Women's Hormone Health
The years before menopause can bring the most confusing symptoms — and they often start earlier than women expect. You don't have to wait until menopause to feel supported.
Overview
Perimenopause is the transition leading up to menopause, when ovarian hormone production becomes erratic. It can begin in the late 30s or 40s and last several years. Because hormones swing up and down rather than simply declining, symptoms can be unpredictable — and are frequently mistaken for stress, thyroid issues, or mood disorders.
Symptoms
The first clue is usually a change in your cycle — periods that become irregular, heavier, lighter, or closer together. Alongside that, women often notice hot flashes, night sweats, sleep disruption, anxiety or mood swings, brain fog, and lower libido. Progesterone is often the first hormone to fall, which can drive sleep and anxiety symptoms early on.
Treatment
Treatment is tailored to your pattern. Progesterone often helps with sleep and anxiety early in the transition; estrogen addresses hot flashes and other symptoms as levels decline; and testosterone can help energy and libido. We confirm the picture with lab work and adjust as your body changes.
Common Questions
Clinical references: The Menopause Society · ACOG
Keep Exploring
Perimenopause can start years before menopause. If your cycles, sleep, or mood have shifted, let's look at your hormones. Book a consultation to get answers.
Available across California via telehealth · in-person in Chatsworth & Santa Barbara.