Perimenopause: when everything starts to shift

Perimenopause is the transition before your last period. It often begins in your early forties, sometimes earlier, and can last several years. Hormone levels fluctuate strongly, and many women feel it long before their periods stop.

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Does this sound familiar?

“My cycle is completely unpredictable. I can’t plan anything anymore.”
“I sleep badly, wake up too early and I’m exhausted all day.”
“I’m irritable and tearful, and my family feels it.”
“I forget things and lose my train of thought.”
“My weight is almost the same, but my body has changed.”
“My labs are ‘fine’, but I don’t feel fine.”

How we approach it

We look at your symptoms, your cycle and your history, not just a single lab value, because hormone levels in perimenopause change from day to day. Together we decide whether hormone therapy, metabolic support or other measures make sense for you.

Start feeling like yourself again.

Tiredness, poor sleep and mood swings often have a hormonal cause. Let’s look at yours.