What Your Doctor Didn’t Tell You About Perimenopause

by Dr. Beverly Huang ND

You’ve probably heard of menopause — but what about perimenopause? It’s the lead-up act, and for many women, it’s where the real hormonal rollercoaster begins. If you’ve ever left your doctor’s office with more questions than answers, you’re not alone. Too many women are told it’s “just stress” or “a normal part of aging” when they bring up symptoms like brain fog, night sweats, or sudden anxiety. But let’s get one thing straight: you’re not making this up — and you deserve real answers.

What Is Perimenopause, Really?

Perimenopause is the transitional phase before menopause, and it can start as early as your mid-to-late 30s. During this time, your ovaries begin to produce less estrogen, and hormone levels become erratic — rising and falling in unpredictable patterns.

It’s not a steady decline. It’s a hormonal dance party — and not the fun kind.

Common Symptoms of Perimenopause

These symptoms might sound familiar:

• Irregular periods

• Mood swings or increased anxiety

• Hot flashes and night sweats

• Sleep disruption

• Brain fog

• Vaginal dryness or discomfort

• Changes in libido

• Weight gain (especially around the belly)

And here’s the kicker: you might still be getting regular periods and still be in perimenopause.

Why Your Doctor May Not Mention It

In conventional medicine, perimenopause often isn’t addressed unless your symptoms are extreme or your period has fully stopped. Blood tests during this phase can show "normal" results, even when you feel anything but normal. The truth? Hormone levels fluctuate day-to-day, and a single lab result doesn’t always tell the full story.

What You Can Do

You don’t need to just "wait it out." There are supportive, personalized strategies available — from nutrition and lifestyle shifts to botanical medicine, hormone therapy, and beyond.
We believe knowledge is power. Understanding what’s happening in your body is the first step to reclaiming your energy, confidence, and clarity.

You deserve to be informed, heard, and supported. Perimenopause is a powerful transition, not a problem to be dismissed. You’re not alone — and we’re here to walk with you every step of the way.