
05/02/2025
Perimenopause: how do you know if you’re in it?
If you’re in your late 30s or in your 40s and noticing changes in your cycle, sleep, mood, temperature, or energy—it might not just be stress or “getting older.”
It could be perimenopause.
Perimenopause is the natural transition leading up to menopause (menopause is clinically defined as 1 year with no periods), and perimenopause can start anywhere from 3–10 years before your periods stop completely.
During this time, hormone levels—especially estrogen and progesterone—can be all over the place. 🎢
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Perimenopause is a clinical diagnosis, meaning it’s made based on symptoms such as:
• Irregular or heavier periods
• Hot flashes or night sweats
• Increased anxiety
• Mood swings
• Trouble sleeping and fatigue
• Low libido
• Brain fog
• Weight gain
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Labs can be useful, especially when symptoms are affecting your quality of life.
Here are some blood and urine tests I often run with patients:
• FSH, LH, Estradiol, Progesterone, Prolactin – for hormonal fluctuations
• TSH, Free T3, Free T4, anti-TPO, anti-TG – to assess thyroid function (which can mimic perimenopause symptoms)
• CBC, Ferritin, Vitamin D, B12 – especially if fatigue is present
• DUTCH test (urine) – a comprehensive look at cortisol, estrogen, progesterone, testosterone, DHEAS + metabolites
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But testing is only part of the picture.
Your symptoms and personal experience matter just as much.
If you’re feeling like something’s shifted and you’re not sure why—you’re not alone.
You deserve support, clarity, and a personalized care plan that includes:
• Nutrition
• Supplements
• Lifestyle support
My goal is for you to feel empowered through this time—not to suffer through it ♥️
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If you’re interested in learning more, I offer:
• Monthly perimenopause talks at
• 1:1 appointments for a full assessment + personalized treatment plan