Perimenopause & Hormone
Health
You Don’t Have to Wait Until Menopause to Ask for Help
Perimenopause is the transition leading up to menopause, and it can begin years before your periods stop. Hormone fluctuations during this stage may affect your cycle, sleep, mood, energy, weight, sexual health, and overall sense of well-being.
Unfortunately, many women are told their symptoms are simply part of getting older. At Practical Wellness Clinic, we take those changes seriously.
Could It Be Perimenopause?
Symptoms can begin while you are still having regular periods and may include:
- Changes in cycle length or flow
- Heavier, lighter, or skipped periods
- Hot flashes or night sweats
- Difficulty falling or staying asleep
- Fatigue or reduced stamina
- Mood changes, irritability, or anxiety
- Brain fog or difficulty concentrating
- Decreased libido
- Vaginal dryness or discomfort with sex
- Changes in body composition
- Joint or muscle discomfort
- Headaches or heart palpitations
These symptoms can overlap with thyroid disorders, anemia, nutritional deficiencies, medication effects, pregnancy, and other medical conditions. That is why the evaluation should look at the whole picture rather than relying on a single hormone level.
A Whole-Person Perimenopause Evaluation
Your visit may include:
- A detailed review of symptoms and menstrual changes
- Medical, reproductive, and family history
- Review of current medications and supplements
- Discussion of sleep, stress, nutrition, and sexual health
- Individualized laboratory testing when clinically appropriate
- Evaluation for other conditions that may be contributing
- A personalized treatment and follow-up plan
Treatment Options Tailored to You
Perimenopause treatment should be based on your symptoms, medical history, personal preferences, and goals. Options may include:
- Lifestyle and nutritional support
- Sleep and stress-management strategies
- Prescription treatment for specific symptoms
- Nonhormonal medications
- Vaginal hormone therapy for dryness and discomfort
- Menopause hormone therapy when appropriate
- Birth control options that may also regulate bleeding
- EvexiPEL hormone pellet therapy
- Ongoing monitoring and treatment adjustments
Perimenopause, Birth Control & Period Changes
Perimenopause does not automatically mean contraception is no longer needed. Hormonal birth control may provide pregnancy prevention while also improving heavy bleeding, irregular cycles, and certain perimenopause symptoms. We can help determine whether contraception, menopause hormone therapy, or another approach is most appropriate for your stage of life.
When Should You Schedule a Visit?
Consider scheduling if:
- Your periods have become unpredictable, heavy, or difficult to manage.
- Hot flashes or night sweats are disrupting your day or sleep.
- You feel unlike yourself physically or emotionally.
- Vaginal dryness or sexual discomfort is affecting your quality of life.
- You have noticed persistent changes in energy, mood, focus, or libido.
- You want to discuss hormone therapy before symptoms become overwhelming.
- You have been told your labs are “normal,” but you still do not feel well.
