Perimenopause Care
Find Your Functional Edge Through Every Stage of Perimenopause
Are you in your mid-30s or early 40s and experiencing…
Irregular or heavy periods
Insomnia (especially in a second part of the cycle)
Hot flashes & night sweats
Sleep disturbances
Weight gain (especially around the midsection)
Mood swings, anxiety, or depression
Brain fog & poor concentration
Fatigue & loss of motivation
Low libido or vaginal dryness
Hair thinning & dry skin
👉 You may be in perimenopause.
It’s a common misconception that perimenopause is only the few years before your periods stop. In reality, it can begin up to 14 years before menopause and progress gradually. Many women describe it as “feeling like I’m losing myself.”
Don’t Ignore the Signals!
Many women mistake the first signs of perimenopause for “just aging.” Our quick quiz helps you spot the difference and guides you toward answers!
Why Is Perimenopause So Hard to Understand?
Midlife women’s health is one of the most underserved areas of medicine. Too often, women are told their symptoms are “just aging,” “normal,” or “in your head.”
The truth:
Medical training on perimenopause is sparse and inconsistent.
Time constraints in conventional care mean symptoms often get brushed aside.
Life load at midlife is heavier than ever — careers, parenting, relationships, caregiving for aging parents. Adding hormonal shifts makes it even more overwhelming.
Women deserve better. This chapter of life is not the end — it’s a powerful new beginning.
What happens to my body when perimenopause starts?
Perimenopause is the transition that begins when the ovaries start to lose their predictable rhythm of ovulation and ends once a woman has gone twelve full months without a menstrual period, which defines menopause.
The first hormone to decline in perimenopause is progesterone. Progesterone is produced only after ovulation, and as ovulation becomes less consistent in the mid to late 30s, progesterone levels naturally begin to fall. Low progesterone can lead to heavy or irregular bleeding, worsening PMS, increased anxiety, restless sleep, and a general sense of being “on edge.”
Testosterone is the next hormone to decline. Produced in both the ovaries and adrenal glands, testosterone plays an important role in energy, motivation, muscle strength, and sexual desire. As levels diminish, women often notice persistent fatigue, loss of drive, decreased muscle tone, weight gain around the midsection, thinning hair, and reduced libido.
Finally, estrogen becomes less reliable. In the early stages of perimenopause, estrogen does not simply drop; it fluctuates dramatically from high to low. These wide swings are responsible for hot flashes, night sweats, brain fog, vaginal dryness, and cycles that become increasingly erratic. Over time, estrogen levels gradually decline, bringing women into menopause.
Understanding the natural order of these hormonal changes helps explain why symptoms appear in layers and why no two women experience perimenopause the same way. By identifying which hormones are shifting and addressing those imbalances, it is possible to significantly reduce symptoms and improve quality of life throughout the transition.
How Do I Know if I am in Perimenopause?
Perimenopause is most often a clinical diagnosis, made by reviewing your menstrual history along with the symptoms you are currently experiencing. While blood work can be performed, hormone levels in perimenopause fluctuate widely from high to low, so lab values alone rarely give the full picture.
For most women, the combination of a detailed symptom history and basic laboratory testing is the most reliable way to determine where they are in the transition. In cases where a woman has had a hysterectomy or an endometrial ablation but still has her ovaries, menstrual history can no longer be used. In those situations, lab work and the presence of symptoms such as hot flashes, night sweats, or vaginal dryness become especially important in identifying perimenopause.
Ready for Clarity?
Every woman’s perimenopause journey is different.
Book a one-on-one consultation to get personalized guidance, answers, and a clear plan forward.