Perimenopause Care

For many women, the first sign of perimenopause is a change in their menstrual cycle. Periods may become more irregular, heavier, lighter, longer, or shorter than they were before.

Other common early symptoms can include changes in mood, difficulty sleeping, fatigue, brain fog, weight gain, hot flashes, and a general feeling that something just feels different.

Because many of these symptoms can also be caused by other health conditions, it's important not to assume that hormones are the only explanation. A comprehensive evaluation can help determine whether perimenopause is contributing to your symptoms and identify any other factors that may be affecting your health and well-being.

Perimenopause most often begins in a woman's 40s, but some women may start noticing symptoms in their late 30s. The timing varies from person to person and can be influenced by factors such as genetics, overall health, and lifestyle.

Yes. Many women begin experiencing symptoms of perimenopause even though their periods are still coming regularly.

In fact, hormonal changes can begin years before menstrual cycles become noticeably irregular. Symptoms such as fatigue, poor sleep, mood changes, brain fog, hot flashes, weight gain, or a feeling that you just don't quite feel like yourself can all occur during the early stages of perimenopause.

That's why regular periods don't necessarily mean that hormones aren't playing a role in how you're feeling. Looking at your symptoms, health history, hormone levels, and overall health can help provide a clearer picture of what's going on and whether perimenopause may be contributing to your symptoms.

Perimenopause can last anywhere from a few years to more than a decade, though most women experience it for about four to ten years before reaching menopause. Every woman's experience is different, and the length and severity of symptoms can vary significantly from person to person.

There is no single test that can definitively diagnose perimenopause. While hormone testing can provide helpful information, hormone levels often fluctuate significantly during this stage of life and may not tell the whole story.

Diagnosing perimenopause typically involves looking at the bigger picture, including your symptoms, menstrual history, age, overall health, and, when appropriate, laboratory testing.

Because many perimenopause symptoms can overlap with other health conditions, additional testing may also be recommended to identify or rule out other factors that could be contributing to the way you're feeling.

No. The best treatment approach depends on your symptoms, health history, and overall health.

While some women benefit from hormone therapy, it is not the right choice for everyone. Depending on your needs, treatment may also include nutrition and lifestyle changes, weight management, sleep optimization, stress reduction, targeted supplements, or other therapies designed to address the specific factors contributing to your symptoms.

Our goal is to help you understand your options and develop a personalized plan that supports both symptom relief and long-term health.

Perimenopause is the natural transition leading up to menopause. During this time, hormone levels begin to change and fluctuate, which can cause symptoms such as irregular periods, hot flashes, sleep disturbances, mood changes, and other physical and emotional symptoms.

Menopause is officially diagnosed when a woman has gone 12 consecutive months without a menstrual period. Once menopause occurs, hormone levels generally remain consistently lower, and some symptoms may improve while others can continue.

Perimenopause can last for several years before menopause, and for many women, it is during this transition that symptoms are most noticeable.