Premenopause is the name given to the time before the cessation of menstruation with decreased estrogen levels, luteal insufficiency, increased gonadotropins and autonomic symptoms (Purwatyastuti, 2007). The term premenopause is still common in the ears, but every woman will definitely experience it. Before reaching menopause, a woman will experience several physical changes and hormonal symptoms, including irregular menstruation. Premenopause is the period in which the body begins to transition to menopause. This period can last from two to eight years, plus one year at the end of the period leading to menopause. This symptom is natural, because it is a sign and process of stopping the reproductive period. In this period, generally the level of production of the hormones estrogen and progesterone fluctuates, rises and falls irregularly. Menstrual cycles can suddenly lengthen or shorten. Usually, this premenopause period occurs in their 40s, but many also experienc...