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But biologically, maybe there’s an untreated autoimmune issue, or maybe you’re going through perimenopause.

Miranda July’s book ‘All Fours,’ about a Los Angeles woman’s reckoning with perimenopause, imagines the end of fecundity as a joyful second flowering.

I encourage younger women to learn about menopause early so they can understand when they’re going through perimenopause and not wonder on their own what those symptoms mean.

“I didn’t even know perimenopause existed,” she recalls.

With kids and aging parents who need and rely on us around this time, something often changes in relationships, and then on top of that comes perimenopause or menopause, and we don’t know what to do with all of it.