Where are you in your menopause transition?
A fast, 90-second clinical staging assessment based on the international STRAW+10 gold standard. Evidence-based, confidential, and designed for both natural cycles and non-bleeding paths.
What is the STRAW+10 framework?
The Stages of Reproductive Aging Workshop (STRAW+10) is the internationally recognized gold standard for categorizing female reproductive aging. Developed by a consensus panel of leading endocrine, gynecological, and epidemiological researchers, stages count toward the final menstrual period (Stage 0), beginning with Early Perimenopause (Stage -2) and progressing to Late Perimenopause (Stage -1). Individuals with non-bleeding transitions follow the parallel Non-Bleeding Clinical Track.
Early Perimenopause
Defined by a persistent difference of 7 or more days in the length of consecutive menstrual cycles. Hormone levels (estrogen and FSH) begin to fluctuate unpredictably rather than declining smoothly.
Late Perimenopause
Marked by the onset of amenorrhea intervals of 60 days or longer. This stage features the highest endocrine volatility, often accompanied by heightened vasomotor symptoms and nocturnal awakenings.
Non-Bleeding Transition
For individuals with hormonal IUDs, endometrial ablation, hysterectomy with ovarian retention, or surgical menopause. Staging focuses on vasomotor onset, sleep fragmentation, and procedural timelines without forcing menstrual questions.