You feel different lately, and you are not imagining it.
Perimenopause and menopause bring real, disruptive shifts in energy, mood, sleep, and weight. With the right testing and hormone support, this chapter can feel like you again.
When your hormones are off, everything feels off
Hormones guide your mood, sleep, metabolism, and so much more. When they fall out of balance, the effects ripple everywhere. Most medical training barely covers hormones, so these symptoms often get brushed aside. You are not crazy, and you are not alone.
Cycle & Body
- Irregular periods
- Weight gain
- New belly or thigh fat
- Bloating
- Hair loss
Mood & Mind
- Mood swings
- Anxiety
- Brain fog
- Irritability
- Feeling unlike yourself
Sleep & Energy
- Hot flashes
- Night sweats
- Insomnia
- Fatigue
- Low libido
Sound familiar? These are signs your hormones may need attention.
Perimenopause and menopause, explained
Two distinct stages, often years apart, with overlapping symptoms. Knowing which one you are in shapes the right plan.
Perimenopause
The years leading up to menopause. Progesterone drops faster than estrogen, so the two fall out of balance and cycles turn irregular and unpredictable.
Common signs: irregular periods, hot flashes, night sweats, mood swings, hair loss, weight gain.
Menopause
Periods stop for good as estrogen declines. Beyond the symptoms, this stage raises long-term risk for bone, heart, and brain health, which makes proactive care matter.
Common signs: hot flashes, night sweats, sleep trouble, mood and memory changes.
Other causes of hormone imbalance
Symptoms can come from more than the menopausal transition. Testing tells the real story.
Oophorectomy
Surgery to remove the ovaries can trigger menopause-like symptoms at any age.
Low Testosterone
In women, low testosterone shows up as low drive, fatigue, weakness, and mood changes.
PCOS/PMOS
Higher testosterone can drive PCOS, with irregular cycles, mood shifts, and excess facial hair.
Hypothyroidism
An underactive thyroid slows metabolism and energy, often hiding behind everyday fatigue.
PMDD
A severe form of PMS, bringing intense mood, fatigue, and physical symptoms each cycle.
Not sure what is driving it?
Testing gives you a clear answer, and a plan built around it.
Book a Consult
We test before we treat
Guesswork has no place in hormone care. We start with the data, then build a plan around what your labs actually show.
- Blood, urine, or saliva testing, matched to your situation
- A full picture: estrogen and progesterone, plus DHEA, testosterone, cortisol, and thyroid
- Timed to your cycle and guided by your provider for accuracy
Relief that works with your body
BHRT uses hormones identical to the ones your ovaries make, dosed to your labs, to restore balance and protect your long-term health.
Want the full picture of BHRT?
See the hormones we balance, the delivery options, and what to expect, all on our dedicated Hormone Balance and BHRT page.