perimenopause
Perimenopause is the phase before menopause when a woman’s body begins to shift hormonally. Typically starting in her 40s but sometimes earlier based on other factors.
During this time estrogen, progesterone, and testosterone begin to fluctuate and gradually decline.
This hormonal imbalance can lead to a wide range of symptoms such as:
irregular periods
hot flashes/night sweats
mood swings
fatigue
joint and muscle pain
weight gain
anxiety/depression
sleep disturbances
low libido and decreased sexual function
heart palpitations and more.
In addition to hormonal changes factors such as stress, nutrition, lack of sleep, environmental toxins, and family history — can worsen symptoms or cause them to appear earlier.
symptoms
Hormonal imbalances may also show up well before perimenopause in the form of conditions such as:
Endometriosis
Polycystic Ovary Syndrome (PCOS)
Infertility
Fibroids
Absent Periods
Heavy or painful periods
Severe PMS or PMDD (Premenstrual Dysphoric Disorder)
These can be early signs that the body’s hormonal system is already out of balance and may contribute to more intense symptoms during the perimenopausal years.
treatment options
In addition to diet and lifestyle, stress management, nutrients, genetic factors, gut health and inflammation we can also incorporate hormones to help you feel your best.
bio-identical Hormone Therapy
Estrogen - Estradiol and Estirol -
Routes: Transdermal, vaginal, injectable
Improves energy, sleep, mood, urinary and sexual health, bone density, cognitive function, cardiovascular health, weight management, improves joint and muscle pain and more.
Progesterone
Routes - Oral - capsule or dissolve tablet
Used alongside estrogen for uterine protection
Improves sleep, mood - called the “rest and digest” hormone
Testosterone Therapy
Routes - Injectable or topical
Improves low libido, urinary symptoms, muscle loss, weight management, bone density, sexual function, motivation and much more.
By combining all aspects of support based on your history, genetics, symptoms, labs and goals - overall improvement is more comprehensive and longer lasting.
We address upstream causes to effect downstream change.
ONGIONG CARE
In perimenopause it is common to have fluctuations in symptoms and hormone levels. This can cause confusion and hopelessness when you are trying to navigate it on your own.
Working with North Star, we develop a baseline for measurement and offer frequent follow up care to adjust any areas that need support in this changing time of our lives.