Perimenopause is the natural transition period leading up to menopause. It often begins in a woman’s 40s but can start as early as the mid-30s. During this time, hormone levels — particularly estrogen — can fluctuate, which may lead to changes in menstrual patterns and other physical or emotional changes.

Every woman’s experience is different, but some commonly reported signs include irregular or heavier periods, changes in sleep, mood shifts, and hot flushes or night sweats.

Menopause is defined as the point when a woman has gone 12 consecutive months without a menstrual period, marking the end of natural reproductive years. Most women reach menopause in their late 40s to early 50s, often after experiencing perimenopause.

Symptoms or changes linked to menopause can vary widely. Some women report changes such as sleep disruptions, joint discomfort, mood fluctuations, or cognitive changes like brain fog, which may occur before, during, or after the transition into menopause.

Compounded bioidentical hormone replacement therapy (BHRT) involves custom-prepared hormone formulations made by licensed compounding pharmacies. These treatments use active ingredients that meet USP (United States Pharmacopeia) standards for quality and purity and are combined into specific doses and delivery forms based on a doctor’s prescription.

BHRT may be considered in certain clinical cases but is not suitable for everyone. Its appropriateness, safety, and effectiveness depend on individual factors, which can only be assessed during a consultation with a licensed physician.Compounded bioidentical hormone replacement therapy (BHRT) involves custom-prepared hormone formulations made by licensed compounding pharmacies. These treatments use active ingredients that meet USP (United States Pharmacopeia) standards for quality and purity and are combined into specific doses and delivery forms based on a doctor’s prescription.

BHRT may be considered in certain clinical cases but is not suitable for everyone. Its appropriateness, safety, and effectiveness depend on individual factors, which can only be assessed during a consultation with a licensed physician.

You can start by taking our optional menopause awareness quiz to better understand common signs and stages. This tool is for general education and does not replace medical advice.

When you’re ready, you can book a video consultation with a licensed physician experienced in midlife care. During the consultation, your health history and concerns will be reviewed. If appropriate, the doctor may discuss possible care options, which could include compounded treatments or other medically guided therapies, subject to prescription.

If treatment is prescribed, it is prepared and dispensed by a licensed compounding pharmacy and delivered directly to you.