
09/12/2025
No one used to talk about it, now everyone’s talking about it! I love that women are sharing their symptoms and getting the validation that they aren’t crazy, though I get a lot of questions about what’s actually happening.
⭐️Late 30s-early 40s⭐️
Progesterone start to slip because our ovaries just don’t work like they used to. In order to make progesterone, we need to ovulate well. And well, ovaries are starting to dream of retirement.
Progesterone is very calming and it balances out the stimulatory effects of estrogen. PMS gets worse, the RAGE might start, sleep sucks before your period.
Treatment options are plentiful in this stage depending on what your periods are doing. (You need to chat with an ND or her lovely Intern…)
⭐️Mid-late 40s⭐️
Same symptoms as before… but worse 🤦🏼♀️
Estrogen levels begin to fluctuate and progesterone is pretty much gone. Periods change: sometimes heavier, sometimes erratic. Memory what? It’s hard to recall those things you say to describe something… WORDS! It’s hard to remember things when sleep is s**t.
We amp up treatment here with focus still on progesterone but also working with estrogen. Some women make more estrogen in this phase, some make less. Bioidentical progesterone may come in here as an option.
⭐️50ish⭐️
1 year without your period: Welcome to menopause. More on this later!