Million of women are going through "the change" and dealing with menopause symptoms that can last a long time. The four-to-six years leading up to your final period are called Perimenopause. According to the American College of Obstetrics and Gynecologists (ACOG), "Menopause happens around age 51, but every woman's body has its own timeline . . . . [and may] occur anywhere from the early 40s to mid-50s. You know you have reached menopause when menstrual periods have stopped for one year.

While menopause itself is normal and healthy some infamous perimenopausal and menopausal symptoms can be uncomfortable, disruptive and downright confusing: irregular periods and spotting, hot flashes, insomnia, mood swings, night sweats and vaginal dryness. It's important to see your doctor annually for basic preventative health care but don't hesitate to make an appointment if your menopausal symptoms get out of hand. There are many treatments and remedies available including hormone replacement therapy, herbal supplements, acupuncture, exercise, meditation and others that will make menopause symptoms easier to live with.

Make a doctor's appointment and get ready to talk about the changes your body is going through. Don't be shy. You can't shock a gynecologist but they're not mind readers. Tell your doctor about your sex life, energy level, relationships, moods, and how your vagina and breasts feel. Ask lots of questions.

How can you help your doctor evaluate your menopausal status and symptoms? Keep a calendar with the days your period or bleeding starts and stops (if you're still having them) along with any other menopause symptoms for several months. The Mayo Clinic offers these tips:..

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