},":itemsOrder":["rich_text"],"appliedCssClassNames":"topSpacing--small bottomSpacing--small","dataLayer":{"content-grid-3c804a2888":{"@type":"unchealth/components/containers/content-grid","repo:modifyDate":"2025-07-03T15:32:39Z"}}},"image_grid_copy_copy":{"id":"image-grid-9315bed543","headline":"Timing of perimenopause","description":"<p>Every person’s age and timeline is different. Perimenopause symptoms can start as early as your late 30s or as late as your early 50s.</p>\r\n<ul>\r\n<li>During perimenopause, your changing hormone levels can cause symptoms that can last 5 to 10 years.</li>\r\n<li>You can still get pregnant during this time.</li>\r\n<li>The most bothersome symptoms typically occur during the five years leading up to menopause.</li>\r\n<li>Not everyone experiences bothersome perimenopausal symptoms.</li>\r\n</ul>\r\n","images":[{"id":"-bcac4ec259","altText":"Project planning: Pensive interior designer making a to do list in her offfice","defaultImgSrc":"/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg","defaultAspectRatio":"default","mobileAspectRatio":"default","defaultWebPSrcSet":["/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-480.webp","/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-640.webp","/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-800.webp","/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-1180.webp","/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-1440.webp","/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-2400.webp"],"defaultImgSrcSet":["/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-480.jpeg","/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-640.jpeg","/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-800.jpeg","/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-1180.jpeg","/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-1440.jpeg","/content/dam/unchealth/images/areas-of-care/cancer-care/immunotherapy/AdobeStock_687900382.jpg/jcr:content/renditions/cqdam.web-2400.jpeg"],"height":667,"width":952,"srcTitle":"Project planning: Pensive interior designer making a to do list in her offfice","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-bcac4ec259":{"@type":"nt:unstructured"}}}],"cta":{"id":"image-grid-9315bed543","style":"secondary","label":"Find a location","descriptiveText":"Find a location","href":"https://www.unchealth.org/care-services/locations?specialties=SPEC-26,SPEC-35","target":"_blank","disableCsr":false,":type":"unchealth/components/content/image-grid","appliedCssClassNames":"topSpacing--medium bottomSpacing--medium","dataLayer":{"image-grid-9315bed543":{"@type":"unchealth/components/content/image-grid","repo:modifyDate":"2026-05-27T13:53:46Z"}}},":type":"unchealth/components/content/image-grid","appliedCssClassNames":"topSpacing--medium bottomSpacing--medium","dataLayer":{"image-grid-9315bed543":{"@type":"unchealth/components/content/image-grid","repo:modifyDate":"2026-05-27T13:53:46Z"}}},"content_grid_1934225":{"id":"content-grid-e4850bc75c","gridGap":"default","columnCount":2,"mobileColumnCount":1,"visibilityCtaExpandLabel":"Show More","visibilityCtaCollapseLabel":"Show Less","visibilityCtaStyle":"secondary","headline":"Treatments for perimenopause","headingLevel":"h2","description":"<p>If your symptoms cause problems with daily life or come with depression or anxiety, make an appointment with your provider. Treatments with or without hormones may be available to you. Remember that a healthy lifestyle can help — eat healthy foods, get regular exercise, keep healthy sleep habits and decrease stress when possible.</p>\r\n",":type":"unchealth/components/containers/content-grid",":items":{"utility_card":{"id":"utility-card-1fc74238a8","size":"large","icon":{"name":null,"title":null},"description":"<p>Medicines with and without hormones can reduce hot flashes. Talk to your menopause provider about what medications might work for you based on your goals and health history.</p>\r\n","cta":{"label":"Medications to reduce hot flashes","descriptiveText":null,"href":null,"target":"_self","disableCsr":false},":type":"unchealth/components/content/utility-card","dataLayer":{"utility-card-1fc74238a8":{"@type":"unchealth/components/content/utility-card","repo:modifyDate":"2026-05-27T13:55:19Z"}}},"utility_card_1531288386":{"id":"utility-card-4be9997ecc","size":"large","icon":{"name":null,"title":null},"description":"<p>During perimenopause, getting pregnant is possible. Birth control pills can prevent pregnancy, and there are many options. Talk to your UNC Health provider about your health history and what is right for you.</p>\r\n","cta":{"label":"Birth control pills","descriptiveText":null,"href":null,"target":"_self","disableCsr":false},":type":"unchealth/components/content/utility-card","dataLayer":{"utility-card-4be9997ecc":{"@type":"unchealth/components/content/utility-card","repo:modifyDate":"2026-05-27T13:55:35Z"}}},"utility_card_97093943":{"id":"utility-card-b602742ad1","size":"large","icon":{"name":null,"title":null},"description":"<p>Hormone replacement therapy (HRT) gives your body more estrogen or progesterone to ease symptoms like hot flashes, night sweats, brain fog and vaginal dryness. HRT can cause breast tenderness, headaches, spotting, cramping, mood changes and other side effects. These are often mild and improve after the body adjusts. Talk to your healthcare provider about your personal medical history, risk factors and symptoms to choose the right treatment options for you.</p>\r\n","cta":{"label":"Hormone therapy","descriptiveText":null,"href":null,"target":"_self","disableCsr":false},":type":"unchealth/components/content/utility-card","dataLayer":{"utility-card-b602742ad1":{"@type":"unchealth/components/content/utility-card","repo:modifyDate":"2026-05-27T13:56:07Z"}}},"utility_card_444646583":{"id":"utility-card-f17426fee3","size":"large","icon":{"name":null,"title":null},"description":"<p>If you have anxiety and/or depression, antidepressants and counseling can help reduce stress and improve your mood. Caring for your mind and body through healthy eating, regular exercise and healthy sleep habits can also help your mood and feelings of stress.</p>\r\n","cta":{"label":"Antidepressants and counseling","descriptiveText":null,"href":null,"target":"_self","disableCsr":false},":type":"unchealth/components/content/utility-card","dataLayer":{"utility-card-f17426fee3":{"@type":"unchealth/components/content/utility-card","repo:modifyDate":"2026-05-27T13:56:21Z"}}}},":itemsOrder":["utility_card","utility_card_1531288386","utility_card_97093943","utility_card_444646583"],"appliedCssClassNames":"topSpacing--small bottomSpacing--small","dataLayer":{"content-grid-e4850bc75c":{"@type":"unchealth/components/containers/content-grid","repo:modifyDate":"2026-05-27T13:56:31Z"}}}},":itemsOrder":["content_grid_copy_co","image_grid_copy_copy","content_grid_1934225"],"appliedCssClassNames":"topSpacing--none bottomSpacing--none","dataLayer":{"background-bcb953fed9":{"@type":"unchealth/components/containers/background","repo:modifyDate":"2026-05-27T13:45:53Z"}}},"image_grid_copy_copy":{"id":"image-grid-0315708331","headline":"Your certified perimenopause care team","description":"<p>Some providers are certified in menopause care, which means more training and expertise in treating perimenopause and menopause symptoms and a whole-person approach that considers your overall health, lifestyle and goals.</p>\r\n","images":[{"id":"-a7f80865da","altText":"Provider smiles and puts a comforting hand on a patient's shoulder","defaultImgSrc":"/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg","defaultAspectRatio":"default","mobileAspectRatio":"default","defaultWebPSrcSet":["/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-480.webp","/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-640.webp","/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-800.webp","/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-1180.webp","/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-1440.webp","/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-2400.webp"],"defaultImgSrcSet":["/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-480.jpeg","/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-640.jpeg","/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-800.jpeg","/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-1180.jpeg","/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-1440.jpeg","/content/dam/unchealth/images/areas-of-care/pregnancy-birth/img-aoc-pregnancy-postpartum-reassuring.jpg/jcr:content/renditions/cqdam.web-2400.jpeg"],"height":667,"width":1000,"disableCsr":false,":type":"nt:unstructured","dataLayer":{"-a7f80865da":{"@type":"nt:unstructured"}}}],"cta":{"id":"image-grid-0315708331","style":"secondary","label":"Find a doctor","descriptiveText":"Find a Doctor","href":"https://www.unchealth.org/care-services/doctors?facetFilters=%7B%22acceptingPatients%22%3A%5B%22%7B%5C%22acceptingNewPatients%5C%22%3A%7B%5C%22%24eq%5C%22%3Atrue%7D%7D%22%5D%2C%22affiliation%22%3A%5B%5D%2C%22gender%22%3A%5B%5D%2C%22insurance%22%3A%5B%5D%2C%22languages%22%3A%5B%5D%2C%22locations%22%3A%5B%5D%2C%22scheduling%22%3A%5B%5D%2C%22specialties%22%3A%5B%22%7B%5C%22c_answersSpecialty.name%5C%22%3A%7B%5C%22%24eq%5C%22%3A%5C%22Obstetrics+and+Gynecology%5C%22%7D%7D%22%5D%2C%22subspecialties%22%3A%5B%5D%7D","target":"_self","disableCsr":false,":type":"unchealth/components/content/image-grid","appliedCssClassNames":"topSpacing--small bottomSpacing--medium","dataLayer":{"image-grid-0315708331":{"@type":"unchealth/components/content/image-grid","repo:modifyDate":"2026-05-27T14:00:18Z"}}},":type":"unchealth/components/content/image-grid","appliedCssClassNames":"topSpacing--small bottomSpacing--medium","dataLayer":{"image-grid-0315708331":{"@type":"unchealth/components/content/image-grid","repo:modifyDate":"2026-05-27T14:00:18Z"}}},"accordion_copy_copy_":{"headline":"Frequently asked questions","headingLevel":"h2","singleExpansion":false,"appliedCssClassNames":"topSpacing--small bottomSpacing--small",":itemsOrder":["item_1748882950922","item_1748882953947","item_1779890603598","item_1779890611444","item_1779890622898","item_1779890633110"],":items":{"item_1748882950922":{"id":"rich-text-da2b80859c","content":"<p>Some people may have only a few mild symptoms, while others may experience severe symptoms that cause problems in their day-to-day lives.</p>\r\n<p>Irregular periods are a common symptom. Some women will have light periods; others have heavy bleeding. Your menstrual cycle may be longer or shorter, or you may skip periods.</p>\r\n<p>Other common symptoms include:</p>\r\n<ul>\r\n<li>Hot flashes</li>\r\n<li>Insomnia (trouble sleeping)</li>\r\n<li>Headaches</li>\r\n<li>Vaginal dryness</li>\r\n<li>Painful intercourse</li>\r\n<li>Mood changes or depression</li>\r\n<li>Weight gain</li>\r\n</ul>\r\n","cta":{"id":"rich-text-da2b80859c","style":"primaryButton","target":"_self","disableCsr":false,":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-da2b80859c":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:04:25Z"}}},":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-da2b80859c":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:04:25Z"}},"cq:panelTitle":"What are the symptoms of perimenopause?"},"item_1748882953947":{"id":"rich-text-2b1da65842","content":"<p>Low estrogen levels and changes in how the ovaries work can lead to weight gain. This happens because your body’s muscle and fat balance can change over time. Weight loss can be more challenging during perimenopause.</p>\r\n","cta":{"id":"rich-text-2b1da65842","style":"primaryButton","target":"_self","disableCsr":false,":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-2b1da65842":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:04:44Z"}}},":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-2b1da65842":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:04:44Z"}},"cq:panelTitle":"Is weight gain associated with perimenopause?"},"item_1779890603598":{"id":"rich-text-e48c148862","content":"<p>If your symptoms cause problems in your daily life, you can get help from a provider who is specially trained to treat perimenopause and menopause.</p>\r\n<p>But regardless of the severity of your symptoms, it’s very important to keep up with your regular exams and screenings. You and your provider can watch your overall health and you can benefit from early disease detection. Certain symptoms may be related to perimenopause, but they may signal other unrelated health concerns.</p>\r\n<p>In addition, if you are experiencing heavy or irregular bleeding, see your provider. While it may be a sign of perimenopause, it could also indicate infection, a pregnancy issue, precancerous changes or another condition that needs treatment.</p>\r\n","cta":{"id":"rich-text-e48c148862","style":"primaryButton","target":"_self","disableCsr":false,":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-e48c148862":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:05:16Z"}}},":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-e48c148862":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:05:16Z"}},"cq:panelTitle":"When should I see a provider?"},"item_1779890611444":{"id":"rich-text-c9c7c66fa8","content":"<p>The time it takes for the ovaries to stop producing estrogen varies greatly from person to person. For some, the transition can last three to four years. For others, perimenopausal symptoms can be as brief as a few months or as long as a decade.</p>\r\n","cta":{"id":"rich-text-c9c7c66fa8","style":"primaryButton","target":"_self","disableCsr":false,":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-c9c7c66fa8":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:05:28Z"}}},":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-c9c7c66fa8":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:05:28Z"}},"cq:panelTitle":"How long does perimenopause last?"},"item_1779890622898":{"id":"rich-text-f8439e6a28","content":"<p>While some providers may order tests to check hormone levels in specific situations, hormone testing isn’t usually helpful to know if you’re in perimenopause, because hormone levels during that time change often.</p>\r\n","cta":{"id":"rich-text-f8439e6a28","style":"primaryButton","target":"_self","disableCsr":false,":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-f8439e6a28":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:12:10Z"}}},":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-f8439e6a28":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:12:10Z"}},"cq:panelTitle":"Can a hormone test tell me if I’m in perimenopause or not?"},"item_1779890633110":{"id":"rich-text-e18034f1b8","content":"<p>Hormone therapy may help with perimenopause symptoms like hot flashes, brain fog and sleep problems, depending on your unique needs. Talk with your healthcare provider to see if it’s a good choice for you.</p>\r\n","cta":{"id":"rich-text-e18034f1b8","style":"primaryButton","target":"_self","disableCsr":false,":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-e18034f1b8":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:12:22Z"}}},":type":"unchealth/components/content/rich-text","dataLayer":{"rich-text-e18034f1b8":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:12:22Z"}},"cq:panelTitle":"Should I try hormone therapy?"}},":type":"unchealth/components/containers/accordion"},"content_grid_copy_co_2109693815":{"id":"content-grid-d34706da37","gridGap":"default","columnCount":2,"mobileColumnCount":1,"visibilityCtaExpandLabel":"Show More","visibilityCtaCollapseLabel":"Show Less","visibilityCtaStyle":"secondary","headingLevel":"h2",":type":"unchealth/components/containers/content-grid",":items":{"task_card":{"id":"task-card-c215a2193a","headline":"Find a doctor","headingLevel":"h2","description":"There’s a partner for you wherever you are on your health journey. ","illustration":{"name":"urgentCare","title":"Urgent Care"},"cta":{"id":"task-card-c215a2193a","label":"View providers","descriptiveText":"View Providers","href":"https://www.unchealth.org/care-services/doctors?facetFilters=%7B%22acceptingPatients%22%3A%5B%22%7B%5C%22acceptingNewPatients%5C%22%3A%7B%5C%22%24eq%5C%22%3Atrue%7D%7D%22%5D%2C%22affiliation%22%3A%5B%5D%2C%22gender%22%3A%5B%5D%2C%22insurance%22%3A%5B%5D%2C%22languages%22%3A%5B%5D%2C%22locations%22%3A%5B%5D%2C%22scheduling%22%3A%5B%5D%2C%22specialties%22%3A%5B%22%7B%5C%22c_answersSpecialty.name%5C%22%3A%7B%5C%22%24eq%5C%22%3A%5C%22Obstetrics+and+Gynecology%5C%22%7D%7D%22%5D%2C%22subspecialties%22%3A%5B%5D%7D","target":"_blank","disableCsr":false,":type":"unchealth/components/content/task-card","dataLayer":{"task-card-c215a2193a":{"@type":"unchealth/components/content/task-card","repo:modifyDate":"2026-05-27T14:13:19Z"}}},":type":"unchealth/components/content/task-card","dataLayer":{"task-card-c215a2193a":{"@type":"unchealth/components/content/task-card","repo:modifyDate":"2026-05-27T14:13:19Z"}}},"task_card_1607752336":{"id":"task-card-1d2b0ac25a","headline":"Find a location","headingLevel":"h2","description":"Get compassionate care throughout North Carolina with UNC Health. ","illustration":{"name":"virtualCare","title":"Virtual Care"},"cta":{"id":"task-card-1d2b0ac25a","label":"Search locations","descriptiveText":"Search Locations","href":"https://www.unchealth.org/care-services/locations?specialties=SPEC-26","target":"_blank","disableCsr":false,":type":"unchealth/components/content/task-card","dataLayer":{"task-card-1d2b0ac25a":{"@type":"unchealth/components/content/task-card","repo:modifyDate":"2026-05-27T14:13:40Z"}}},":type":"unchealth/components/content/task-card","dataLayer":{"task-card-1d2b0ac25a":{"@type":"unchealth/components/content/task-card","repo:modifyDate":"2026-05-27T14:13:40Z"}}}},":itemsOrder":["task_card","task_card_1607752336"],"appliedCssClassNames":"topSpacing--default bottomSpacing--default","dataLayer":{"content-grid-d34706da37":{"@type":"unchealth/components/containers/content-grid","repo:modifyDate":"2025-11-24T16:25:29Z"}}},"background_716891427":{"id":"background-26304976eb",":type":"unchealth/components/containers/background",":items":{"content_grid":{"id":"content-grid-d7a3b4c6b3","gridGap":"default","columnCount":1,"mobileColumnCount":1,"visibilityCtaExpandLabel":"Show More","visibilityCtaCollapseLabel":"Show Less","visibilityCtaStyle":"secondary","headingLevel":"h2",":type":"unchealth/components/containers/content-grid",":items":{"rich_text":{"id":"rich-text-20ca1fe336","content":"<h2>What to expect at your appointment</h2>\r\n<p>You’ll talk to your provider about your health history, your concerns and any perimenopause symptoms you’ve been having. Coming prepared can help you feel more comfortable and in control. Arrive 15 minutes early with:</p>\r\n<ul>\r\n<li>Your ID</li>\r\n<li>Proof of health insurance, if you’ll be using it</li>\r\n<li>A list of your symptoms, any questions you have and goals for your visit</li>\r\n</ul>\r\n","cta":{"id":"rich-text-20ca1fe336","style":"primaryButton","target":"_self","disableCsr":false,":type":"unchealth/components/content/rich-text","appliedCssClassNames":"topSpacing--default bottomSpacing--default","dataLayer":{"rich-text-20ca1fe336":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:15:14Z"}}},":type":"unchealth/components/content/rich-text","appliedCssClassNames":"topSpacing--default bottomSpacing--default","dataLayer":{"rich-text-20ca1fe336":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T14:15:14Z"}}},"rich_text_427759339":{"id":"rich-text-0ec5853925","content":"<h2>Is “brain fog” real?</h2>\r\n<p>According to <a href=\"https://menopause.org/patient-education/menopause-topics/perimenopause\" target=\"_blank\">The Menopause Society</a>, forty to sixty percent of midlife women report brain problems such as forgetfulness during the menopause transition. Some call these symptoms “brain fog,” which includes difficulty remembering words, names, anecdotes and numbers; inability to focus and concentrate; and distractibility.</p>\r\n<p>The&nbsp;<a href=\"https://www.nia.nih.gov/health/menopause/what-menopause\" target=\"_blank\">National Institute on Aging</a> reports that moodiness and irritability, forgetfulness, difficulty concentrating or a combination of these symptoms can occur because of perimenopause.</p>\r\n","cta":{"id":"rich-text-0ec5853925","style":"primaryButton","target":"_self","disableCsr":false,":type":"unchealth/components/content/rich-text","appliedCssClassNames":"topSpacing--default bottomSpacing--none","dataLayer":{"rich-text-0ec5853925":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T18:52:40Z"}}},":type":"unchealth/components/content/rich-text","appliedCssClassNames":"topSpacing--default bottomSpacing--none","dataLayer":{"rich-text-0ec5853925":{"@type":"unchealth/components/content/rich-text","repo:modifyDate":"2026-05-27T18:52:40Z"}}}},":itemsOrder":["rich_text","rich_text_427759339"],"appliedCssClassNames":"topSpacing--small bottomSpacing--small","dataLayer":{"content-grid-d7a3b4c6b3":{"@type":"unchealth/components/containers/content-grid","repo:modifyDate":"2026-05-27T14:17:41Z"}}}},":itemsOrder":["content_grid"],"appliedCssClassNames":"topSpacing--none bottomSpacing--none","dataLayer":{"background-26304976eb":{"@type":"unchealth/components/containers/background","repo:modifyDate":"2026-05-27T14:14:14Z"}}},"health_talk_copy_cop":{"id":"health-talk-9831a036ce","mode":"articleId","headline":"Related UNC Health Talk Articles","articles":[{"id":"13516"},{"id":"16107"},{"id":"17817"}],"contentCards":[{"title":"Depression During Perimenopause Is Treatable","image":{"defaultImgSrc":"/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg","altText":"Woman sits on a couch and looks pensive.","defaultWebPSrcSet":["/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-480.webp","/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-640.webp","/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-800.webp","/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-1180.webp","/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-1440.webp","/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-2400.webp"],"defaultImgSrcSet":["/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-480.jpeg","/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-640.jpeg","/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-800.jpeg","/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-1180.jpeg","/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-1440.jpeg","/content/dam/unchealth/wordpress/HealthTalk_Perimenopause2.jpg/jcr:content/renditions/cqdam.web-2400.jpeg"]},"href":"https://healthtalk.unchealthcare.org/depression-during-perimenopause/","categories":["Depression","Menopause","Women's Health"],"date":1682035200000,"id":"13516"},{"title":"Can You Get Pregnant During Perimenopause?","image":{"defaultImgSrc":"/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg","altText":"Pregnant woman holding a coffee","defaultWebPSrcSet":["/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-480.webp","/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-640.webp","/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-800.webp","/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-1180.webp","/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-1440.webp","/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-2400.webp"],"defaultImgSrcSet":["/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-480.jpeg","/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-640.jpeg","/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-800.jpeg","/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-1180.jpeg","/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-1440.jpeg","/content/dam/unchealth/wordpress/GettyImages-1346721115-healthtalk.jpg/jcr:content/renditions/cqdam.web-2400.jpeg"]},"href":"https://healthtalk.unchealthcare.org/can-you-get-pregnant-during-perimenopause/","categories":["Health","Menopause","Pregnancy and Maternal Health","Women's Health"],"date":1654732800000,"id":"16107"},{"title":"Your High Blood Pressure Action Plan","image":{"defaultImgSrc":"/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg","altText":"Woman sits at her kitchen table, using an at-home blood pressure monitor.","defaultWebPSrcSet":["/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-480.webp","/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-640.webp","/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-800.webp","/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-1180.webp","/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-1440.webp","/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-2400.webp"],"defaultImgSrcSet":["/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-480.jpeg","/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-640.jpeg","/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-800.jpeg","/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-1180.jpeg","/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-1440.jpeg","/content/dam/unchealth/wordpress/HealthTalk_BloodPressurejpg.jpg/jcr:content/renditions/cqdam.web-2400.jpeg"]},"href":"https://healthtalk.unchealthcare.org/your-high-blood-pressure-action-plan/","categories":["Blood Pressure","Heart and Vascular Health"],"date":1736726400000,"id":"17817"}],":type":"unchealth/components/content/health-talk","appliedCssClassNames":"topSpacing--none bottomSpacing--none","dataLayer":{"health-talk-9831a036ce":{"@type":"unchealth/components/content/health-talk","repo:modifyDate":"2026-05-27T14:19:37Z"}}}},":type":"wcm/foundation/components/responsivegrid"},"responsivegrid":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":[],":items":{},":type":"wcm/foundation/components/responsivegrid"},"responsivegrid_footer":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":[],":items":{},":type":"wcm/foundation/components/responsivegrid"},"experiencefragment-footer":{":type":"unchealth/components/core/experiencefragment",":itemsOrder":["root"],":items":{"root":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["responsivegrid"],":items":{"responsivegrid":{"gridClassNames":"aem-Grid aem-Grid--12 aem-Grid--default--12","columnCount":12,":itemsOrder":["global_footer","gsight_survey"],":items":{"global_footer":{"id":"global-footer-542c2aa21d","logoLink":"/home","address":"101 Manning Drive\r\nChapel Hill, NC 27514","mapLinkLabel":"Open in Maps","phoneNumber":"984-974-1000","socialIcons":[{"platform":"facebook","descriptiveText":"facebook","href":"https://www.facebook.com/unchealthcare","target":"_blank"},{"platform":"twitter","descriptiveText":"Twitter","href":"https://twitter.com/unc_health_care","target":"_blank"},{"platform":"instagram","descriptiveText":"Instagram","href":"https://www.instagram.com/unchealth/","target":"_blank"},{"platform":"youtube","descriptiveText":"Youtube","href":"https://www.youtube.com/@UNCHealth","target":"_blank"},{"platform":"linkedIn","descriptiveText":"LinkedIn","href":"https://www.linkedin.com/company/unchealth/","target":"_blank"}],"leftPanelLinks":[{"id":"-26d78bd877","label":"News & Media","href":"https://news.unchealthcare.org/?_ga=2.176331429.1459326530.1662751404-1169189291.1662751404","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-26d78bd877":{"@type":"nt:unstructured"}}},{"id":"-85315979b5","label":"Sitemap","href":"/sitemap","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-85315979b5":{"@type":"nt:unstructured"}}}],"topLinks":[{"id":"-d51bbf2bc5","label":"Careers","href":"https://jobs.unchealthcare.org/","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-d51bbf2bc5":{"@type":"nt:unstructured"}}},{"id":"-b749c170fb","label":"Contact Us","href":"/contact-us","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-b749c170fb":{"@type":"nt:unstructured"}}},{"id":"-69c451dcfa","label":"Clinical Trials","href":"https://researchforme.unc.edu/index.php/en/","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-69c451dcfa":{"@type":"nt:unstructured"}}},{"id":"-52bbe7da71","label":"Sign In to My UNC Chart","href":"https://www.myuncchart.org/mychart/Authentication/Login?","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-52bbe7da71":{"@type":"nt:unstructured"}}}],"mainLinks":[{"title":"About US","links":[{"id":"-a379fe391b","label":"Who We Are","href":"/about-us/who-we-are","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-a379fe391b":{"@type":"nt:unstructured"}}},{"id":"-168c8cebec","label":"Compliance Office","href":"/about-us/compliance-office","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-168c8cebec":{"@type":"nt:unstructured"}}},{"id":"-ce6fda82c9","label":"Privacy Office","href":"/about-us/privacy-office","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-ce6fda82c9":{"@type":"nt:unstructured"}}},{"id":"-1b5a590419","label":"OHCA Members","href":"/about-us/ohca-members","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-1b5a590419":{"@type":"nt:unstructured"}}},{"id":"-09082b0f84","label":"Price Transparency","descriptiveText":"View Standard Charges links for UNC Health hospitals","href":"/records-insurance/standard-charges","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-09082b0f84":{"@type":"nt:unstructured"}}},{"id":"-e5df92049e","label":"Accessibility at UNC Health","descriptiveText":"Accessibility at UNC Health link","href":"/about-us/accessibility-at-unc-health","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-e5df92049e":{"@type":"nt:unstructured"}}},{"id":"-7fb93b426f","label":"Financial Assistance","descriptiveText":"link to Financial Assistance page","href":"/records-insurance/financial-assistance-programs","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-7fb93b426f":{"@type":"nt:unstructured"}}},{"id":"-efcedaf4cf","label":"Equal Employment Opportunity Policy Statement","descriptiveText":"link to EOO policy","href":"https://www.unchealthcare.org/app/files/public/415447ef-be77-45ae-bdab-e818ac20b001/pdf-system-unc-health-eeo-aa-statement.pdf","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-efcedaf4cf":{"@type":"nt:unstructured"}}},{"id":"-79724410f1","label":"AI and UNC Health","descriptiveText":"link to AI at UNC Health policy","href":"/about-us/ai-at-unc-health","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-79724410f1":{"@type":"nt:unstructured"}}}]},{"title":"Medical & Clinical Professionals","links":[{"id":"-36a735ed85","label":"Fellowship Program","href":"/for-medical-professionals/fellowship-program","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-36a735ed85":{"@type":"nt:unstructured"}}},{"id":"-b8a57c37ef","label":"House Staff Council","href":"/for-medical-professionals/house-staff-council","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-b8a57c37ef":{"@type":"nt:unstructured"}}},{"id":"-c4d9e44773","label":"Professional Liability Insurance Verification","descriptiveText":"Link to Professional Liability Insurance Verification page","href":"/for-medical-professionals/professional-liability-insurance-verification","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-c4d9e44773":{"@type":"nt:unstructured"}}}]},{"title":"For UNC Health Employees","links":[{"id":"-51c4f0e6c1","label":"Well-being Program","href":"/for-unch-health-professionals/well-being-for-unc-health-teammates","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-51c4f0e6c1":{"@type":"nt:unstructured"}}},{"id":"-68f7501407","label":"Epic@UNC Training ","href":"/for-unch-health-professionals/epic-training","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-68f7501407":{"@type":"nt:unstructured"}}},{"id":"-7a94e55c1d","label":"Working Forward","href":"/for-unch-health-professionals/working-forward","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-7a94e55c1d":{"@type":"nt:unstructured"}}}]},{"title":"Supporting Our Community","links":[{"id":"-f5476b9959","label":"Giving","href":"https://unchealthfoundation.org/","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-f5476b9959":{"@type":"nt:unstructured"}}},{"id":"-317e767b7b","label":"Caring for Our Communities","href":"/supporting-our-community/caring-for-our-communities","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-317e767b7b":{"@type":"nt:unstructured"}}}]}],"utilityLinks":[{"id":"-2b8348d97b","label":"Website Privacy Policy","href":"https://www.unchealthcare.org/app/files/public/6fe67aba-927b-4950-82ee-b5a3c4a81394/pdf-system-unc-health-website-privacy-policy.pdf","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-2b8348d97b":{"@type":"nt:unstructured"}}},{"id":"-67bff04331","label":"Website Terms and Conditions","href":"https://www.unchealthcare.org/app/files/public/37e972c1-d9ba-4a00-a998-7699f14c4cb7/pdf-system-unc-health-websites-terms-and-conditions.pdf","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-67bff04331":{"@type":"nt:unstructured"}}},{"id":"-64c13e46fe","label":"Notice of Privacy Practices","href":"https://www.unchealthcare.org/app/files/public/169/Notice-of-Privacy-Practice.pdf","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-64c13e46fe":{"@type":"nt:unstructured"}}},{"id":"-c14551daf5","label":"Non-Discrimination Notice and Notice of Availability","href":"https://www.unchealthcare.org/app/files/public/7035/pdf-system-unc-health-care-nondiscrimination-notice.pdf","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-c14551daf5":{"@type":"nt:unstructured"}}},{"id":"-e1d603d820","label":"Surprise Billing and Good Faith Estimate Notices","href":"https://www.unchealthcare.org/app/files/public/1902c85a-5f29-4bd3-bb4d-2c906c48e769/pdf-system-surprise-billing-gfe-notice-english.pdf","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-e1d603d820":{"@type":"nt:unstructured"}}},{"id":"-fb8c23b94a","label":"UNC Health SMS Terms and Conditions","descriptiveText":"Link to UNC Health SMS Terms and Conditions PDF","href":"https://www.unchealth.org/pdfs/legal-documents/pdf-system-unc-health-sms-terms-conditions.pdf","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-fb8c23b94a":{"@type":"nt:unstructured"}}}],"utilityLinksSpanish":[{"id":"-175cf417c5","label":"Aviso de Praticas Privadas","href":"https://www.unchealthcare.org/app/files/public/170/Aviso-de-Practicas-Privadas.pdf","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-175cf417c5":{"@type":"nt:unstructured"}}},{"id":"-d0c043ee92","label":"Aviso de no Discriminación y Aviso de Disponibilidad","href":"https://www.unchealthcare.org/app/files/public/61397723-4548-4dd8-be08-734a04e7b306/pdf-system-unc-health-care-aviso-de-no-discriminaci%C3%B3n.pdf","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-d0c043ee92":{"@type":"nt:unstructured"}}},{"id":"-19e0cea5f4","label":"Avisos de facturas médicas sorpresas y avisos de presupuestos de buena fe","href":"https://www.unchealthcare.org/app/files/public/5f731a2c-291f-42ad-9a00-b15f4aa36478/pdf-system-surprise-billing-gfe-notice-spanish.pdf","target":"_blank","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-19e0cea5f4":{"@type":"nt:unstructured"}}}],"disclaimerLinks":[{"id":"-4a86a21cc3","label":"Accessibility","href":"/about-us/accessibility-at-unc-health/language-accessibility-services/website-accessibility-statement","target":"_self","disableCsr":false,":type":"nt:unstructured","dataLayer":{"-4a86a21cc3":{"@type":"nt:unstructured"}}}],"copyright":"©2026 UNC Health. \r\nAll rights reserved.",":type":"unchealth/components/content/global-footer","dataLayer":{"global-footer-542c2aa21d":{"@type":"unchealth/components/content/global-footer","repo:modifyDate":"2025-12-05T20:10:26Z"}}},"gsight_survey":{"id":"gsight-survey-772dc03405","samplingPercentage":50,"popupDelayInSeconds":50,"hideGSightSurvey":false,"clientId":"d790eed4-ab64-eb11-8272-12cf99399697",":type":"unchealth/components/content/gsight-survey","dataLayer":{"gsight-survey-772dc03405":{"@type":"unchealth/components/content/gsight-survey","repo:modifyDate":"2023-07-06T20:52:16Z"}}}},":type":"wcm/foundation/components/responsivegrid"}},":type":"wcm/foundation/components/responsivegrid"}}}},":type":"wcm/foundation/components/responsivegrid"}},":hierarchyType":"page",":path":"/content/unchealth/us/en/care-services/areas-of-care/gynecology/perimenopause","dataLayer":{"page-6cd3a864c2":{"@type":"unchealth/components/core/page","repo:modifyDate":"2026-05-27T19:07:50Z"}}}