A. Hey Jen! Yes. This is a symptom of perimenopause, and it’s also a symptom of stress, high cortisol, and a whole slew of other issues. My recommendation is always this. If you’re getting regular rest, 7-9 hours of uninterrupted sleep a day (waking up at night can also be a sign of perimenopause), AND you’re living a pretty “regular” life, not overdoing it on alcohol, sugar, etc. (although with perimenopause your tolerance for ANYTHING is lower) then I would recommend a blood test to see where your hormones are. For me, fatigue, weight gain, massive mood swings, and painful sex were the first signs of perimenopause, and people just told me (and I listened) that I was stressed…well, I was stressed, AND my hormones were ALSO not balanced. Schedule a blood test, ask them to run a hormone and a vitamin deficiency panel, and see what’s going on.