Global Perimenopause Survey: 17,494 Women, 158 Countries (Mayo + Flo)

Tier 1: Established: peer-reviewed research or government health authority
Publisher: Menopause (Journal of the Menopause Society), Mayo Clinic + Flo Health · Published: January 15, 2026 · Accessed: August 13, 2026

Visit the source ↗

Claims this source supports

• 17,494 women across 158 countries were surveyed (Mayo Clinic + Flo Health, published in Menopause, Jan 2026; doi:10.1097/GME.0000000000002730).
• Women EXPECT perimenopause to look like hot flashes (71%), sleep problems (68%) and weight gain (65%) – but women actually in perimenopause most commonly report fatigue (83%), physical and mental exhaustion (83%), irritability (80%), depressive mood (77%), sleep problems (76%) and anxiety (75%).
• Hot flashes rank below the mood/cognitive/energy cluster in actual reported prevalence – the opposite of the cultural script.
• The US ranked 6th on perimenopause knowledge, behind the UK, Ireland, Canada, Australia and the Netherlands.
• The lived experience is dominated by mood, cognitive and energy symptoms – exactly the cluster that gets filed as depression, anxiety or thyroid disease on a quick intake form.