Question 1 of 10
How often do you experience hot flashes or night sweats?
Understanding menopause symptoms
Menopause is a natural biological transition, but the symptoms leading up to it can start years before your last period. This phase, called perimenopause, typically begins in your early-to-mid 40s and can last 4 to 10 years.
During perimenopause, your ovaries gradually produce less estrogen and progesterone. These hormonal shifts affect nearly every system in your body, from your brain and metabolism to your bones and skin. Common symptoms include hot flashes, night sweats, irregular periods, brain fog, fatigue, mood changes, weight gain (especially around the midsection), sleep disruption, and joint pain.
NAD+ levels also decline with age, compounding the effects of hormonal changes. NAD+ is a coenzyme found in every cell that powers energy production, DNA repair, and hundreds of metabolic processes. By your 40s, levels can drop by over 50%, which may contribute to the fatigue and cognitive changes many women experience during this transition.
The average age of menopause in the U.S. is 51, but symptoms can begin as early as your mid-30s. If you're experiencing any of the symptoms in this quiz, you're not imagining it, and you don't have to just push through.
What is perimenopause?
Perimenopause is the transitional period before menopause when your body begins producing less estrogen. It can last anywhere from a few months to over a decade. During this time, you may experience irregular periods, hot flashes, sleep problems, and mood changes. Perimenopause ends when you've gone 12 consecutive months without a period, which marks menopause.
When should I talk to a doctor about menopause symptoms?
If your symptoms are affecting your quality of life, work, relationships, or sleep, it's worth speaking with a healthcare provider. You don't need to wait until symptoms become severe. Early intervention, whether through hormone therapy, lifestyle changes, or supplements like NAD+, can make a meaningful difference.
Can menopause symptoms be treated?
Yes. Hormone replacement therapy (HRT) is the most effective treatment for many menopause symptoms, particularly hot flashes, night sweats, and vaginal dryness. Other evidence-based options include NAD+ supplementation for energy and cognitive support, GLP-1 therapy for menopause-related weight gain, and targeted skincare for hormonal skin changes. A personalized approach works best.
Is this quiz a medical diagnosis?
No. This quiz is an educational tool to help you understand your symptoms in the context of menopause. It is not a substitute for professional medical advice, diagnosis, or treatment. For a clinical evaluation, consult a licensed healthcare provider.