Menopause & Perimenopause Support

What's the difference between perimenopause and menopause?

Perimenopause is the transitional period leading up to menopause when hormone levels fluctuate and periods become irregular. It can last 2-10 years and typically begins in your 40s. Menopause is officially diagnosed after 12 consecutive months without a period, with the average age being 51.

What are the most common symptoms of perimenopause?

Common symptoms include irregular periods, hot flashes, night sweats, mood swings, anxiety, brain fog, sleep disturbances, weight gain, decreased libido, vaginal dryness, and joint aches. Symptoms can vary significantly between women in severity and duration.

Is hormone replacement therapy safe?

Modern hormone replacement therapy, particularly bioidentical hormones, has an excellent safety profile when prescribed appropriately and monitored regularly. The benefits typically outweigh risks for most healthy women, especially when started within 10 years of menopause onset.

How long do menopausal symptoms last?

Menopausal symptoms vary greatly among individuals. Hot flashes and night sweats typically last 1-5 years but can persist longer. Other symptoms like vaginal dryness, bone loss, and cardiovascular changes are progressive without treatment.

Can I still get pregnant during perimenopause?

Yes, pregnancy is still possible during perimenopause as ovulation can still occur despite irregular periods. Contraception should be continued until you've been period-free for 12 consecutive months if you don't wish to become pregnant.

What non-hormonal options are available for managing symptoms?

Non-hormonal approaches include lifestyle modifications, targeted supplements, herbal remedies, stress management techniques, dietary changes, and certain medications for specific symptoms like hot flashes or mood changes.

How do you determine the right hormone therapy for me?

We use comprehensive hormone testing including estradiol, progesterone, testosterone, and other relevant markers. Treatment is individualized based on your symptoms, hormone levels, medical history, risk factors, and personal preferences. We start with conservative doses and adjust based on your response.

Will hormone therapy help with weight gain and brain fog?

Yes, appropriate hormone replacement can help with metabolism, body composition, cognitive function, and energy levels. Many women experience improved mental clarity and easier weight management with properly balanced hormones.