Perimenopause, a natural transition to menopause, is marked by significant hormonal and reproductive changes. These changes have been meticulously documented, along with the symptoms that go along with them. Nearly 90 percent of women seek advice from their healthcare professional on how to deal with these frequent perimenopausal symptoms because they are so unpleasant. The majority of women have hot flashes, a common menopause symptom that can be mildly to highly bothersome for about one-third of them. While the majority of women only have hot flashes for a year or two, some do so for ten years or longer, and a small percentage will never be free of them. As perimenopausal women age, both menopausal transition and aging contribute to an increased prevalence of poor sleep. Anxiety and melancholy mood are more common in women who are in the later phases of the menopausal transition and have prolonged amenorrhoeic episodes. These common symptoms frequently combine, such that depressed women have more warm flashes and sleep problems. Vaginal dryness, altered bleeding patterns, and dyspareunia grow more common as women progress through the transition, impacting roughly a third of the population. Perimenopausal symptoms result in social repercussions that ultimately lower their quality of life. (QOL). In developing nations like India, where the number of women in the perimenopause phase is substantial, the poor QOL of these women will have a serious negative impact on public health. Anxiety and melancholy mood are more common in women who are in the later phases of the menopausal transition and have prolonged amenorrhoeic episodes.