Symptoms
Perimenopause can look like many different things at once.

Brain fog, anxiety, sleep disruption, joint pain, hot flushes, bleeding changes, low libido, and mood shifts can all be part of the same transition.

Mind and mood

Brain fog, anxiety, low mood, irritability, panic, loss of confidence, and concentration changes.

Sleep and energy

Insomnia, night sweats, fatigue, waking early, and feeling unrefreshed after sleep.

Body and pain

Joint pain, headaches, muscle aches, palpitations, hot flushes, and changes in skin or hair.

Periods and bleeding

Cycle changes, heavier bleeding, spotting, skipped periods, and symptoms that vary by cycle phase.

Sexual and urinary health

Vaginal dryness, pain during sex, recurrent UTIs, urinary urgency, and lower libido.

Long-term risks

Cardiovascular, bone, metabolic, and cognitive risk factors that may need proactive review.

The important question is not just what you feel today.

It is what keeps happening, what is changing, what is getting worse, and what improves after treatment. Vela is built to make those patterns visible.