Where are you in your menopause transition?
A free, 90-second questionnaire that maps your own answers to the STRAW+10 staging framework, for natural cycles and for non-bleeding paths. You get stage context to discuss with a clinician, not a diagnosis.
- About 90 seconds
- 4 short steps
- No email needed, answers stay in this browser
What is the STRAW+10 framework?
The Stages of Reproductive Aging Workshop (STRAW+10) is a widely used consensus framework for describing female reproductive aging. It was developed by a panel of endocrine, gynecological and epidemiological researchers, and it counts stages relative to the final menstrual period (Stage 0), starting with early perimenopause (Stage -2) and moving to late perimenopause (Stage -1). STRAW+10 relies on bleeding patterns, so people whose periods are hidden or stopped follow a separate non-bleeding path that Liora adds; it is not part of STRAW+10 itself.
Early perimenopause
Defined by a persistent difference of 7 or more days in the length of consecutive menstrual cycles. Hormone levels (estrogen and FSH) begin to fluctuate unpredictably rather than declining smoothly.
Late perimenopause
Marked by gaps of 60 days or longer between periods. Hormone levels swing most widely in this stage, and hot flashes and night waking are most likely to appear.
Non-bleeding transition
For individuals with hormonal IUDs, endometrial ablation, hysterectomy with ovarian retention, or surgical menopause. Here the questions focus on hot flashes, sleep disruption and how long symptoms have lasted, without asking about periods.