Hi,
I am 42 and think I have started the perimenopause stage over a year ago. I think this because my cycles are a lot shorter these days. I have also been experiencing very painful periods on the first day. This month I have experienced the most painful stomach cramps i have ever experienced. I have also felt quite dizzy and lethargic and then ended up vomiting. Is this down to being in the perimenopause or could it be something else? The pains every month seem to be getting worse. Someone told me you are supposed to get a 40 year old check up, is this correct?