Perimenopause: what to expect, and what helps

Perimenopause often starts quietly in the early-to-mid 40s. Cycles change. Sleep can fragment. Mood and energy may shift in ways that feel unfamiliar.

It's important to know that most of these changes are physiologic — not a sign that something is wrong. At the same time, this is a great window for a careful health check: cardiovascular risk, bone health, thyroid, and mental wellbeing all deserve attention.

Treatment is individualized. Lifestyle is foundational. For some, hormone therapy is an excellent option; for others, targeted lifestyle and naturopathic approaches do the job. The right plan depends on you.