Patient Library / Women's Health / Perimenopause
Perimenopause
The years before menopause bring real hormonal shifts that deserve real answers — not just reassurance that it's normal.
Perimenopause can begin a decade before the last period and produces some of the most disruptive symptoms women experience — disrupted sleep, mood instability, hot flashes, and brain fog. These symptoms are not inevitable or untreatable. They reflect a specific, identifiable hormonal pattern that responds well to targeted naturopathic care.
Progesterone Falls First
Progesterone declines well before estrogen in perimenopause, causing sleep disruption, mood changes, and irregular cycles — often years before hot flashes begin.
Not Just 'Low Estrogen'
Perimenopausal symptoms come from hormonal volatility, not simply declining estrogen. Estrogen can surge higher than normal before eventually dropping — which explains erratic symptoms.
Early Treatment Protects Long-Term Health
Starting hormonal support early in the transition protects bone density, cardiovascular health, and cognitive function — not just symptom relief.
What You Need to Know
Frequently Asked Questions
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Read moreHow I Treat This
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