Perimenopause

Perimenopause is the transition before menopause when hormones fluctuate and cycles become irregular. It typically lasts four to eight years and ends at menopause.

Most women experience perimenopause for four to eight years, though it varies. It ends at menopause, 12 months after the final period.

Perimenopause commonly begins in a woman's 40s, though some women notice changes in their late 30s. Timing varies widely.

Irregular or heavier periods, hot flashes, night sweats, sleep disruption, mood changes, breast tenderness, low energy and brain fog are common.

It is usually identified by symptom pattern and cycle changes rather than a single lab value. Labs help rule out thyroid and other contributing factors.

Testing may include estradiol, FSH, progesterone, thyroid markers and metabolic panels as appropriate, chosen based on your symptoms and history.

Yes. Cycles may be irregular, but ovulation can still occur, so pregnancy is possible until menopause is confirmed after 12 months without a period.

Options include hormonal birth control for cycle and symptom management, hormone therapy when appropriate, non-hormonal options and lifestyle support. The right choice is individual.

Hormone therapy can be appropriate for some women in perimenopause, depending on symptoms, history and timing. Benefits and risks are reviewed individually.

Hormonal birth control can regulate cycles and reduce some symptoms for women who are candidates. It is discussed as one option among several.

Hormone fluctuations, night sweats and changing melatonin patterns can all disrupt sleep in perimenopause. Sleep routines and, when appropriate, treatment can help.

Mood changes are common in perimenopause, but persistent low mood deserves evaluation and support, including screening for depression and anxiety.

Follow-up visits review symptoms and labs, and plans are adjusted based on your response and clinical judgment.

Vitality Medicine RX is fee-for-service and does not bill insurance, Medicare or Medicaid. HSA and FSA cards are accepted, and superbills are available on request.

Book a discovery call. We will confirm your state, discuss your symptoms and goals, and outline the next steps.