Perimenopause Symptoms
If you’re 35+ and don’t feel like yourself, you’re not imagining it. Perimenopause can start years before your last period — and symptoms can show up even when labs look “normal.”
Louisiana-based care • Evidence-based options • Ongoing follow-through, not a rushed visit.
Why You Feel “Off” (Even If You’ve Been Told You’re Fine)
In perimenopause, hormones don’t just “decline” — they fluctuate. That fluctuation can affect sleep, mood, anxiety, focus, weight distribution, cycles, and libido.
Symptoms often start before menopause — sometimes in your late 30s or early 40s — and many women are told they’re too young or that “everything is normal.”
A clear, symptom-based plan — with monitoring and adjustments — so you can feel like yourself again. Not a lecture. Not a shrug.
Common Perimenopause Symptoms
Everyone’s pattern is different. If several of these sound familiar, it’s worth getting evaluated.
Sleep & Energy
- Waking at 2–4am
- Night sweats / hot flashes
- Fatigue that doesn’t match your life
Mood & Brain
- Anxiety or “edge” you didn’t have before
- Irritability / low mood
- Brain fog, forgetfulness, ADHD-like symptoms
Body & Cycles
- Weight shifting to the midsection
- Irregular, heavier, or closer-together periods
- Breast tenderness, headaches, bloating
Sexual Health
- Lower sex drive
- Pain with sex / dryness
- Reduced arousal or sensation
Urinary / Vaginal
- UTI-like symptoms without infection
- Urgency, frequency, leakage
- Recurrent yeast/irritation feelings
Skin / Hair
- Hair thinning or shedding
- Dry skin, acne changes
- New sensitivity or itching
Our 3-Step Plan
Clear evaluation. Evidence-based options. Real follow-through.
Listen + assess patterns
We review your symptoms, cycle changes, history, and goals — and look for the pattern behind the chaos.
Build a personalized plan
You’ll get a clear plan based on your situation — education, lifestyle support, and medications when appropriate.
Adjust until you’re better
Hormone care is a process. We monitor symptoms and response and adjust thoughtfully over time.
FAQ
Can I be in perimenopause if I’m under 45?
Yes. Many women notice changes in their late 30s or early 40s. Age alone doesn’t rule it out.
My labs were “normal.” Does that mean it’s not hormones?
No. Hormones fluctuate in perimenopause — one lab value can miss what your body is doing day-to-day.
Do you only prescribe HRT?
No. We focus on symptom improvement and safety. Your plan may include education, lifestyle support, and medications when appropriate.
What if I’m not sure this is perimenopause?
That’s common. A focused visit can help clarify what’s going on and what options make sense for you.