woman headshot with short haire in blue shirt

Menopause and Perimenopause

Health Matters Monthly Column // April 2026 By Tina Opelt, APNP, FNP-BC, Family Nurse Practitioner Symptoms and Treatment The average age of menopause—the end of menstrual cycles—in the United States is 51. However, symptoms of “the change” can begin up to 10 years earlier, during perimenopause. These hormone changes can significantly affect a woman’s quality…