05/01/2026
Perimenopause: the years-long transition *before* menopause, where your hormones swing instead of declining. It can start in your late 30s. And the symptoms get dismissed all the time.
You can't sleep past 3 a.m. Your brain fogs. You're newly anxious or mood-crashing. Your periods went weird. The last provider you saw said it's stress, said you're too young, said your labs were "normal." They would be — FSH and estradiol fluctuate so much in perimenopause that a single draw doesn't catch it.
We schedule extra time for perimenopause consultations because you can't sort this out in 10 minutes. Hormone therapy is one option among several — what makes sense depends on what you actually want.
In Kensington, MD or via telehealth in 12+ states.
👇 metroarea.org/blog/is-this-perimenopause-symptoms-that-get-dismissed