More people are aware of the side effects of HRT, so natural approaches to the menopause are becoming more popular.

The perimenopause is a transitional stage lasting between 2 and 10 years. As your body ages it produces less oestrogen and more FSH (follicle stimulating hormone). The result is les regular menstrual cycles leading to the permanent cessation of menstruation - the menopause.

This phase is often associated with reducing vitality, sexuality, but that doesn't have to be true. Some of the unpleasant effects include osteoporosis, hot flushes, palpitations, insomnia, irritability, nervousness and falling libido.

Take the test

This simple urine test has been shown to be 99% accurate. It detects the hormonal changes that take place during the perimenopause and highlights that it has begun.