Based on reported symptoms, what diagnosis should the nurse anticipate for Jessica?

The diagnosis of perimenopause is the most fitting for Jessica based on typical symptoms associated with this transitional phase in a woman's reproductive life. Perimenopause, which precedes menopause, often begins in a woman's 40s but can start in her 30s. It is characterized by hormonal fluctuations that can lead to a variety of symptoms such as irregular menstrual cycles, hot flashes, mood swings, and changes in sleep patterns.

Women in perimenopause may experience changes in the regularity and flow of their menstrual cycles as estrogen levels begin to decline, which can manifest as lighter, heavier, or skipped periods. These symptoms align with the reports associated with this stage of life.

In contrast, menopause is defined as the point in time when a woman has not had a menstrual period for 12 consecutive months. Polycystic ovarian syndrome (PCOS) involves a range of symptoms related to hormonal imbalances, including irregular periods, but is not typically characterized by the transitional symptoms seen in perimenopause. Endometriosis involves painful symptoms related to the presence of endometrial-like tissue outside the uterus and does not align with the general transitional phase that defines perimenopause.

Thus, considering all the information, the symptoms suggesting hormonal fluctuation