Perimenopause Care

Feel like yourself again, even when your hormones are shifting.
Perimenopause isn’t “just in your head”—it’s a time of hormonal chaos
that can impact your mental, emotional, and physical health.

If you’re experiencing symptoms that don’t feel like “you,” you deserve care that listens and responds.
We specialize in helping women make sense of this transition and feel like themselves again.

Common Symptoms

  • Sleep disturbances or night awakenings
  • Irregular or unpredictable periods
  • Anxiety, mood changes, or increased irritability
  • Weight gain or changes in body composition
  • Brain fog or difficulty concentrating
  • Changes in libido or sexual response
  • Fatigue or low energy
  • Joint aches, stiffness, or new musculoskeletal pain
  • Hot flashes or night sweats
Your symptoms have a story — and together, we’ll help you understand it.

How We Help

Individualized, Physiology-Based Care

We treat perimenopause as a unique hormonal transition, not a one-size-fits-all diagnosis, using your symptoms, cycle patterns, and labs to guide care.

Thoughtful Use of Hormone Therapy

When appropriate, we use evidence-based bioidentical estrogen, progesterone, and testosterone to support both symptom relief and brain, metabolic, and sexual health.

Strategic Lifestyle and Metabolic Support

Care plans include realistic nutrition guidance, blood-sugar regulation strategies, movement recommendations, and sleep support to support hormones and improve energy.

Targeted Supplements with Clinical Rationale

Supplements are selected intentionally to support hormones, stress response, sleep, and nutrient repletion – never as a substitute for comprehensive care.

Time, Education, and Partnership

Visits allow space for education, questions, and collaboration so you understand what’s happening in your body and feel confident in your care plan.

You Don’t Have to Navigate Perimenopause Alone

If you’re feeling off or overwhelmed, we’re here to help you feel steady again.
Book an Appointment

Related Services

Hormonal and sexual wellness often overlap. You may also find support through our other specialized services.
Menopause

Personalized relief of symptoms while protecting your brain, heart and bones for long-term wellbeing.

Sexual Medicine

Comfort, pleasure, desire, and confidence – without shame or judgment.

Sexual Counseling

A supportive, affirming space to explore intimacy and sexual wellbeing.

Learn More

Feeling overwhelmed by changing symptoms?

Your first visit will help you understand what’s happening in your body and what to do next.
Book an Appointment

What to Expect

Talk

We talk through your sleep, mood, cycles, and overall symptoms to understand the full picture.

Understand

Perimenopause affects many systems at once. We help connect the dots so things finally make sense.

Plan

Together, we build a plan to support sleep, mood, cycles, and energy through this stage of change.

Support

We check in regularly and adjust your plan as your hormones continue to shift.

FAQ

Common signs include changes in your cycle, increased anxiety, sleep issues, brain fog, mood swings, and feeling “off” even if labs look normal. We help you make sense of these patterns.

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How We Help

Perimenopause affects multiple systems at once. We look at how your symptoms connect so nothing feels random or confusing.

Your care may include bioidentical progesterone, targeted supplements, sleep and mood support, lifestyle guidance, and sexual wellness care when needed.

We focus on stabilizing your day-to-day so your life feels more predictable and grounded again.