Perimenopause is the stage before menopause when hormone levels begin to fluctuate. It can start in a woman’s late 30s or 40s and may last several years. During perimenopause, women may experience changes in menstrual cycles, energy, mood, sleep, and metabolism.
Menopause is defined as 12 consecutive months without a menstrual period. Hormonal changes during menopause can affect many systems in the body, including metabolism, sleep, mood, bone health, and cardiovascular health.
Common symptoms include fatigue, brain fog, sleep disturbances, weight gain, anxiety, mood changes, hot flashes, night sweats, and changes in libido. Symptoms vary in type and severity for each woman.
Perimenopause commonly begins between ages 35 and 50, though timing varies. Some women experience symptoms years before noticeable changes in their menstrual cycle.
Yes. Certain medications can contribute to symptoms such as fatigue, weight gain, sleep disruption, or brain fog during midlife. Other medications may be beneficial when used appropriately. Medication effects should always be evaluated in the context of hormonal changes.
Medications should not be stopped without medical guidance. Decisions about continuing, adjusting, or changing medications should be made with your licensed prescribing provider and based on individual health needs.
Hormone therapy is not required for every woman. Some women benefit from lifestyle changes, nutrition support, stress management, and supplements, while others may benefit from hormone therapy. Treatment decisions should be individualized.
Hormonal changes in midlife affect metabolism, insulin sensitivity, muscle mass, and stress response. As a result, strategies that worked earlier in life may no longer produce the same results.
A clinical pharmacist can help evaluate how medications may contribute to symptoms, identify potential nutrient depletions, assess medication interactions, and provide evidence-based education to support informed decisions.
No. Women can experience improvements in energy, sleep, mood, and overall well-being at any stage of perimenopause or menopause with the right support.
You can get started by joining the email list for education on midlife wellness or by scheduling a free consultation to explore personalized support options.