Perimenopause Is Like Reverse Puberty

I spend time with 35+ year old patients going through what is happening during this stage of life.

Perimenopause is the transition phase of declining reproductive hormones. It usually starts in the mid-40’s, but can be earlier. ⁣There is so much that can be done during these years! ⁣

In early perimenopause the estrogen levels may increase and progesterone decreases. This can lead to heavier and longer menstrual flow, mood changes, and agitation which is due to estrogen dominance. ⁣There is also the case where estrogen doesn’t necessarily change, but the progesterone levels drop and mimics estrogen dominance as well.

This time can seem like a roller coaster where some months may seem “normal” and other months not so much. ⁣

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During later Perimenopause a woman may notice cycles becoming shorter in length or frequency. ⁣

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Addressing perimenopause can help reduce risk of cardiovascular and stroke risk, sleep disturbances, and anxiety/depression to name a few.⁣

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Addressing the hormone fluctuations in the the perimenopause years can also help how one responds to menopause. ⁣

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𝗦𝗼𝗺𝗲 𝘁𝗶𝗽𝘀 𝘁𝗼 𝗵𝗲𝗹𝗽 𝗽𝗲𝗿𝗶𝗺𝗲𝗻𝗼𝗽𝗮𝘂𝘀𝗲 𝗶𝗻𝗰𝗹𝘂𝗱𝗲:⁣

• 1-2x/day bowel movements⁣

• Address gut health

• Stress management⁣

• Key nutrients - B vitamins, vitamin C, minerals: selenium, zinc, magnesium/manganese⁣

• Reduce Inflammation⁣

• Support liver detox⁣

• Insulin control (cgm, a1c, fasting insulin)⁣

• Adequate Protein

• Weight training⁣

• Limit Caffeine⁣

• Reduce alcohol⁣

• Adequate sleep⁣

• Key supplements may be needed ⁣

• e.g. phosphatidylserine, vitex, dhea, DIM⁣

Bioidentical hormones like progesterone and testosterone may be helpful too! ⁣

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*not medical advice, always consult with your provider. ⁣