Perimenopause
Support during hormonal transition that looks beyond symptoms alone
Perimenopause is the transitional phase leading up to menopause and can begin years earlier than many people expect. During this time, shifts in hormones can affect mood, sleep, cycles, energy, stress tolerance, and overall sense of wellbeing.
For some, these changes feel subtle. For others, they can be disruptive or confusing — especially when symptoms are dismissed as stress, aging, or something you simply need to endure. Perimenopause is a real physiological transition, and support during this phase can make a meaningful difference.
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When Perimenopause Doesn’t Look the Way You Expected
Perimenopause does not always start with skipped periods or hot flashes. Many people first notice changes in how their body responds to stress, sleep disruption, or emotional demands.
In practice, perimenopause often overlaps with:
Increased anxiety or low mood
Sleep disturbances or early waking
Changes in menstrual flow or cycle length
Worsening PMS or new premenstrual symptoms
Migraines or headaches
Fatigue, burnout, or reduced stress resilience
These shifts are influenced by fluctuating hormones interacting with the nervous system, metabolism, inflammation, and life context.
Common Patterns I See In Practice
While experiences vary, some common patterns include:
Feeling less emotionally resilient than before
Anxiety or irritability appearing without an obvious trigger
Cycles becoming shorter, longer, heavier, or more unpredictable
Sleep that feels lighter or less restorative
Symptoms that worsen during periods of stress or poor sleep
Understanding these patterns can help normalize what you’re experiencing and guide supportive care.
How A Naturopathic Approach Can Support Perimenopause
A naturopathic approach focuses on supporting the body through hormonal fluctuation rather than attempting to override it. Care may involve exploring:
Hormonal transitions and sensitivity, not just hormone levels
Nervous system regulation and stress physiology
Sleep and circadian rhythm support
Inflammation and metabolic health, which can shift in midlife
Nutrient status, particularly nutrients involved in mood, energy, and stress response
Lifestyle pacing, workload, and recovery capacity
The goal is to help you feel more steady and supported during this transition.
What Working Together May Look Like
When we work together, care typically includes:
A detailed review of your symptoms, cycle history, and overall health
Discussion of sleep, stress, digestion, energy, and mood patterns
Review of relevant labs when appropriate
A collaborative, individualized plan that evolves as your body changes
Care is responsive and adjusted over time, recognizing that perimenopause is a dynamic phase rather than a fixed state.
If you’d like more detail about my approach, you can read about how I work with patients here.
Is Naturopathic Care a Good Fit During Perimenopause?
This approach may be supportive if you:
Are noticing physical or emotional changes you don’t recognize
Want to understand what’s happening in your body
Prefer individualized, whole-person care during midlife transitions
It may not be the right fit if you are looking for a single, permanent solution or are not interested in exploring lifestyle and physiological contributors.
Related Concerns
Many people navigating perimenopause also experience:
Not sure where to start?
If you’re experiencing changes that may be related to perimenopause, you don’t have to navigate this transition alone. A free 15-minute call can help you decide whether naturopathic care feels like the right next step.