I have a healthy skepticism of everything advertised to me, but after a while, the repetition started to do its work. While I did not purchase anything, I did ask my gynecologist at my annual visit if she thought I was starting perimenopause. “Do you have any symptoms? Any changes in your menstrual cycle?” she asked. As soon as she asked those questions I realized that I had no symptoms beyond the tiredness associated with being a working mother of two.