Perimenopause is the transitional stage leading up to menopause, and for many women, it begins earlier than expected. Hormonal fluctuations during this phase can affect everything from sleep and mood to metabolism, menstrual cycles, and sexual health. At Dr. Melissa Gutierrez, Dr. Melissa Gutierrez helps women understand these changes and create personalized treatment plans that support long-term wellness.
Perimenopause commonly begins in a woman’s 40s, although some women experience symptoms earlier. During this stage, estrogen and progesterone levels fluctuate unpredictably, which can cause irregular periods, hot flashes, night sweats, anxiety, brain fog, fatigue, and weight changes.
Many women are told their symptoms are simply stress or aging, but hormonal changes may play a major role. Seeking evaluation early can help identify treatment options before symptoms begin to significantly affect quality of life.
Treatment may include hormone therapy, lifestyle modifications, sleep support, nutritional guidance, and vaginal wellness care depending on your symptoms and health history. Dr. Gutierrez takes a personalized approach to menopause and perimenopause care to help patients feel balanced, informed, and supported.
If you are experiencing changes in your cycle, sleep, mood, energy, or overall health, scheduling an evaluation may help you better understand what your body is going through and what options are available to help.
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