Understanding Perimenopause: What Every Woman Should Know
Perimenopause—the transitional phase before menopause—can feel like a hormonal rollercoaster. It’s a time when your body begins to shift away from regular ovulation and menstruation, usually starting in your 40s (though for some, as early as the mid-30s). But despite how common it is, perimenopause remains one of the least discussed and most misunderstood stages of a woman’s life.
If you’ve been feeling off—moody, tired, foggy, or simply not like yourself—you may be in perimenopause. The good news? You’re not alone, and there’s a path forward.
What Is Perimenopause?
Perimenopause means “around menopause.” During this time, estrogen and progesterone levels fluctuate dramatically, sometimes spiking or dropping without much warning. These hormonal shifts can lead to:
Irregular or heavy periods
Hot flashes and night sweats
Mood swings or anxiety
Brain fog and forgetfulness
Poor sleep
Vaginal dryness
Weight changes
Decreased libido
These symptoms can range from mild to disruptive—and unfortunately, they’re often dismissed by both patients and providers as “just stress” or “aging.”
The Importance of Early Recognition
Recognizing perimenopause for what it is—a hormone imbalance—can be empowering. It means you can take steps to improve how you feel, rather than just coping or waiting it out.
One of the most effective solutions? Bioidentical Hormone Replacement Therapy (BHRT).
Modern HRT: Safe, Personalized, and Backed by Research
Many women fear hormone therapy due to outdated or misinterpreted data from decades ago. But those risks were associated with synthetic hormone use, not the bioidentical, plant-derived hormones used in therapies like Biote®.
There is no need to fear modern hormone therapy.
BHRT is carefully customized to your body’s needs, with dosing and monitoring designed to ensure both safety and effectiveness. Studies now show that when administered properly, BHRT can dramatically reduce symptoms without increasing health risks.
You Don’t Have to Suffer
If perimenopause is making daily life harder, it’s time to explore your options. At Mark P. Gold MD in New York, NY, we offer evidence-based hormone therapy tailored to you.
You don’t have to wait until “full menopause” to take action. In fact, treating perimenopause symptoms early can help you avoid the worst of the hormonal crash and enjoy more balance throughout this transition.
Final Thoughts
Perimenopause isn’t just a phase—it’s a major shift. But with the right support, you can move through it with clarity, strength, and confidence. If you’re struggling, let’s talk.
Bioidentical Hormone Replacement Therapy (BHRT) can help support your body's natural functions, improving energy, mental clarity, and overall well-being. Have you ever wondered how BHRT could impact your daily life?