I reached postmenopause without a single doctor ever mentioning perimenopause to me. Not once. Not during the years when I was exhausted in ways sleep couldn't fix. Not when my moods shifted in ways that confused and frightened me. Not when I was managing fibroids that were shaping my life in ways I couldn't fully name. Not during the years of disrupted sleep, of feeling like I was falling apart from the inside out while holding everything together on the outside. Perimenopau