Perimenopause Care
You don’t have to wait for menopause—or a certain age—to get help. If symptoms are affecting your life at all, you deserve a thoughtful conversation and real options.
Not sure if this is perimenopause? A quick quiz can help you connect the dots.
Perimenopause symptoms can begin years before menopause—even when periods are still regular and lab results appear normal.
Searching “HRT”? Learn what hormone therapy actually involves and whether it’s right for you →
You’re Not Imagining This
Many women come to us saying: “I don’t feel like myself anymore.” Brain fog, anxiety, sleep disruption, and libido changes can be hormonally driven—even before periods change. There are more than 45 known symptoms related to perimenopause.
It’s Common
Perimenopause can begin in your 30s or 40s, and symptoms can show up before cycles change.
It’s Variable
Symptoms can be mild or disruptive, constant or cyclical. Everyone’s transition looks different.
It’s Treatable
You have choices. You have options. You can take control with individualized, evidence-based care.
Common Perimenopause Symptoms
You do not need “severe” symptoms to qualify for care. If symptoms are affecting your life in any way, you deserve a discussion.
- Brain fog or difficulty concentrating
- Anxiety, irritability, or mood changes
- Sleep disruption or early-morning waking
- Fatigue or low motivation
- New or worsening PMS
- Hot flashes or night sweats
- Low libido or changes in sexual response
- Vaginal dryness or painful sex
- Weight changes or changes in body composition
- Irregular, heavier, or shorter cycles
- Headaches or new symptom patterns
- Feeling “off,” even with normal labs
Perimenopause is driven by fluctuating ovarian hormones—not just “low estrogen.” Labs can look normal while symptoms are real.
What Is Perimenopause?
Perimenopause is the hormonal transition before menopause. Hormone levels can rise and fall unpredictably from week to week or cycle to cycle. This is why symptoms can feel confusing or inconsistent.
No “Right” Age
There is no single age when perimenopause begins. Your symptoms and history matter more than your birthday.
No Single Lab Test
There is no lab value that definitively rules perimenopause in or out. We treat people—not numbers.
Not One-Size-Fits-All
Everyone’s body is different. Care should be individualized and adjusted over time.
Why Perimenopause Is Often Missed
For decades, medical training included little to no formal education on menopause—and essentially none on perimenopause. Many clinicians were never taught to connect symptoms like brain fog, anxiety, sleep disruption, or libido changes to fluctuating ovarian hormones—especially when cycles are still regular and labs appear “normal.”
This isn’t about lack of care or concern. It reflects a training gap that left many providers without the tools to recognize perimenopause early. Yet perimenopause can significantly affect work, relationships, confidence, and quality of life—often years before periods stop. This is exactly why we specialize.
Why Specialization Matters Now
With more online information than ever, a lot of women are left trying to sort through conflicting advice. Great outcomes come from choosing the right approach for your body, then adjusting it thoughtfully over time.
Safety Nuance
The details matter—your history, your symptoms, and the plan you can actually stick with.
Dose-Finding
The right plan often involves thoughtful adjustments—not a single visit and a guess.
Results
Many patients start noticing meaningful improvement within the first 4–6 weeks once the plan is dialed in.
Benefits of Earlier Treatment
When the right treatment is started earlier in the transition—when appropriate—it can improve symptoms now and support long-term health. Timing matters.
- Support for bone health
- Better sleep for many women
- Improved quality of life
- Support for metabolic health
- Better day-to-day functioning
- A plan that can evolve as you do
We individualize recommendations based on your history, symptoms, goals, and risk factors. You will always have choices.
How We Provide Perimenopause Care
A clear plan, personalized to you—then adjusted as your body changes.
- Comprehensive evaluation
- Individualized treatment planning
- Hormone therapy when appropriate
- Personalized dosing and adjustments
- Structured follow-up and monitoring
- Sexual health support when needed
- Care aligned with major guidelines
- Clear communication and next steps
Telehealth, Designed for Real Life
Care that fits your schedule—without constant office visits.
Convenient
Visits and follow-up that fit real schedules.
Responsive
Ongoing care with structured follow-through as symptoms evolve.
Flexible
In-person options when needed or preferred.
Is This Care Right for You?
If you’re experiencing symptoms that affect your life—even mildly—you deserve a thoughtful evaluation. If you’ve been told everything is “normal” but you don’t feel normal, you’re in the right place.