Perimenostage data · Updated October 22, 2026 · Next update: October 2027

Perimenopause searches by state: where the US is looking it up

Name: Perimenopause search interest by US state, 2021-22 and 2025-26
Creator: Perimenostage
License: https://creativecommons.org/licenses/by/4.0/

Searches for "perimenopause" in the US rose 4.4-fold between 2021-22 and 2025-26, and it now makes up 35.7% of combined searches for "perimenopause" and "menopause", up from 17.6%. Vermont, Oregon and Maine search for perimenopause most. Indiana shifted fastest, from 15% to 39%; New York changed least, from 18% to 29%.

Perimenopause searches by the numbers

4.4x
more searches for "perimenopause" in 2025-26 than in 2021-22. Searches for "menopause" grew 1.7-fold.
35.7%
of combined searches for "perimenopause" and "menopause" now use the newer word, up from 17.6% in 2021-22.
Vermont
searches for perimenopause most, with an index of 83, ahead of Oregon (74) and Maine (70).
Indiana
shifted fastest: "perimenopause" went from 15% to 39% of combined searches, 2.6 times its 2021-22 share.

"Perimenopause" as a share of searches for both words, US, 2021-22 to 2025-26

From 17.6% in 2021-22 to 20.7%, 25.9%, 33.3% and 35.7% in 2025-26. Seasons run October to September.

Source: Google Trends via DataForSEO

Download PNG

"Perimenopause" as a share of searches for both words, by state, 2025-26

Tap or hover a state for the 2021-22 → 2025-26 change.

<32%
32–34%
35–37%
38–40%
≥41%
Excluded

Highest in Maine, North Dakota and Vermont (42%); lowest in New York (29%). Wyoming is excluded because of a small-sample spike.

Source: Google Trends via DataForSEO

Download PNG

Perimenopause searches in every state


Vermont	83	22%	42%	1.91x
Oregon	74	20%	40%	2x
Maine	70	21%	42%	2x
Kentucky	68	16%	38%	2.38x
New Hampshire	68	21%	41%	1.95x
Minnesota	67	17%	40%	2.35x
Virginia	67	16%	39%	2.44x
Washington	67	17%	38%	2.24x
Alaska	66	22%	41%	1.86x
Montana	66	17%	39%	2.29x
Colorado	65	19%	39%	2.05x
Maryland	65	17%	38%	2.24x
Michigan	65	15%	37%	2.47x
Missouri	65	18%	41%	2.28x
Pennsylvania	65	17%	38%	2.24x
North Carolina	64	16%	38%	2.38x
Wisconsin	63	19%	39%	2.05x
Ohio	62	16%	37%	2.31x
West Virginia	62	19%	39%	2.05x
Indiana	61	15%	39%	2.6x
Kansas	61	18%	33%	1.83x
North Dakota	60	17%	42%	2.47x
Oklahoma	60	16%	39%	2.44x
Tennessee	60	16%	35%	2.19x
Massachusetts	58	18%	36%	2x
South Carolina	58	16%	38%	2.38x
Illinois	57	18%	36%	2x
Iowa	57	17%	39%	2.29x
New Jersey	57	17%	37%	2.18x
Rhode Island	57	19%	38%	2x
California	56	17%	35%	2.06x
Connecticut	56	16%	35%	2.19x
Delaware	56	14%	36%	2.57x
Hawaii	56	18%	40%	2.22x
Arizona	55	16%	35%	2.19x
District of Columbia	55	20%	39%	1.95x
Georgia	55	16%	33%	2.06x
Idaho	55	18%	38%	2.11x
Nebraska	55	20%	41%	2.05x
New Mexico	54	22%	38%	1.73x
New York	54	18%	29%	1.61x
South Dakota	54	16%	37%	2.31x
Louisiana	53	15%	33%	2.2x
Utah	53	16%	35%	2.19x
Alabama	52	15%	35%	2.33x
Arkansas	52	17%	32%	1.88x
Florida	50	16%	33%	2.06x
Texas	49	15%	35%	2.33x
Mississippi	47	16%	31%	1.94x
Nevada	46	14%	33%	2.36x
WyomingExcluded: small-sample spike	—	17%	—	—

Vermont
Search interest, 2025-26 (0-100)
83
Perimenopause share, 2021-22
22%
Perimenopause share, 2025-26
42%
Change
1.91x
Oregon
Search interest, 2025-26 (0-100)
74
Perimenopause share, 2021-22
20%
Perimenopause share, 2025-26
40%
Change
2x
Maine
Search interest, 2025-26 (0-100)
70
Perimenopause share, 2021-22
21%
Perimenopause share, 2025-26
42%
Change
2x
Kentucky
Search interest, 2025-26 (0-100)
68
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
38%
Change
2.38x
New Hampshire
Search interest, 2025-26 (0-100)
68
Perimenopause share, 2021-22
21%
Perimenopause share, 2025-26
41%
Change
1.95x
Minnesota
Search interest, 2025-26 (0-100)
67
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
40%
Change
2.35x
Virginia
Search interest, 2025-26 (0-100)
67
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
39%
Change
2.44x
Washington
Search interest, 2025-26 (0-100)
67
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
38%
Change
2.24x
Alaska
Search interest, 2025-26 (0-100)
66
Perimenopause share, 2021-22
22%
Perimenopause share, 2025-26
41%
Change
1.86x
Montana
Search interest, 2025-26 (0-100)
66
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
39%
Change
2.29x
Colorado
Search interest, 2025-26 (0-100)
65
Perimenopause share, 2021-22
19%
Perimenopause share, 2025-26
39%
Change
2.05x
Maryland
Search interest, 2025-26 (0-100)
65
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
38%
Change
2.24x
Michigan
Search interest, 2025-26 (0-100)
65
Perimenopause share, 2021-22
15%
Perimenopause share, 2025-26
37%
Change
2.47x
Missouri
Search interest, 2025-26 (0-100)
65
Perimenopause share, 2021-22
18%
Perimenopause share, 2025-26
41%
Change
2.28x
Pennsylvania
Search interest, 2025-26 (0-100)
65
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
38%
Change
2.24x
North Carolina
Search interest, 2025-26 (0-100)
64
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
38%
Change
2.38x
Wisconsin
Search interest, 2025-26 (0-100)
63
Perimenopause share, 2021-22
19%
Perimenopause share, 2025-26
39%
Change
2.05x
Ohio
Search interest, 2025-26 (0-100)
62
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
37%
Change
2.31x
West Virginia
Search interest, 2025-26 (0-100)
62
Perimenopause share, 2021-22
19%
Perimenopause share, 2025-26
39%
Change
2.05x
Indiana
Search interest, 2025-26 (0-100)
61
Perimenopause share, 2021-22
15%
Perimenopause share, 2025-26
39%
Change
2.6x
Kansas
Search interest, 2025-26 (0-100)
61
Perimenopause share, 2021-22
18%
Perimenopause share, 2025-26
33%
Change
1.83x
North Dakota
Search interest, 2025-26 (0-100)
60
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
42%
Change
2.47x
Oklahoma
Search interest, 2025-26 (0-100)
60
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
39%
Change
2.44x
Tennessee
Search interest, 2025-26 (0-100)
60
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
35%
Change
2.19x
Massachusetts
Search interest, 2025-26 (0-100)
58
Perimenopause share, 2021-22
18%
Perimenopause share, 2025-26
36%
Change
2x
South Carolina
Search interest, 2025-26 (0-100)
58
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
38%
Change
2.38x
Illinois
Search interest, 2025-26 (0-100)
57
Perimenopause share, 2021-22
18%
Perimenopause share, 2025-26
36%
Change
2x
Iowa
Search interest, 2025-26 (0-100)
57
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
39%
Change
2.29x
New Jersey
Search interest, 2025-26 (0-100)
57
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
37%
Change
2.18x
Rhode Island
Search interest, 2025-26 (0-100)
57
Perimenopause share, 2021-22
19%
Perimenopause share, 2025-26
38%
Change
2x
California
Search interest, 2025-26 (0-100)
56
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
35%
Change
2.06x
Connecticut
Search interest, 2025-26 (0-100)
56
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
35%
Change
2.19x
Delaware
Search interest, 2025-26 (0-100)
56
Perimenopause share, 2021-22
14%
Perimenopause share, 2025-26
36%
Change
2.57x
Hawaii
Search interest, 2025-26 (0-100)
56
Perimenopause share, 2021-22
18%
Perimenopause share, 2025-26
40%
Change
2.22x
Arizona
Search interest, 2025-26 (0-100)
55
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
35%
Change
2.19x
District of Columbia
Search interest, 2025-26 (0-100)
55
Perimenopause share, 2021-22
20%
Perimenopause share, 2025-26
39%
Change
1.95x
Georgia
Search interest, 2025-26 (0-100)
55
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
33%
Change
2.06x
Idaho
Search interest, 2025-26 (0-100)
55
Perimenopause share, 2021-22
18%
Perimenopause share, 2025-26
38%
Change
2.11x
Nebraska
Search interest, 2025-26 (0-100)
55
Perimenopause share, 2021-22
20%
Perimenopause share, 2025-26
41%
Change
2.05x
New Mexico
Search interest, 2025-26 (0-100)
54
Perimenopause share, 2021-22
22%
Perimenopause share, 2025-26
38%
Change
1.73x
New York
Search interest, 2025-26 (0-100)
54
Perimenopause share, 2021-22
18%
Perimenopause share, 2025-26
29%
Change
1.61x
South Dakota
Search interest, 2025-26 (0-100)
54
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
37%
Change
2.31x
Louisiana
Search interest, 2025-26 (0-100)
53
Perimenopause share, 2021-22
15%
Perimenopause share, 2025-26
33%
Change
2.2x
Utah
Search interest, 2025-26 (0-100)
53
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
35%
Change
2.19x
Alabama
Search interest, 2025-26 (0-100)
52
Perimenopause share, 2021-22
15%
Perimenopause share, 2025-26
35%
Change
2.33x
Arkansas
Search interest, 2025-26 (0-100)
52
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
32%
Change
1.88x
Florida
Search interest, 2025-26 (0-100)
50
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
33%
Change
2.06x
Texas
Search interest, 2025-26 (0-100)
49
Perimenopause share, 2021-22
15%
Perimenopause share, 2025-26
35%
Change
2.33x
Mississippi
Search interest, 2025-26 (0-100)
47
Perimenopause share, 2021-22
16%
Perimenopause share, 2025-26
31%
Change
1.94x
Nevada
Search interest, 2025-26 (0-100)
46
Perimenopause share, 2021-22
14%
Perimenopause share, 2025-26
33%
Change
2.36x
Wyoming
Excluded: small-sample spike
Search interest, 2025-26 (0-100)
—
Perimenopause share, 2021-22
17%
Perimenopause share, 2025-26
—
Change
—

What the perimenopause search data shows

Perimenopause went from niche word to everyday search

Across the US, the Google Trends index for "perimenopause" averaged 10 in 2021-22, 14.3 in 2022-23, 21 in 2023-24, 34.3 in 2024-25 and 43.6 in 2025-26. That's 4.4 times higher over four years, while "menopause" grew 1.7-fold, from 46.9 to 78.3. Perimenopause is still the smaller search, but it's the one growing fast.

Where women search for perimenopause most

Relative to all searches in each state, interest in perimenopause is highest in Vermont (83), Oregon (74) and Maine (70), followed by Kentucky and New Hampshire (68) and Minnesota, Virginia and Washington (67). It's lowest in Nevada (46), Mississippi (47), Texas (49), Florida (50) and Alabama (52). Northern states lead; the South and Southwest trail.

Which states say perimenopause instead of menopause

Comparing the two words inside each state shows who has adopted the newer term. Maine, North Dakota and Vermont lead at 42%, followed by Alaska, Missouri, Nebraska and New Hampshire at 41%. At the other end are New York (29%), Mississippi (31%), Arkansas (32%), Florida and Georgia (33%). California and Texas sit at 35%, just below the national 35.7%.

Where the shift to perimenopause happened fastest

Indiana's share went from 15% in 2021-22 to 39% in 2025-26, 2.6 times higher, the biggest change in the country. Delaware (2.57x), Michigan and North Dakota (2.47x), Oklahoma and Virginia (2.44x) follow. New York changed least, from 18% to 29% (1.61x), then New Mexico (1.73x) and Kansas (1.83x).

Why the word perimenopause matters

Perimenopause is the transition before the final period, and it usually starts in the 40s: the median age at onset was 47.5 in a large US study, and it lasts about 4 years on average. Women who search only for "menopause" can miss that irregular periods, sleep problems and mood changes years earlier may already be part of it.

Learn more →

How we measured perimenopause searches

We pulled Google Trends data for the United States by state through DataForSEO for two 12-month windows: October 2021 to September 2022 and October 2025 to September 2026. Search interest is the Trends index for "perimenopause" alone. The share is the Trends comparison of "perimenopause" against "menopause" inside each state. The national trend uses weekly data averaged per season. Trends data is a sample of Google searches, divided by total searches in each place and time, then scaled from 0 to 100, so it shows relative popularity, not search counts.

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<iframe src="https://perimenostage.com/embed/data/perimenopause-search-by-state/map" width="100%" height="560" style="border:0" loading="lazy" title="&quot;Perimenopause&quot; as a share of searches for both words, by state, 2025-26"></iframe>
<p>Source: <a href="https://perimenostage.com/data/perimenopause-search-by-state">Perimenostage</a></p>

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Credit line

Source: Perimenostage analysis of Google Trends data, perimenostage.com/data/perimenopause-search-by-state

Full citation (APA)

Perimenostage. (2026, October 22). Perimenopause search interest by US state, 2021-22 and 2025-26 [Data set]. https://perimenostage.com/data/perimenopause-search-by-state

Need the numbers for one state, a different time window or a related search term? Email press@perimenostage.com and we'll send a custom cut.

Free to reuse under CC BY 4.0 with a link to this page

Perimenopause search data: questions

Which state searches for perimenopause the most?

Vermont, with a Google Trends index of 83 in 2025-26, followed by Oregon (74) and Maine (70). The index compares searches for perimenopause with all searches in each state, so it reflects how much attention the topic gets locally, not raw search counts.

Are searches for perimenopause increasing?

Yes, sharply. The national Google Trends index for perimenopause rose from an average of 10 in 2021-22 to 43.6 in 2025-26, a 4.4-fold increase. Over the same years, its share of combined searches for the two words went from 17.6% to 35.7%.

Which state searches for perimenopause the least?

Nevada, with an index of 46, then Mississippi (47), Texas (49), Florida (50) and Alabama (52). New York has the lowest share of searches that use the word perimenopause rather than menopause, at 29%.

What's the difference between perimenopause and menopause?

Perimenopause is the transition before your final period, when hormones swing and periods become irregular. Menopause is the point 12 months after your last period. Perimenopause usually starts in the 40s and lasts about 4 years on average, often longer.

What does a Google Trends score of 100 mean?

It marks the highest relative interest in the set being compared. Google divides searches for a term by all searches in each place and time, then scales the result from 0 to 100. So a score of 100 doesn't mean more searches in total, only a higher share of local searches.

Why is Wyoming missing from the rankings?

In the 2025-26 data, Wyoming scored 100 for both perimenopause and menopause, far above every other state. That pattern is typical of a small-sample spike rather than a real difference, so we exclude Wyoming from the rankings and show it in gray.

Can I use this data in my article or report?

Yes. The data and charts are free to reuse under a Creative Commons Attribution 4.0 license. Please credit Perimenostage and link to this page. You can download the full state table as a CSV or embed the map with the code below the chart.

Perimenopause searches by state: where the US is looking it up

Perimenopause searches by the numbers

"Perimenopause" as a share of searches for both words, US, 2021-22 to 2025-26

"Perimenopause" as a share of searches for both words, by state, 2025-26

Perimenopause searches in every state

Vermont

Oregon

Maine

Kentucky

New Hampshire

Minnesota

Virginia

Washington

Alaska

Montana

Colorado

Maryland

Michigan

Missouri

Pennsylvania

North Carolina

Wisconsin

Ohio

West Virginia

Indiana

Kansas

North Dakota

Oklahoma

Tennessee

Massachusetts

South Carolina

Illinois

Iowa

New Jersey

Rhode Island

California

Connecticut

Delaware

Hawaii

Arizona

District of Columbia

Georgia

Idaho

Nebraska

New Mexico

New York

South Dakota

Louisiana

Utah

Alabama

Arkansas

Florida

Texas

Mississippi

Nevada

Wyoming