Perimenopause describes the time period before menopause, the end of a woman’s reproductive years. it often starts a few years before menopause. which condition would you expect to occur in perimenopause?

Irregular periods. 
Hot flashes and sleep problems. Hot flashes are common during perimenopause. The intensity, length and frequency vary. Sleep problems are often due to hot flashes or night sweats, but sometimes sleep becomes unpredictable even without them
.Mood changes. Mood swings, irritability or increased risk of depression may happen during perimenopause. The cause of these symptoms may be sleep disruption associated with hot flashes. Mood changes may also be caused by factors not related to the hormonal changes of perimenopause.
Vaginal and bladder problems. When estrogen levels diminish, vaginal tissues may lose lubrication and elasticity, making intercourse painful. Low estrogen may also make vagina vulnerable to urinary or vaginal infections. Loss of tissue tone may contribute to urinary incontinence.
Decreasing fertility. As ovulation becomes irregular, the ability to conceive decreases.
Changes in sexual function. During perimenopause, sexual arousal and desire may change.
Loss of bone.
changes in cholesterol level